10mg of pred to get over hump, 3 days no improvement, should I just get off if?

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therearemiracles
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Date Joined Dec 2006
Total Posts : 3630
   Posted 4/12/2009 7:31 AM (GMT -6)   
I'm on day 3 of 10 mg preds. even splitting it 5mg and 5mg during the day. I'm still inflammaed, bloody diarreah, but maybe less trips to the bathroom. I'm thinking it's not helping so I'm might as well get off it, it's been 3 days. What would you do? I have it for 14 days. Also, would you split or take all at one time?
Very mild left sided (could have fooled me with the "mild")  UC. STARTED LDN ON 1/25/09. Supplements:  Cod Liver, Probiotics, multi whole food vitamin, olive leaf extract.


jujub
Elite Member


Date Joined Mar 2003
Total Posts : 10407
   Posted 4/12/2009 8:44 AM (GMT -6)   
10 mg. is an extremely low dose of pred, likely not enough to affect your symptoms. Most GI's start you at 40 and taper 5-10 mg. a week.

Prednisone is taken in one dose, preferably in the morning as this is when your body releases its natural steroids.
Judy
 
Moderate to severe left-sided UC diagnosed 2001.
Flared for 5 years, finally in remission with Remicade since March 2006.
Avascular necrosis in both shoulders is my "forever" gift from steroids.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. 
"My life is an ongoing medical adventure"
 
.


suebear
Veteran Member


Date Joined Feb 2006
Total Posts : 5698
   Posted 4/12/2009 3:39 PM (GMT -6)   

I agree with Judilyn, the dose is too low to have a positive effect.

Sue


dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 4/12/2009 3:53 PM (GMT -6)   
I agree wtih Judy and Sue. That's a really low dose as your body naturally produces about 7.5 mg of cortisol (the same hormone that's in pred) each day. I'd call your doctor and see about changing the dose.
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Eased for ~3 weeks in December, possibly b/c of probiotic use?
Returned in January 2009 (with a vengeance), diagnosed with pancolitis on January 30.
Currently taking Asacol (400mg 4 pills 3x daily), Rowasa nightly, 40mg 30mg 20mg 15mg 10mg of Prednisone (quick taper), Culturelle probiotic, and Zoloft (25 mg).


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 4/12/2009 4:20 PM (GMT -6)   
Way too low to have any impact and way to short of a time on them (a waste of your time really) and splitting them is pointless (at just about any dosage) always best to take pred first thing in the early am so you can avoid any nightime sleep issues, but even at 10mg it wouldn't likely affect your sleep.

:)


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


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 4/12/2009 5:06 PM (GMT -6)   
I agree with all above about the dose and time line - too little for too short of a time to show improvement.

When I am on 40mg of pred, I will split the dose until I get to 20mg. It works better for my body that way - or I end up with hours in the afternoon/evening where I don't get any effect. However, 10mg of pred is too small of a dose to split.
Pan-colitis and GERD diagnosed May 2003
Osteopenia (hip and spine) diagnosed Feb 2006
Status:  yo-yoing between remission and a mild flare
Lialda 4 per day,  Azathioprine 50mg, Aciphex, Effexor XR, Forvia, Fibercon, and Culturelle
Remicade: 1st infusion 06/17/08:  Next infusion: April 1 after the tooth infection is gone :(
Last Prednisone dose:  7/15/08
 
Co-Moderator UC forum:  Keep HealingWell running smoothly:  www.healingwell.com/donate

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