How may mg of prednisone is the average person on?

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firebabe
Regular Member


Date Joined Aug 2007
Total Posts : 206
   Posted 9/14/2007 4:31 PM (GMT -7)   
I just started some prednisone the other day because I'm having a crazy flare.  My dr wanted to try me on 10mg for 7 days, then 7.5 for 7 days, then 5 for 7 days, then 2.5 for 7 days.  You get it.  Anyways, I've been taking this since Tuesday and my symptoms were getting rapidly worse.  I called today and he has me on 30mg for 3 days 20 mg for 3 days, then I can start on 10mg and try to back off from there.  So, what amount are others one, and when you begin to swell from it, which water pills are people taking? 
~Firebabe~
 
"Challenges make you discover things about yourself you never really knew."
 
SLE and Class II Lupus Nephritis


sharentrials
Regular Member


Date Joined Jul 2007
Total Posts : 261
   Posted 9/14/2007 6:55 PM (GMT -7)   
Hi, Firebabe. I am now on 9mg of prednisone daily, but the amount needed by each person differs depending on how much inflammation they're experiencing (from lupus activity) and how much their body may require. When my lung was involved last year, I started out taking 60mg daily. It really just depends on what's going on. They will try to determine the lowest possible dose to control your problems, especially if you have to have to stay on it for any length of time. If a "Maintenance dose" (I hate that word) is required, they definitely want it LOW! Hope this helps. Others here are on asst. dosages as well. Hope you are getting some relief. 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


AlwaysRosie
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Date Joined Jan 2005
Total Posts : 8616
   Posted 9/14/2007 8:10 PM (GMT -7)   
Hi Firebabe,

I don't take prednisone . . . but I understand that you need to make sure you are taking calcium to protect your bones. Probably all of us with lupus should be taking calcium supplements. Check with your doc if he hasn't already told you to do so.

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, Inflammatroy Arthritis

 

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applesk82
Regular Member


Date Joined Oct 2003
Total Posts : 262
   Posted 9/14/2007 11:32 PM (GMT -7)   
I'm on 17.5mg until sunday then i go down to 15mg, i am tapering right now til i get to 10mg and my doc is gonna check my bloodwork. we are trying to get me back down to 5mg a day which is what i was on until i flared in march. and i am also taking a calcium supplement 600mg twice a day because i've been on prednisone for 12 years now and i had a dexa scan last year and it showed some osteopenia so the docs decided i needed it.
Hugs and prayers,            God grant me the serenity to accept the
   ~Suzanne~                 things I cannot change, the courage to    
                                    change the things I can, and the wisdom
                                    to know the difference.
diagnosed in May '95 with lupus nephritis, hypertension, hypothyroidism, avascular necrosis (knee) '98, kidney transplant April '06, pseudo-cerebral tumor '07, AVN of R ankle '07
prednisone, cellcept, prograf, lopressor, allopurinol, synthroid, diamox, OsCal +D, lunesta, celexa, percocet for pain


omega
Veteran Member


Date Joined Jan 2007
Total Posts : 607
   Posted 9/15/2007 2:47 AM (GMT -7)   
I am on 20 mg for this week 'coz pain in R shoulder n will taper down to 10 mg. The dosage 30/20/10 is a taper dosage that most docs use when a patient has a big flare. I sometimes have to do this too when I hv bad flare.

firebabe
Regular Member


Date Joined Aug 2007
Total Posts : 206
   Posted 9/15/2007 6:30 AM (GMT -7)   
My Dr. did mention calcium, but he said as long as I drink at least 2 glasses of milk a day (I usually do), then I can get away with 600mg of calcium a day. He's already told me that if when I get to the 10mg and if I start to flare worse, he will take more aggresive measures. I'm trying my best to stay optimistic about this working. Some of the smaller pains have started to subside a little bit, like the pains in my toes and fingers. I hope this isn't just because I slept all night and for now its better, but I notice throughout the day things can get worse. Thanks everybody:)
~Firebabe~
 
"Challenges make you discover things about yourself you never really knew."
 
SLE and Class II Lupus Nephritis


AmyTx
Regular Member


Date Joined Dec 2006
Total Posts : 185
   Posted 9/15/2007 10:11 AM (GMT -7)   
i started on 60 mg but i was nnin a severe lupus flare.. im now down to 30 mg and doing okay im supposed to keep going down too while checking my labs tooo.. everyone is different...
DX: Lupus (dx:'03) MCTD, Raynaud's, Antithyroid antibodies, Lupus Cebritis, Lupus CNS, Lupus Pneumonitis and Stage II Lupus Nephritis. 9 tia's and one pontine stroke('06)Seizures('06)steroid induced diabetes and pancreatitis, Photosensitivity since childhood, vasculitis, gangrene left thumb had amputated aug of 07,had mediport put in aug '07, discoid lupus sept 07
Meds: Lisinopril,Hydrochlorithiazide,Keppra, Plaquenil,Prednisone 30 Mg/Day,Miracle mouthwash,Xanax, Darvocet,Lidocaine cream, Xopenex inhaler, Xopenex Nebulizer, prevacid
 


cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1944
   Posted 9/16/2007 10:16 PM (GMT -7)   
I've gotten big shots before, don't know how much but alot. Now on pills I took 20 for three days, then 15 for three days, then 10 for three days, then 5 for three days. It seemed just right for me this time. i have liver trouble and endocrine problems so I don't always react predictably to meds.
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


CaptSue
Regular Member


Date Joined Jan 2007
Total Posts : 279
   Posted 9/17/2007 4:01 AM (GMT -7)   
Hi all,

As Amy and Sharen say. We are all so different and it depends on what's going on. Sounds as if your doctor has a reasonable plan. I was on 10 during a flare, got down to 5 and 5 is now my "maintenance dose" (yes, hate that term too). I had a bit of a moon face on 10mg but didn't take anything for it and it is mostly gone.

Hope your flare is improving.

Stay Strong,
Sue
Diagnosis: Mixed connective tissue disease (systemic lupus, scleroderma, polymyositis), Raynauds phenomena (both diagnosed in 2006)

Meds: prednisone (5.0 mg), Imuran (2X50mg), Prilosec (20mg), AmbeingCR (12.5mg some nights)


gloryroad
Regular Member


Date Joined Oct 2006
Total Posts : 193
   Posted 9/17/2007 4:22 AM (GMT -7)   
firebabe said...
My Dr. did mention calcium, but he said as long as I drink at least 2 glasses of milk a day (I usually do), then I can get away with 600mg of calcium a day. He's already told me that if when I get to the 10mg and if I start to flare worse, he will take more aggresive measures. I'm trying my best to stay optimistic about this working. Some of the smaller pains have started to subside a little bit, like the pains in my toes and fingers. I hope this isn't just because I slept all night and for now its better, but I notice throughout the day things can get worse. Thanks everybody:)


Most gynecologists and internists will tell women that they need 1200-1500 mg of calcium every day. This should be done whether or not you are on prednisone, healthy, or not. You should also include Vit D and magnesiium for the best bone absorption. This is very important to start before your body starts to go through perimenopause. We start losing bone in our 30's. If you are on prednisone, this is even more important since you are taking a medication that causes bone loss.
Gloryroad


AlwaysRosie
Veteran Member


Date Joined Jan 2005
Total Posts : 8616
   Posted 9/17/2007 6:17 AM (GMT -7)   
Thanks Glory . . . you said it well. It IS very difficult to lay down bone after age 25 and it is very easy to lose bone and as Glory said, it is a "normal" process from age 30. Even though I don't take pred my docs are all (gyno, pcp and rheumy) preaching at me to take two calcium caps per day with D like Glory said. Eating food with calcium is good too because it is difficult to absorb calcium.

Rheumy said for some reason lupans have more probs with this even w/o prednisone so we all need to be proactive in preserving our bone mass.

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, Inflammatroy 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 8:56 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.

lion00
Regular Member


Date Joined Aug 2006
Total Posts : 334
   Posted 9/17/2007 12:47 PM (GMT -7)   
Hi, I don't know much about pred withdrawal but I got some great advice on a similar subject a while ago. If you create a new post more people will read it and be able to offer you some advice.

CPLE, probable SLE, Steroid Induced Diabetes, proctal fugax, anismus, slow transit constipation.
Prednisoloe, 30mg
Tramadol
Naproxin
Glicazide 80mg x 4 daily (for diabetes)
 


lupie hoshi
New Member


Date Joined Sep 2007
Total Posts : 3
   Posted 9/17/2007 3:29 PM (GMT -7)   
smurf im on 7.5 mg right now was on 5 mg but now i am stable.
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