What is classified as long-term steroid use?

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Regular Member

Date Joined Mar 2010
Total Posts : 30
   Posted 6/29/2010 7:56 PM (GMT -7)   
My daughter has crohn's, she only had a short course (1 month all up) of steroids recently, but the disease is coming back again quickly. Anyway I was reading about all the side effects for children on long term steroids, but I can't seem to find anywhere that will tell me how long is long term. Can anyone answer that?

Veteran Member

Date Joined Aug 2007
Total Posts : 1202
   Posted 6/29/2010 8:23 PM (GMT -7)   
I don't know for sure, but I think of "long-term" as 4+ months. Maybe someone else has another answer. I've never asked the doc to define it, but I know it seems to take me about 4 months on steroids to start losing hair etc. Also my bones are affected, but the docs still don't seem to worry about a month or 6 weeks on steroids.
1 fistula, crohn's colitis, limited to large intestine
Compounded budesonide 3mg/daily, Cimzia, MTX . Dx Osteoporosis 10/08 started Forteo 1/27/09

Regular Member

Date Joined Sep 2008
Total Posts : 211
   Posted 6/29/2010 8:34 PM (GMT -7)   
I have been on endocort for three years. I use to take 2 3mg caps a day until November when I flared again. I now take 3 3mg a day. The doctor said just to make sure I am taking a high dose of calcium daily.

37/f   proud single mom of 2

Diagnosed with GERD/Acid Reflex 2002

Diagnosed with IBS 2007

Diagnosed with Arthritis 2007

Diagnosed with UC, then Crohn’s 2007

Diagnosed with Generalized Anxiety Disorder 2008


Current medications: Asacol 2 tablets 3X daily, Imuran 100 mg daily,Endcort 3mg 3X daily, Pentasa 2 500mg caps 2X daily, Prilosec 20 mg 2X daily (if needed), .05 mg Zanax (if needed) Probiotics, Calcuim/Mag/Vit.D. Flinstones multi with Iron, Young Living Omega 3, Young Living Core Supplements

Regular Member

Date Joined Mar 2010
Total Posts : 30
   Posted 6/30/2010 8:25 PM (GMT -7)   
Thanks for the replies, wow I didn't realise you could lose hair from steroids, that is terrible. My Daughter is very young so growth is a major problem with the steroids, I really don't want her on them if I can help it. There isn't alot of alternatives though.


Julia Hill
Veteran Member

Date Joined Mar 2008
Total Posts : 560
   Posted 6/30/2010 8:45 PM (GMT -7)   

Prednisone effects everyone differently. I have been on it for 30 years, and my hair does not fall out. My biggest complaint is the weight gain from the fluid retension, and the severe adrenal suppression. Prednisone has been my miracle drug many times over the years.

All the best,

Veteran Member

Date Joined Mar 2005
Total Posts : 1289
   Posted 6/30/2010 8:59 PM (GMT -7)   
i have been on and off, up and down for so long...my doc is kind of mad at me but when i taper down a lot of times i flare and have to bump back up...i'm at 26 now down from 40...i kind of manage it myself at this point...the docs definitely don't want you on it longer than necessary.
36 year old male living in AZ.  Diagnosed with Crohns at age of 15.
Currently on 30 mg prednisone.  still taking Asacol.  Just had 3rd Remicade infusion 3 weeks ago
In the middle of a bad flare now for over a year...lost almost 30 lbs. -- gained most of it back now.

Veteran Member

Date Joined May 2003
Total Posts : 9448
   Posted 7/1/2010 8:54 AM (GMT -7)   
My understanding is 3 months. It is at the 3 month mark of steroid use that they recommend a baseline DEXA scan be done for adults. Bone growth plates don't close until the late teens or early 20s, I forget exactly, so it may be different for children.
My computer says I need to upgrade my brain to be compatible with its new software.

Regular Member

Date Joined Jun 2010
Total Posts : 265
   Posted 7/1/2010 9:26 AM (GMT -7)   
I've been on it since March and my GI Dr seems to think that isn't a long time on it I was on 40mg and now down to 10mg. My PC Dr and Hemotologist both feel that I have been on it long enough. Whenever I go and see them they ask if the GI took me off of it yet. Just went to my PC on Tuesday and seemed concerened about me still being on it. I keep getting sick and having weird reactions and I'm told it's because of the prednisone is playing with my immune system. I feel for your child and hopefully she isn't on it for a long time. Hopefully they can suggest something else that will work instead of prednsione.
50mg 6MP
10mg Prednisone
1000mg Sulfasalazine 3x Daily
50000IU Vitamin D Once a Week
100MCG/ML INJ, 1ML Cyanocobalamin B12 Every 3 Weeks

Veteran Member

Date Joined Mar 2005
Total Posts : 1115
   Posted 7/1/2010 12:19 PM (GMT -7)   
I have been on predisone since 01'09.  I have been up and down on doses, and the doctor refuses to take me off.  I seem to have a reaction everytime I go under 10mgs on tapering off..I have gained 45 pounds, and I am extremely swollen all the time.  I am under the impression long term usage is over 3 months.

Regular Member

Date Joined Jun 2010
Total Posts : 59
   Posted 7/1/2010 7:11 PM (GMT -7)   
I'm also pretty sure that long-term use is 3 months...

23 y/o
Diagnosed in 2007
Misdiagnosed w/ Lactose Intolerance @ 11 y/o
Misdiagnosed w/ IBS @ 16 y/o
3 hospital stays in the last 6 months
been on Asacol, Pentassa, Remicaide, Humira, Prednisone on and off (I think it's the devil) and lost more random things.
Right now 6MP,about to start Cimzia, just went off prednisone AGAIN, just stopped Humira
Married with a 3 y/o
~Want to get this back in control so I can try for another baby! :)

Regular Member

Date Joined Jun 2004
Total Posts : 59
   Posted 7/6/2010 1:18 PM (GMT -7)   
I wish I was told about the calcium when I was on the predisone. I ended up losing (breaking off) teeth. I never had a cavity until I was 35 years old.

Now I keep on paying for dental procedures to keep the molars that I have so I can eat!
                          Happiness is having extra toilet paper!

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