prednisone taper schedule?

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TraciZ
Regular Member


Date Joined Aug 2007
Total Posts : 255
   Posted 1/29/2008 10:23 AM (GMT -6)   
Hi. The doc put me on 20 mg prednisone 1/9. Then upped it to 30 mg on 1/13. The 30 mg worked! I dropped down to 25 mg on 1/24 and she wants me to go down 5 mg every 7 days. This makes sense, but yesterday I got a cold sore under my nose! I've only had a cold sore once in my life before. It sucks! I have an interview on Friday! The nurse said it's probably from the prednisone- not to mention all of the other side effects. I want to decrease the amount every 5 or 6 days instead of every 7 to get off this c**p sooner, but don't want to relapse! It took me to long to get it under control (5 mos). Anyway, I was wondering what your docs suggest to taper the prednisone. I'm also on 2 Lialda/day, but am not convinced that does anything.

tjf
Veteran Member


Date Joined Dec 2005
Total Posts : 3238
   Posted 1/29/2008 10:36 AM (GMT -6)   
That is how I taper. Once I get to 20mg I taper 5mg every 7-10 days. I know it stinks but in this case you probably should follow doctor's orders.
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-9 a day, Acidopholis Pearls, Nexium

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Co-Moderator UC Forum


kb5
Veteran Member


Date Joined Jan 2007
Total Posts : 1015
   Posted 1/29/2008 10:45 AM (GMT -6)   
I taper even slower due to seroid dependence. I know how horrible it is (been on for over a year now) but taking it slow will help keep you from relapsing. Patience is hard but worth not flaring.
Kelly, 29

Left sided UC diagnosed 1/98 age 19, Pan colitis diagnosed 1/07
Currently on 4x3 Asacol, 15 mg pred, down to 10 mg 1/11/08!
75mg Imuran starting 8/23/07---bumped to 100mg 10/8/07--bumped to 125 11/14/07...
Taken off of Imuran temporarily 1/11/08-back on 1/16/08
Prontonix once daily for acid reflux, zofran twice daily for nausea


TraciZ
Regular Member


Date Joined Aug 2007
Total Posts : 255
   Posted 1/29/2008 10:48 AM (GMT -6)   
Not the answer I wanted, but probably the one I expected. Thank you.

Birunji
Regular Member


Date Joined Sep 2007
Total Posts : 60
   Posted 1/29/2008 11:23 AM (GMT -6)   
Same here. Started at 20 mg for about two weeks, and am now at 15 mg. My doctor has me calling him weekly with the plan to taper by 5 mg each week. Sorry to hear you're having irritating side effects. The brain fog is driving me crazy! I feel like a real idiot at work lately. Best of luck with the interview. :)
Erin, 25
Dx w/ left-sided UC June 2007
(Flaring since June 2007)
Meds: Asacol 400 mg x 9; Prednisone (since 01/09/08) 20 mg 15 mg 
Supplements: Iron, Multivitamin w/ Calcium and Vit. D, Fish Oil & Probiotic Yogurt
Dx w/ Depression, GAD, and OCD in 2001
(Currently in therapy)
Meds: Paxil Lexapro Zoloft 100 mg
 


expecting226
Regular Member


Date Joined Jul 2007
Total Posts : 402
   Posted 1/29/2008 11:31 AM (GMT -6)   
When I start at 40 mg, I usually taper by 5 mg every 7 days. That equals an 8 week course. I have done a 4 week course one time (while pregnant). That one I started at 40 mg and tapered by 10 mg every 7 days.
Current Medications:
- Asacol (4 pills, 3x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Prenatal Vitamin (1x per day)
- Iron (2x per day)


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 1/29/2008 2:48 PM (GMT -6)   
It's strange how some docs prescribe prednisone...I've had 4 GI's in all my yrs of dealing with IBD and everyone of them always started me on 40mg for 2 weeks and then tappering 5mg/week after that....anything lower than 40mg to start usually doesn't make any difference with improving symptoms which is why all of mine have always started me on 40 and for a good 2 weeks before tappering.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


Mamas Boys
Veteran Member


Date Joined Oct 2005
Total Posts : 1460
   Posted 1/29/2008 5:28 PM (GMT -6)   
You're lucky 40mg works for you pb.  Anything under 60mg does nothing for me!
KTM


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 1/29/2008 7:15 PM (GMT -6)   
Used to work, now pred has no effect on me.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


Mamas Boys
Veteran Member


Date Joined Oct 2005
Total Posts : 1460
   Posted 1/29/2008 8:17 PM (GMT -6)   
    :(
KTM


icanrace
Regular Member


Date Joined Sep 2007
Total Posts : 221
   Posted 1/29/2008 8:19 PM (GMT -6)   
5mg every 7-10 days here. It works fine for me with no troubles.
From 15 to 10mg was is the worse jump for me.
started Prednisone & Asacol on Thursday 10-4-2007

currently OFF Prednisone

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