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Doctor insights on: Tapering Hypokalemia Of Prednisone

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Dr. Thomas Namey
2,538 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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Was prescribed prednisone 20 mg tablets (taken 3 at a time) for 5 days for back pain. Is this safe to take without tapering off?

Was prescribed prednisone 20 mg tablets (taken 3 at a time) for 5 days for back pain. Is this safe to take without tapering off?

For this short time : For this short time you are ok. The question is whether the inflammation to the back will be gone. You should follow up with your doctor if pain persists

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Can coming off prednisone make you tired and weak? Been tapering for 2 weeks. Last dose was Tuesday 5 mg. How long should this last for?

Can coming off prednisone make you tired and weak? Been tapering for 2 weeks. Last dose was Tuesday 5 mg. How long should this last for?

Reevalution: Prednisone is used to treat a variety of conditions. Worsening fatigue as Prednisone is tapered may be a sign that the original condition being treated may be flaring. Ante-evaluation would be in order.

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I have lupus and I'm on prednisone. I was on a high dosage starting at 60mg and now I'm tapering down to 5mg will certain foods cause a flare up?

I have lupus and I'm on prednisone. I was on a high dosage starting at 60mg and now I'm tapering down to 5mg will certain foods cause a flare up?

Congratulations: on tapering to such a low dose! I haven`t ever encountered or heard of a patient that has lupus flares activated by food. When on prednisone, sometimes a diet low in sodium will alleviate any excess swelling.

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Took 40mg 4 days then 50mg 3 days prednisone, going to taper dose down now. have a migraine today, can prednisone at this amount cause migraines?

Took 40mg 4 days then 50mg 3 days prednisone, going to taper dose down now. have a migraine today, can prednisone at this amount cause migraines?

Not usually: Prednisone can often be used as a therapy for migraines. It isn't clear why you are taking prednisone, nor why you are increasing the dose then tapering, but at least it seems that you have not been on the drug for that long. Prednisone can cause migraines, but that typically occurs when patients are on the drug for either a prolonged time or when overuse has occurred.

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Is it possible to struggle with prednisone taper while on dmard? Does it make the taper less painful or is it supposed to make the taper a breeze?

Should be possible: If the dmard is as effective as intended then a slow taper of Prednisone should be successful. The inability to taper Prednisone to low levels indicates that that current dmard therapy needs to be modified.

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I was prescribed prednisone 60mg for 5 days without tapering as I have disc prolapse My question is it ok to abruptly stop prednisone after 5 days ?

I was prescribed prednisone 60mg for 5 days without tapering as I have disc prolapse 

My question is it ok to abruptly stop prednisone after 5 days ?

Yes since short dura: yes since it's a short duration. This depends whether you have other health problems, or taking prednisone before for long periods. I am not a fan of using prednisone for this type of neck pain. It would be best to see your physician, get a full of evaluation, and a clear diagnosis

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How can I taper down prednisone?

How can I taper down prednisone?

Prednisone taper off: Prednisone is not addicting like a narcotic, but many patients experience withdrawal symptoms. Taper off very slowly, example: 60mg for 3 days, 40mg for 3 days, 20 mg for 3 days, 10 mg for 3 days)

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What is the tapering dose of prednisone?

What is the tapering dose of prednisone?

See below: Tapering is a gradual decrease in the does over weeks to months until the lowest possible dose is reached.

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How long will I withdraw off iv prednisone after having 5 doses and no taper down?

Probably won't: Adrenal insufficiency (steroid withdrawl) is usually only an issue after long term therapy. Doses less than 60 mg for 5 days or less don't usually require a taper.

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I just got off 5 days of prednisone 20mg no taper off and I'm experiencing withdrawals what can I do?

Withdrawal : It is very unusual to get withdrawal on a five day course of steroids. I suggest you do nothing and just wait it out as it should rapidly disappear

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Is it possible to feel symptoms return (or withdrawal) in a 1/2 mg taper from 5.5 mg to 5 mg after several days? I've been on prednisone for 1 yr?

Withdrawal: After being on prednisone for a year it is very difficult to come off of the steroid without experiencing withdrawal pains of some sort

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Recov from pnemonia.What's standard for tapering down from prednisone? Had 60mg for abt 2 weeks, 50mg week3, 40mg week4. Today Dr says stop pills.

Mgt: That should be fine, another option is to continue for one more week and to lower the dose from 40 mg every day to then discontinue it. If you notice any symptoms off the Prednisone, please let your physician know.

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Why might I be getting foggy, confused, & in an almost disoriented state at times when tapering my prednisone dose below 6 mg? Been on almost 1 yr.

Adrenal insuff: Hi, how long have you been on Prednisone? What is the average dose you were taking in last year? You might have a condition called 2/2 Adrenal insufficiency due to suppression of Adrenal glad due to chronic use of Prednison. you might need slower and longer tapering. Talk to an Endocrine doctor. Good luck.

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Given script for prednisone 20mg for 5 days 10 mg for 5 days then stop does that sound safe? Should I have more of a taper at end even every other day

Given script for prednisone 20mg for 5 days 10 mg for 5 days then stop does that sound safe? Should I have more of a taper at end even every other day

It's your doc's call: That said, if the pills are scored, breakable, or the pills are low dose - like 5 mg, you could make the taper a little gentler. Consult with your prescriber. There are a gazillion ways to prescribe prednisone, ranging from a 3-day 60-mg/d burst, to a 60, 50, 40, 30, 20, 10, 5mg mg taper, using multiple 5-10mg tabs. It's in part due to a style thing & to why you're getting it in the first place.

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Dr. Clarence Grim
263 doctors shared insights

Hypokalemia (Definition)

Most labs will define normal as 3.5 to 5. Some may increase the upper limits to 5.2 but anything above 5.5 is clearly abnormal. Level below ...Read more


Dr. John Feola
969 doctors shared insights

Liquid Pred (Definition)

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