I have been on Prednisone 20mg 3x per day for 14 days and Doctor said I can stop. Said drop to one 20mg per da

Question

y then stop . That seems quick but since only 14 days anyone agree ir disagree with Doctor.

Answer 1

I agree with the doctor with the following caveats:

You should be ok, but some very conservative overly cautious doctors might opt for a slow taper off just to be entirely safe. Probably not necessary but some docs do it that way for short to moderate length courses like 14 days.

Prednisone is a steroid. Commonly used to treat allergic conditions, rashes, poison ivy, and asthma.Common side effects include weight gain, increased appetite, and increased energy/nervousness ("climbing the walls"). The adrenal glands in your body produce naturally occuring steroids, most notably cortisol. Production of these steroids is regulated by an ingenious negative feedback mechanism by a hormone produced in the pituitary gland in your brain. When the pituitary gland detects the increased level of steroids in your bloodstream from the high dose prednisone it reduces the production of its hormone (ACTH) so your adrenal gland will produce less steroids. If you are on prednisone for a very long time and it is suddenly stopped the pituitary is now producing very little ACTH to stimulate the adrenal glands to produce cortisol and can result in so called "adrenal crisis". (It takes time for the pituitary to start increasing ACTH levels to then make the adrenal gland produce cortisol after a prolonged course of exogenous steroid/prednisone therapy). If that happens it can result in low blood pressure and weakness and low salt levels in your blood-a serious state of affairs.

That is why for very high dose courses of prednisone over a very long time, doctors recommend a slow tapering off until no longer taking.

A 14 day course is not an exteremly long course of treatment, so you should be ok to stop as directed by your physician. The chances of significant adrenal supression in 14 days and resultant adrenal crisis is remote.

However, if you're still concerned and a sure way to be entirely safe would be to ask him/her about a taper with say 20 mg a day for 3 days and then every other day for 3 doses.
If you have enough left over you could just do that yourself for peace of mind.

Good luck to you.

Answer 2

NO, you need to get off of it!

Prednisone is a steroid that is very effective in pain relief. It is also a very dangerous steroid to use for the long term. It is preferred to resort to narcotics rather than use Prednisone for a long time.

It has some nasty side effects like bone death. It stirs your adrenal glands giving you the flight or fight response; sometimes for no reason.

I have a chronic pain condition and I have been on Prednisone several times. It is the cheapest, most effective and most dangerous drug I have ever taken. It works great on pain, but the potential harm it can do should scare the pants off of you. Everything from broken bones, to nose bleeds, to an impossible rage.

Once, while on the drug, I got so mad that a few friends threatened to throw me out the third story window. Luckily they knew this was not my normal behavior and that I was taking medication.

I haven't had Prednisone for at least a decade and I would love to have some because when the pain gets bad it would really work. I won't ask the doctors for it though because it is just too dangerous to mess around with.

For a short term like 14 days Prednisone can be effective and used safely. After that you want to drop off and stop taking that drug as soon as possible, before the real problems start to set in.

Answer 3

prednisone 20mg 3x day 14 days doctor stop drop 20mg da

Answer 4

Prednisone has to be slowly withdrawn.

Usually,the doc will tell you to cut the dosage to once a day (for a week) and then to every other day until you're finished. Don't stop "cold turkey" since you'll get sicker than you ever dreamed of.

Answer 5

Listen to your doctor. Short courses of steroids normally do not require a taper. If only used infrequently, you should expect none of the long list of side-effects, which are almost all linked to long-term administration.

Answer 6

Doctor's right. prednisolone stops your body from producing its natural steroids called cortisol. if you stop it suddenly the side effects can be
malaise, muscle weakness, mental changes, muscle and joint pain, skin peeling , shortness of breath, loss of appetite, nausea and vomiting, fever, hypoglycaemia(low blood glucose), hypotension (low blood pressure)and dehydration.

Answer 7

prednisone should be a gradual decrease --- at that dosage i don;t know how you would do it ...... but it should be gradual ----- but he is the DR

Answer 8

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