11 doctors weighed in:

What is the recommended dosage for starting prednisone for ra?

11 doctors weighed in
Dr. PHILIP WALLER
Internal Medicine - Rheumatology
5 doctors agree

In brief: Varies

We do use Prednisone quite a bit in early ra.
I try to use as low a dose of Prednisone such as 5 to 10 mg a day to keep side effects to a minimum but still get control of the disease. On the rare occassion of very severe ra, we may use high oral dose steroids for example greater then 20 mg or more a day, intramuscular steroids and at times intravenous steroids in the most severe cases.

In brief: Varies

We do use Prednisone quite a bit in early ra.
I try to use as low a dose of Prednisone such as 5 to 10 mg a day to keep side effects to a minimum but still get control of the disease. On the rare occassion of very severe ra, we may use high oral dose steroids for example greater then 20 mg or more a day, intramuscular steroids and at times intravenous steroids in the most severe cases.
Dr. PHILIP WALLER
Dr. PHILIP WALLER
Thank
Dr. Paul Cohen
Family Medicine
2 doctors agree

In brief: Weight?

This answer depends upon yout weight; as the proper dose of Prednisone should be calculated on how much you weigh in kilograms.
Discuss this with your rheumatologist and he/she will help you calculate it out.

In brief: Weight?

This answer depends upon yout weight; as the proper dose of Prednisone should be calculated on how much you weigh in kilograms.
Discuss this with your rheumatologist and he/she will help you calculate it out.
Dr. Paul Cohen
Dr. Paul Cohen
Thank
Dr. Thomas Namey
Internal Medicine - Rheumatology
1 doctor agrees

In brief: I agree!

I usually start at 2.
5mg and for most patients end at 5mg. Occasionally will use 7.5. Combined with mtx, dr. Moreland at pitt showed equal efficacy as compared with Enbrel (etanercept) or humira.

In brief: I agree!

I usually start at 2.
5mg and for most patients end at 5mg. Occasionally will use 7.5. Combined with mtx, dr. Moreland at pitt showed equal efficacy as compared with Enbrel (etanercept) or humira.
Dr. Thomas Namey
Dr. Thomas Namey
Thank
Dr. Douglas Mund
Internal Medicine - Rheumatology

In brief: None specific

There is no specific starting dosage of Prednisone for ra.
Each patient has unique needs. We always attempt to use the lowest effective dose, generally in the range of 5-10mg daily.

In brief: None specific

There is no specific starting dosage of Prednisone for ra.
Each patient has unique needs. We always attempt to use the lowest effective dose, generally in the range of 5-10mg daily.
Dr. Douglas Mund
Dr. Douglas Mund
Thank
Dr. Michael Laccheo
Internal Medicine - Rheumatology

In brief: Controversial topic

There is not complete agreement among rheumatologists to this question.
Some try not to use any Prednisone at all, others use mild to moderate doses (10-20mg) short-term while waiting for dmard therapies to kick in and others start with high doses (60mg) and titrate down. There is literature to support all these plans. Personally, i typically start with 10-15mg/day.

In brief: Controversial topic

There is not complete agreement among rheumatologists to this question.
Some try not to use any Prednisone at all, others use mild to moderate doses (10-20mg) short-term while waiting for dmard therapies to kick in and others start with high doses (60mg) and titrate down. There is literature to support all these plans. Personally, i typically start with 10-15mg/day.
Dr. Michael Laccheo
Dr. Michael Laccheo
Thank
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