which is prefered prednisolone 20 mg / day once a day or in two divided dose ???

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bele
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Date Joined Apr 2011
Total Posts : 4
   Posted 4/5/2011 4:22 PM (GMT -6)   
Hi
 i would like to ask
 
which is prefered
 
i take prednisolone 20 mg / day once a day
or
 
 i take prednisolone 20 mg / day in two divided dose (10 mg every 12 hours) ???
 
comment the treatment for 1 week only
 
 

Post Edited (bele) : 4/5/2011 3:27:21 PM (GMT-6)


Ides
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Date Joined Nov 2003
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   Posted 4/5/2011 4:28 PM (GMT -6)   
Your doctor should have specified which manner he/she wanted you to take it. It also depends what condition is being treated.

For me, it is always prescribed to take first thing in the AM with food. I have insomnia something horrible from it and can't sleep if I take it later in the day.

Best thing is to ring your physician and asked to have the instructions clarified.
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Zanne
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Date Joined Apr 2005
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   Posted 4/5/2011 5:00 PM (GMT -6)   
As Ides said, it is best to check with your doctor, but most of us take Prednisone first thing in the morning to avoid the insomnia issue.

stripey
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Date Joined Feb 2011
Total Posts : 1008
   Posted 4/5/2011 5:48 PM (GMT -6)   
With any steroid it should be taken in the morning as this is when naturally your body's hormones, that the steroid mimics, are at their optimum.
Crohn's dx 1989, loop ileo 1992, end ileo 1992. Arthritis developed 1990 Stoma abcess 1995. Azathioprine started 1995. Panprocolorectomy 1999. Stillbirth 2000, antiphospholipid syndrome dx 2000. Flare up 2004, stoma abcess and strictoplasty 2004. Low blood pressure dx with impaired kidney function 2006, fludrocortisone pres. flare up 2010, steroids, Humira, codeine.

artist guy
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   Posted 4/5/2011 8:12 PM (GMT -6)   

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mtgman
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Date Joined Mar 2005
Total Posts : 1285
   Posted 4/5/2011 11:34 PM (GMT -6)   
same here. morning it is.
37 year old male living in AZ. Diagnosed with Crohns at age of 15.
Currently on 20 mg prednisone. still taking Asacol. Done with Remicade- antibody level was over 8! Waiting for scope results to see about Humira or Cimzia.
In the middle of a bad flare now for 2 years...it's been one heck of a ride!

JustAnother
Regular Member


Date Joined Mar 2011
Total Posts : 115
   Posted 4/6/2011 6:56 AM (GMT -6)   
Guess I'm the odd man out. I've always had sleeping issues and the pred doesn't seem to make it any worse. It seems to work better for me spacing it out. I'm on 30 and I take it 5am/11am/5pm.

Still, I've always had strange sleeping habits so take that for what it's worth.

Nanners
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Date Joined Apr 2005
Total Posts : 14994
   Posted 4/6/2011 8:59 AM (GMT -6)   
I have to take it as early as possible in the mornings to help avoid the insomnia symptoms. Hugs!
Gail*Nanners* Co-Moderator for Crohns Disease
Crohn's Disease for over 35 years. Currently on Asacol, Protonix, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!

bele
New Member


Date Joined Apr 2011
Total Posts : 4
   Posted 4/10/2011 5:02 PM (GMT -6)   
Thanks for all

i take prednisolone 20 mg / day as short period 1 week and thin decrease the dose over 3 weeks for treatment some inflammatory area in my scalp

(the daily dose 20 mg )
i have 2 question

if i take it 10 mg at morning and 10 mg at night for 1 weeks
1-is this regimen (10 mg every 12 hours) mistake ???

2- How can i taper it over 3 weeks


please please tell me

Jesus bless you

ivy6
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Date Joined Sep 2005
Total Posts : 10404
   Posted 4/10/2011 5:20 PM (GMT -6)   
I think the doctor should advise you on tapering.

No! The 10mg every twelve hours is not a mistake. You know your own body, and what regimen best suits you. Sometimes taking a dose of pred every twelve hours can give you more stability than you'd get if you took the whole dose in the morning.

I have been on both types of regimen: whole dose in the morning; dose spit and taken every twelve hours. Both were suitable for me *at that time* and were done on my doctor's advice.

Just talk with your doctor and work out what is best *for you*, and go with that :-).

All the best,

Ivy.
Co-Moderator Crohn's Forum.

Medications for Crohn's ~~ Diet and Nutritional Therapy for Crohn's ~~ Dealing with Abscesses and Fistulae ~~
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