Prednisone "Burst" Question

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Regular Member

Date Joined Jun 2007
Total Posts : 364
   Posted 6/26/2009 2:10 PM (GMT -6)   
What a week... I now have two kiddos on Prednisone.

Son started yesterday after his scope on Wed. and daughter started today. She's been flaring for a week and was kind of holding steady - not getting better, but not getting too much worse until late yesterday afternoon when the pain level rose and diarrhea really began.

This morning same - increased pain & D. Of course, we're going into the weekend so I called her doctor this morning. She ordered 4 days of Pred 20mg am & 20mg pm then drop in half to 10mg am & 10mg pm.

Anyone ever hear of doing it this way? Any success with doing it this way?

Tuesday we did up her colazal from 3 per day to 4 per day and upped her 6MP from 12.5 to 25mg.

The doctor was so sweet and gave me her home phone number in case we needed anything over the weekend!!!!

Mom of Son 17 UC dx 07/02, Lailda 2 am & 2 pm, Azasan 75mg, Cortafoam (when flaring), folic acid, L. Reuteri, Culturelle, Zyrtec, Iron, Vit/Min

Daughter 10 UC dx 08/07 Colazal 750mg x 4, 6MP 25mg, Iron, Vit/Min., Culturelle

Elite Member

Date Joined May 2003
Total Posts : 30986
   Posted 6/26/2009 2:13 PM (GMT -6) mean just a 4 day course? Yes, I 've heard of this and think it's a better idea than a long-term process.

I think a 10 day tapering course of pred is a good idea for docs to do rather than long-term as well.

Keep us posted as to how things are going....
What a way to start the summer for your kids...

*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 @ 2x daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(RenewLife Ultimate Flora Critical Care + Primadophilus Reuteri). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!

Veteran Member

Date Joined Feb 2009
Total Posts : 7150
   Posted 6/26/2009 2:16 PM (GMT -6)   
When I was on pred, I did 40mg (split into 4 10mg doses) for 5 days. However, it was actually just 4.5 days on 40mg, b/c I got it filled midday and just took two 10mg doses that first day. Then I dropped to 30mg for 5 days, 20mg for 5 days, etc. I actually think that if I have to use pred again, I'll investigate dropping a bit more quickly as I didn't have any problems and I'd like to use pred as sparingly as possible.
Status: Remission since late May 2009!
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Diagnosed with pancolitis on 1/30/09
Currently taking Asacol (400mg 4 pills 3x daily), Rowasa twice weekly, Natural Factors Ultimate probiotic 12/12 Formula, and Zoloft (25 mg).

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