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Doctor insights on: Prednisone Topical Over The Counter

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Dr. Thomas Namey
2,560 Doctors shared insights

Prednisone (Definition)

Prednisone is a synthetic cortisone. The body makes cortisone, a natural hormone made in adrenal glands. The body converts it to Hydrocortisone to become active. 25 mg of cortisone has about same effect as 5 mgm prednisone. The average person would produce 3-6 mg of pred daily. So why use a substitute? The synthetic has more anti-inflammatory effect; but has less effect ...Read more


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Can taking prednisone or topical steroids make a rash worse?

Can taking prednisone or topical steroids make a rash worse?

Yes: Yes, especially if the rash is caused by infection or if there is an allergy to the specific steroid preparation. ...Read more

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My brother is suffering from chronic aphthos ulcers. He was treated symptomatically with topical prednisone as well as antibiotics. Still no effect?

My brother is suffering from chronic aphthos ulcers. He was treated symptomatically with topical prednisone as well as antibiotics. Still no effect?

Chronic ulcers: There are prescription meds help reduce the intensity and duration but this a virus and there is no cure. Palliative treatments can help with discomfort, also modifying diet, exposure to irritants, trauma and reducing stress can help as well. See a dentist for prescription meds and use when earliest signs occur, may cut from 7-10 days to 3-5 days. Antibiotics only treat bacterial infections. ...Read more

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Chronic hives not responding to otc h1 or h2. Prednisone helped for 7 days, but hives came right back. I went a dermatologist who ordered blood tests, all negative. Please help!

Chronic hives not responding to otc h1 or h2. Prednisone helped for 7 days, but hives came right back. I went a dermatologist who ordered blood tests, all negative. Please help!

Agree: I agree with Drs Clear and Hegab.
I sympathize as itching is sometimes worse than pain is it not? There is still a good chance that your hives will eventually resolve by themselves. It turns out that the strongest antihistamine (H1+H2) is an old medicine used for anxiety, sleep, stress and depression called Doxepin. Some patients find this a good fit taken at night and cetirizine daily ...Read more

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Any home remedies for a bad deep cough from asthma & allergies? My dr put me on prednisone yesterday. I can't stand constantly coughing anymore! Any OTC meds/ home remedies that I could try?

Any home remedies for a bad deep cough from asthma & allergies? My dr put me on prednisone yesterday. I can't stand constantly coughing anymore! Any OTC meds/ home remedies that I could try?

Stick with doctor: Your doctor knows what is best for you. Give it a chance to work. Do not fiddle with home cures, otc meds or other things. Listen to your doctor. ...Read more

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Dx of rheumatoid arthritis. Taking Enbrel and occasionally prednisone burst pack. Chronic debilitating pain, not EVEN touched by OTC meds, or ensaids. Please help!!!!!!

Dx of rheumatoid arthritis. Taking Enbrel and occasionally prednisone burst pack. Chronic debilitating pain, not EVEN touched by OTC meds, or ensaids. Please help!!!!!!

Sound like: You need to have a frank discussion with your Rheumatologist1 the treatment of RA has advanced greatly over the past decade. Biological therapy and combination of various medications usually result in control of pain and joint damage! SPEAK OUT!!

Hope this helps and BE WELL!
Dr Z ...Read more

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Have lupus. Bad muscle aches/stiffness x months. Recent c3 &c4 were normal. OTC meds don't help. Took prednisone on my own x3 days. Feel better. OK to do?

Have lupus. Bad muscle aches/stiffness x months. Recent c3 &c4 were normal. OTC meds don't help. Took prednisone on my own x3 days. Feel better. OK to do?

Fine, but: How much you took? You can stop at this point, please take something to protect your stomach lining, like ranitidine or emeprazole OTC, call your doctor or schedule an appointment soon for evaluation, wish you wellness ...Read more

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My father 73 with ckd, af, htn what can I use for oA of his knees with left side effusion topical or systemic treatment & is prednisone good in this?

My father 73 with ckd, af, htn what can I use for oA of his knees with left side effusion topical or systemic treatment & is prednisone good in this?

The coexistence: Of chronic conditions including chronic kidney disease, atrial fibrillation, etc., DOES complicate the treatment of joint problems. Local treatment vs. Systemic non-steroidals or steroids/prednisone would be strongly preferred. I would think aspiration of the knee effusion followed by an injection of pain killer and local steroid (Depo-Medrol) might warrant serious consideration. Good wishes:) ...Read more

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Poison ivy on my left eyelids. Topical or oral steroids? Got a shot and 13 day prescription, tapering 60 to 10 mg (Prednisone)

Poison ivy on my left eyelids. Topical or oral steroids? Got a shot and 13 day prescription, tapering 60 to 10 mg (Prednisone)

Depends on risk: We can't give specifics in this forum. Poison ivy is contact dermatitis; peaks around 3-5 days after exposure, lasts 14-21d. Assuming "shot" is systemic steroids; some last 3 wks, others days. Must weigh risks of steroids, systemic (oral+shot) vs. Topical (HTN, diabetes, GERD, osteopenia, AVN, glaucoma, cataracts, etc), which include current health status, timing, duration, potency, frequency, etc ...Read more

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Asthma attack. Saw doc today. She put me on pulmacourt prednisone, albuterol singulair (montelukast) amoxicilline OTC cold and flo nase. Getting worse after hr now?

Asthma attack. Saw doc today. She put me on pulmacourt prednisone, albuterol singulair (montelukast) amoxicilline OTC cold and flo nase. Getting worse after hr now?

If you have peak: Flow meter, and it is less than green zone after you have done all these treatments as prescribed, then you need to go to ER. You likely have been maximized on medications outside of the hospital at this point. You may need more aggressive treatments, including nebs, racemic epi or magnesium and IV meds. Please go to ER ASAP. ...Read more

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Is it ok to take an OTC sleep aid while on 10mg of prednisone, three times a day I have tonsillitis, so I was put on prednisone and amoxicillin. The prednisone has caused me lack of sleep.

Is it ok to take an OTC sleep aid while on 10mg of prednisone, three times a day I have tonsillitis, so I was put on prednisone and amoxicillin. The prednisone has caused me lack of sleep.

Most: Most otc sleep aids contain diphenhydramine, if this is what you plan on taking, then there is no interaction between the two (diphenhydramine and prednisone) and you should be fine. Insomnia is usually not a side effect of prednisone; consider other reasons. If this problem persists bring it to your doctor's attention.
Best of luck. ...Read more

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Swollen itchy under eyes lids and lower. Used topical steroid, eye drop steroids and prednisone. Once steroids done it comes back. What could it be?

Swollen itchy under eyes lids and lower. Used topical steroid, eye drop steroids and prednisone. Once steroids done it comes back. What could it be?

See a dermatologist: Probably eczema. If it is, it is chronic and recurrent. Prolonged use of steroid here brings risks of glaucoma, cataracts, and periorafacial dermatitis.Calcineurin inhibitor is safe and effective. By prescription you will control your skin problem with tacrolimus ointment 0.1% or pimecrolimus cream. ...Read more

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My 16-month old has diaper rash from amoxicillin prescription for uri. Also rx'd prednisone. Can the pred. Help pain for rash, or should OTC ibuprof better?

My 16-month old has diaper rash from amoxicillin prescription for uri. Also rx'd prednisone. Can the pred. Help pain for rash, or should OTC ibuprof better?

Use an ointment.: The pain of the diaper rash is mainly caused by the diaper and the urine and stool touching the rash. Coat his bottom with a thick film of zinc oxide paste (found in most over the counter diaper ointments) to protect it. If that does not help, then Ibuprofen is a good pain reliever. You should give the Prednisone as prescribed - it should never be given outside of what it says on the label. ...Read more

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I have had severe muscle pain and cramping throughout my body for a week. I just finished a course of prednisone for joint swelling. OTC meds aren't h?

Maybe low potassiium: We need to know the reason for the prednisone. Sometimes prednisone can change potassium or other electrolyte levels. Your physician will check some of these issues on your evaluation. If you are on a medicine for your Cholesterol this could impact this as well. This will be how your physician will evaluate these symptoms ...Read more

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Can I take an otc antihistamine along with bactrim (sulfamethoxazole and trimethoprim) and prednisone? It is not for allergic reaction from bactrim (sulfamethoxazole and trimethoprim), just for pollen allergy

Can I take an otc antihistamine along with bactrim (sulfamethoxazole and trimethoprim) and prednisone? It is not for allergic reaction from bactrim (sulfamethoxazole and trimethoprim), just for pollen allergy

Yes: However, you may find that the prednisone (assuming you're using it for something else) helps more for the pollen allergy than antihistamine. If you are receiving treatment for chronic or worsening sinus pressure/infection, then I strongly recommend seeing an Allergist to get help in the future. Recurrent sinus infections will persist unless the allergy is addressed properly. Good luck! ...Read more

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Had strep. Finished meds (z pack/prednisone). Week later, sore throat again + bad headache (I have migraines). OTC no relief. Urgent care or wait? Thx

Had strep. Finished meds (z pack/prednisone). Week later, sore throat again + bad headache (I have migraines). OTC no relief. Urgent care or wait? Thx

Urgent care: Why wait and suffer with the headache? Also check to see if the Z-pak took care of the strep as sometimes you may need a re treatment or different antibiotics. ...Read more

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Is it ok to continue taking metformin even if I don't have polycystic ovaries anymore? Is it true it counters the effect of OTC pills (weight gain)

Is it ok to continue taking metformin even if I don't have polycystic ovaries anymore? Is it true it counters the effect of OTC pills (weight gain)

Yes: If you have Insulin resistance or even diabetes metformin is fine to take. Some people have lost weight on metformin, perhaps due to GI side effects. I haven't heard that it can interfere with diet pills but those can be dangerous on their own. ...Read more

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Can prednisone stunt my growth?

Can prednisone stunt my growth?

Prednisone: If you are 50 you have stopped growing and indeed likely shrinking in height. Prednisone may causes vertebral collapse if used for long time at high dose. Lets do 2nd opinion. ...Read more

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How does prednisone affect your mood?

How does prednisone affect your mood?

Euphoric grouch?: Prednisone can cause euphoria, agitation, insomnia, mania (especially in bipolar sufferers), psychosis, confusion, hunger, depression and anxiety. Many initially feel very energetic and get a lot done, then exhausted and depressed when it is stopped. Often patients tell me they think they are fine but their families find them short-tempered. Side effects are dose and duration-related; temporary. ...Read more

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What medicine can replace prednisone?

Depends on disease: If you are asking what other similar medications (steroids) can be used there are several options such as medrol (methylprednisolone). If you are asking can you stop steroids completely and substitute another treatment - this is often but not always possible. It depends on your diagnosis. I suggest you discuss this with your doctor. ...Read more

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Can prednisone treat a puffy uppereyelid?

Sometimes: If it is due to an allergic reaction or a bug bite, it can. If it is secondary to an infection, do not use it. ...Read more

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Who should not take Deltasone (prednisone)?

Who should not take Deltasone (prednisone)?

Deltasone (prednisone): Deltasone (prednisone) is contraindicated with "Systemic fungal infections and known hypersensitivity to components." See: http://dailymed. Nlm. Nih. Gov/dailymed/drugInfo. Cfm? Setid=3400d26a-41cb-40e4-99b4-780e1e0ec561 ...Read more

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If I overdosed on prednisone last night, can I die?

If I overdosed on prednisone last night, can I die?

Unlikely!: Best bet is you did not sleep. We use doses of methyprednisolone or Dexamethasone at doses equivalent to 1000mg of Prednisone by IV administration to treat severe flares in lupus, or to sometimes treat vasculitis. I doubt you took so much. ...Read more

Dr. John Feola
991 Doctors shared insights

Liquid Pred (Definition)

Liquid Pred is a corticosteroid which is a kind of ...Read more


Dr. Mark Ingerman
986 Doctors shared insights

Deltasone (Definition)

Deltasone is a corticosteroid which is a kind of ...Read more