I've had 4 different GI's in my 18 yrs of dealing with IBD and the standard with all 4 of my GI's is 40mg for 2 weeks straight then tappering 5mg for each week (not 5 days) after that until getting down to taking 3 pills a day then going to 2.5 then 2, ect for each week until completely weaned off (nice and slow).
Fruitgirl, you're experiance with IBD is aprox 5 months (not very long compared to many on here), tappering too quickly can be harmful (you need to do more research before making suggestions like that to anyone when it comes to pred), the point of being on a high dose like 40 mg for at least 2 weeks is so pred can work it's magic and why your doc only has you on doses for 5 days at a time is beyond me and honestly the weirdest thing I've heard when it comes to taking pred to treat IBD, obviously he's trying to tapper you off quickly and if he knows anything about
pred then he'd know that it's for the most part pointless to put a patient on pred with that kind of bizzare scheduling. And as far as the side effects of pred go, there are short term side effects that will go away completely once the pred is out of your system and there are long term side effects (permanant damage) that it can do which generally happens to those that remain on pred for a long time (more than 6 or so months) and who continue to use pred frequently and for a long time...you should also know that people can either become pred dependant from being on it too long and too often or they can also become immune to pred (when taking it will no longer have any effect for symptoms). It's also more common than not that once you tapper down to a certain amount that symptoms will return because as you may or may not know, pred is known as a bandaid med. Milder cases may require pred to be used differently but if that's the case no good doc would put a mild case on pred. Of course different GI's may have different approaches but that doesn't make one better necessarily over the other either.
You may feel you are more than educated when it comes to IBD but if so then you'd know everyone is different and that should be respected....your way (or your GI's way) is not the norm from my 18 yrs of experiance with 4 different GI's and I'll let you in on a little secret, hanging off every word your GI tells you is about
the biggest mistake anyone can make (which is why I've gone through 4 of them myself), there are great GI's, good ones and ones that aren't worth a penny. With time and experiance you'll figure that out.
It's one thing to offer advice, it's another to force it.
My bum is broken....there's a big crack down the middle of it! LOL :)
Post Edited (pb4) : 4/10/2009 11:01:36 PM (GMT-6)