I was on 35 mg of prednisone (tapered from 60 mg) when I had my surgical consults/surgery and all the surgeons said it was OK but I would have to have a three step procedure instead of two (I was also on Remicade which may have contributed to their decision, as I know some people who were also on prednisone but were able to have two step).
I was given a 'stress dose' of IV hydrocortisone after the surgery (bumped up to the equivalent of ~45 mg pred), and then was tapered down to the equivalent of 18 mg prednisone over the course of three days while I was recovering in the hospital. My surgeon said it was safe to taper very quickly as long as we stayed above 10 mg. When I was discharged I was taking 10 mg oral pred per day. I did have bad emotional side effects from the fast taper -- I was very irritable and awful to be around... but all in all I'm glad I was able to get most of the taper done in 3 days instead of 5 weeks. After discharge I tapered by 2.5 mg per week and now I'm off completely.
I asked my surgeon beforehand if I needed to be off prednisone and if so if it had to be for a certain length of time, and he kind of laughed and said "Do you think you COULD be off of prednisone for any length of time?" and I said well, no... and he said "I'd love for you to be off of prednisone, but if you could get off the prednisone, you probably wouldn't need the surgery, right?"
dx'ed UC pancolitis 5/12 w/ moderate-severe inflammation
past meds: asacol hd, VSL#3, apriso, rowasa, xifaxan, 6mp, cortifoam, pentasa, cimzia, canasa, butyrate, flagyl, cipro, prednisone, remicade, methotrexate, cholestyramine, cortenema
current meds: canasa, no more steroids!
step one: colectomy w/ end ileostomy, 1/16/13
so much happier already!