How do I take this prednisone? Any ideas?

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cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1942
   Posted 9/7/2007 4:52 PM (GMT -7)   
Hi--
I have to take pred pills for the first time (except for medrol packs in past) and its supposed to be 30mg and he said
take four pills for 3 days
three pills for three days
two pills for three days
and one pill a day until gone
 
I'm supposed to break these up into doses right?  Gosh I wish my brain was working.  I think with food.  How do you usually take this stuff?
Love, Marji
--Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less in human beings of whom they know nothing.--Voltaire (1694-1778)
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Klonopin, Soma, Ultram, Vicodin, Restasis, Albuterol,steroid injections, Protopic & Triamcinolone Acetonide ointments


Barbara Lee
Veteran Member


Date Joined Sep 2003
Total Posts : 2827
   Posted 9/7/2007 6:24 PM (GMT -7)   
Hi Marji:

I'm a prednisone queen here, I normally take all of my pred in the morning time. That way it doesn't keep me as awake during the night. It looks like they are giving you a quick dose and since you've not been taking pred on a daily basis, you probably won't need a slower taper. My daughter Nikita, does doses like this when her asthma is really bad. I'd suggest you take it with food, as it can upset your tummy. Good luck with it and I hope if works quickly for you.

Remember doses at this amount may make you jittery, cause you not to sleep, cause mood swings, make you sweat more. I hope I've been of some help. Good luck and let us know how you're doing with it.

Hugs,
Barbara
dx fibro, SLE, glaucoma, cateracts, bells palsy, depression, migraine headaches, gastreopaersis, chronic anemia, RA,MDS (Blood Cancer). Tons of meds.


cd1977
New Member


Date Joined Feb 2007
Total Posts : 17
   Posted 9/7/2007 10:33 PM (GMT -7)   

Hi I just finished a prednisone taper just like the one you described.  I took each daily dose all at once after a meal (Lunch).  Prednisone can make your stomach upset.  It actually helped me alot even though I don't like taking it.  My flare calmed down and I could function again without so much pain.  I am pretty sure you are supposed to take it about the same time every day.  Good Luck.

Candace

APA (2002), Hypothyroid (2002), Lupus (2003), Raynaud's (2005)

sharentrials
Regular Member


Date Joined Jul 2007
Total Posts : 261
   Posted 9/7/2007 11:49 PM (GMT -7)   
Hi, Marji. I don't quite understand the pill dosages he's using with you because my mind cannot come up to 30mg using the pills that I'm accustomed to using (with the #'s you gave). So, assuming that you have the correct dose amounts needed for that schedule, I would do what has already been mentioned...definitely take it with food (especially with all the stomach/digestion problems you're already dealing with)! I take mine in the mornings right before I eat my breakfast. Whenever you decide to take it, you should do the same from then on too. (Like Barb posted, I have read to avoid taking it too late because of trouble sleeping.) Take care and let us know. Good luck,
Always looking for the silver lining, Sharen

SLE '06, Sjogren's '06, Traumatic Head Injury '94
Prednisone 10mg and tapering, Caltrate 1200mg, Multi-vitamin, Prevacid 30 mg, Actonel 35mg


redrose77
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Date Joined Sep 2005
Total Posts : 2573
   Posted 9/8/2007 7:31 AM (GMT -7)   
I always take mine all at once.

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<SPAN style="FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Verdana">Tx: plaquenil, Enbrel, Celebrex, <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /><st1:City><st1:place><SPAN style="FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Verdana">Darvocet</st1:place></st1:City><SPAN style="FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: Verdana">, Singulair, Flexeril, Baby Asprin, (soon to be d/c-Relpax,)Prednisone<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>


Baybreeze
Regular Member


Date Joined Oct 2005
Total Posts : 315
   Posted 9/8/2007 8:38 AM (GMT -7)   
I would call the doctor for clarification or ask your pharmacist what he thinks is the best way to take it.

lion00
Regular Member


Date Joined Aug 2006
Total Posts : 334
   Posted 9/8/2007 11:26 AM (GMT -7)   
I also always take my pred all at once. I take 35 mg in the morning with my breakfast when I'm on it. Thankfully no stomach problems with me. But I would also suggest the doc or pharmacist clarify the daily amounts. What mg is each tablet? If they are 1mg that would mean ( I think, because my maths brain isn't that good!) that you are taking them for 12 days.
Chillblain Pattern LE, possible SLE, tachycardia, proctal fugax, anismus, slow transit constipation.
 
Prednisoloe, 35mg
Tramadol
diclofenick


cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1942
   Posted 9/8/2007 8:02 PM (GMT -7)   
Thanks, I haven't started it yeat because I forgot this morning. I'm afraid because I got back psychological problems with a shot, but the rheumie says that the shot he gave me and these pills are different. I sure hope so. I hate taking prednisone, almost worse than being sick. I like dexamethasone and tolerate it well, but they wont give it to me. Cortisone works too. I'm going to try to get the endo to help me when I see her in Oct to figure out why the pred is so bad for me. The pills are each 5mg and I have 20 of the to take, so its 25 mg and not 30 to start. My bad brain.
Love, Marji
--Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less in human beings of whom they know nothing.--Voltaire (1694-1778)
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Klonopin, Soma, Ultram, Vicodin, Restasis, Albuterol,steroid injections, Protopic & Triamcinolone Acetonide ointments


cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1942
   Posted 9/9/2007 9:40 AM (GMT -7)   
Took all four this morning and feel better, even gut pain. Thanks again for the help.
Love, Marji
--Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less in human beings of whom they know nothing.--Voltaire (1694-1778)
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Klonopin, Soma, Ultram, Vicodin, Restasis, Albuterol,steroid injections, Protopic & Triamcinolone Acetonide ointments


mom46
Veteran Member


Date Joined Dec 2004
Total Posts : 8198
   Posted 9/9/2007 2:02 PM (GMT -7)   

Hi Marji,

   I always take them all at the same time to in the morning with food, like Barb. I'm glad you are feeling better already. I hope you continue to get better each day. Good luck and take care. You are in my thoughts and prayers.

                                                               Babs


 
 Lupus,RLS,RA,Asthma,Fibro,Sjogren's,Raynaud's,Divertic, Stroke,Atherosclerosis,Seizures,Sensory Polyneuropathy
Meds:Arava,plavix,aspirin,protonix,gabitril,zanaflex,xanax,
mirapex,advair,foxamax,donnatal,folic acid.
 
JOB 5:18 For he wounds, but he also binds up; he injures, but his hands also heal.


omega
Veteran Member


Date Joined Jan 2007
Total Posts : 603
   Posted 9/9/2007 2:42 PM (GMT -7)   
I took Pred in the morning all at once after breakfast.  Your Pred dosage is Pred taper and it's temporary.  It helps to reduce the pain; even there may be sign effects, it should be temporary for you (in your case).

cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1942
   Posted 9/9/2007 8:44 PM (GMT -7)   
Thanks Omega and Babs,
Just after posting I had really bad time with IBS or something, maybe because the pred got my metabolism going again and made me have to go and lots of pain, but took the pain stuff and its ok now. Dont know if its normal for pred to have a laxative effect or something when you first take it, was hard on stomach too, even with food but I'm having some gi problems. I hope its not a problem from the biopsy site in my small intestine. I am thinking not, no fever, but I don't get , but still probably my body adjusting to pred. I feel really great and calm and my face is not red, though you can see my spider veins more now, and its just great I wish I could feel like this every day. Mentally I'm clearer and my vision is better, must really get some sweeling in my eyes or something becuase its usually hard to focus and I keep getting blurry and really having to concentrate to see but Now i don't. lungs better too.
Love, Marji
--Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less in human beings of whom they know nothing.--Voltaire (1694-1778)
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Klonopin, Soma, Ultram, Vicodin, Restasis, Albuterol,steroid injections, Protopic & Triamcinolone Acetonide ointments


sharentrials
Regular Member


Date Joined Jul 2007
Total Posts : 261
   Posted 9/10/2007 8:17 PM (GMT -7)   
Hi, Marji. I'm busy trying to get caught up. I've read a few positive posts from you so far. Glad to hear you're feeling better. I still hope the docs can find another way to help you aside from the prednisone which I think is only a temp. fix for you right now. With everything else you have on your plate, you sure don't want the neg. side effects of prednisone to add to your list! Take care.
Always looking for the silver lining, Sharen

SLE '06, Sjogren's '06, Traumatic Head Injury '94
Prednisone 10mg and tapering, Caltrate 1200mg, Multi-vitamin, Prevacid 30 mg, Actonel 35mg


cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1942
   Posted 9/10/2007 8:46 PM (GMT -7)   
Thanks sharen, I got a special high tech celiac test today that they only process in california and its state of the art so with that and the bx I should be doing ok. The gi called to check in on mye and I have pulmonology tests on Friday so good things are happening. Thanks for checking and I hope you are doing ok.
Love, Marji
--Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less in human beings of whom they know nothing.--Voltaire (1694-1778)
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Klonopin, Soma, Ultram, Vicodin, Restasis, Albuterol,steroid injections, Protopic & Triamcinolone Acetonide ointments


paladin
New Member


Date Joined Sep 2007
Total Posts : 12
   Posted 9/17/2007 9:55 AM (GMT -7)   
I have some questions about prednisone withdrawal, and hope someone can help me.  My 78 year old mother has been on and off prednisone for about 8 years for emphysema.  This past year she had a lung abcess on top of her COPD. Doctor had her on 40 mg in hospital and reduced her to 20 mg when he released her last Sunday.  He also had her on two antibiotics, which he cold turkeyed on Saturday because she was doing so well.  On Monday we found ourselves in the ER.  She was unable to get out of bed on Monday morning and her blood pressure was 183/70.  My mother NEVER had high blood pressure before.  Went to doctor on Tuesday. Put her back on Levaquin, and she improved somewhat.  Put her back on prednisone on Friday (40 mg - 4 days, 30 mg - 3 days, 20 mg - 3 days, 10 mg - 3 days) to try to get her back to where she was when she got out of hosptal. Well, it worked.  She was great Thursday and Friday - but Saturday and Sunday she was shakey and weak with a "fuzzy head."  Also complained of cramps in her legs.  She had just finished taking the 30 mg and was starting 20 when this happened.  I have been reading other posts about prednisone withdraw, and I think that the blood pressure spike and her shaking, weakness and fuzzy head have been caused by her going off prednisone.  I have told her what I have read, and she is thinking of going back on 30 mg for a few days then cutting down to 25 mg, 20mg, etc until she gets to 10.  Any comments or ideas would be really appreciated.  Thank you.

AlwaysRosie
Veteran Member


Date Joined Jan 2005
Total Posts : 8616
   Posted 9/17/2007 10:09 AM (GMT -7)   
Hi Paladin,

Welcome to the forum. So sorry your mom is going through so much. It does sound like a lot of med adjustments all at once. When people are on pred for any length of time, they need to taper more gradually than some doctors realize. It is really hard on the adrenal glands when you go off of the pred and some here have had to taper v-e-r-y gradually. Its not so bad if you are starting out on a pred taper where you gone on a high dose and start to taper immediately, but when the body gets used to a larger amount, the taper needs to be done more slowly. It sounds like you already give that a try, but the lower you go, the more gradually you may need to taper and if there are problems, just go back up for short time . . . all of this should, of course, be done with the blessing of your doctor AND making sure that you have enough pred tablets left to continue the gradual taper.

I hope some of the others will see your post and respond. I think you should repeat your question in a new topic so you'll get more replies. There are several members who know lots more about pred than me.

Keep us updated on your mom!!

Blessings!

In His Grip

AlwaysRosie           "We can't control the waves, but we can learn how to surf!!"

Psalms 139

Co-Moderator - Lupus Forum

UCTD, Hashimotos, Inflammatory Bowel, Inflammatory Arthritis

Clickable Links:  Lupus Resources    Lupous.Org   Lupus Criteria (4 of 11)   Lupus Chapter Locator


paladin
New Member


Date Joined Sep 2007
Total Posts : 12
   Posted 9/17/2007 10:36 AM (GMT -7)   
Thank you for your reply. I just spoke to my mom a few mintues ago, and she said she is feeling alittle better. She went back up to 30 mg yesterday, and is going to stay on that for three days, then drop to 25 mgs., etc. She has plenty of 10 mg and 5 mg pills, so she will be able to try this. Thanks again. Look forward to hearing from othres who have experience with prednisone.

AlwaysRosie
Veteran Member


Date Joined Jan 2005
Total Posts : 8616
   Posted 9/17/2007 5:08 PM (GMT -7)   
Great Paladin . . . I'm glad your mom is feeling a little better . . . a slow taper might be best, as long as that's ok with the doc.

I hope you get some input from the others.

Blessings!

In His Grip

AlwaysRosie           "We can't control the waves, but we can learn how to surf!!"

Psalms 139

Co-Moderator - Lupus Forum

UCTD, Hashimotos, Inflammatory Bowel, Inflammatory Arthritis

Clickable Links:  Lupus Resources    Lupous.Org   Lupus Criteria (4 of 11)   Lupus Chapter Locator

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