question-icon

Suggest Ways To Wean Off Prednisone

default
Posted on Mon, 19 Oct 2015
Question: I want to get off prednisone that is causing me regurgitation in my sleep on it one week for a misdiagnosis 40mg four days 30 mg 3. Days 20mg 1 day Can I stop
doctor
Answered by Dr. Naval Mendiratta (15 minutes later)
Brief Answer:
Tapering prednisolone

Detailed Answer:
good evening.

thank you for writing on health care magic

Well, if you have not taken predinsolone for long duration you can go off it soon...It is only when the patient has taken it for few weeks or months, we need to go slow as taking steroids from outside suppresses the normal steroid production by the body.

But don't stop it right at 20 mg. I ll give you the schedule and you can go on reducing it

make it 20/mg for 3 days and then come down to 15 mg for 3 days and then 10 mg for 3 days and then 5 mg for 3 days and then 5 mg every alternate day for a week and off..

Abrupt stoppage can at times hamper the body's response to certain stress situations. So go on slow and omit it which will give time to your body time to produce it s natural steroids

hope the information was useful

do let me know for more queries

regards
dr naval
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Naval Mendiratta (37 minutes later)
I only took 40 mg for four days, then i was supposed to take 30mg for one week and then 20 mg for one week. why four days is not enough time to compromise my immune system. It is making me regurgitate in my sleep. I almost aspirated at 4 am this morning from it. But fortunately sat straight up. Agitated beyond belief cannot stand it.
I took 30mg 3 days 20 mg yesterday and will take two more 20mg one today and one tomorrow. Is that not enough to wean off this horrible drug.
I have been misdiagnosed and am furious that I have to take this stuff.

PS I am on 80 mg oemeprazole a day
doctor
Answered by Dr. Naval Mendiratta (1 hour later)
Brief Answer:
Steroid Dosing

Detailed Answer:
Good evening

Well, I can understand your fury on being put on such high dose steroids for a diagnosis not fitting in, considering the side effects the drug carries.

As such, there are certain guidelines in which if a patient has taken steroids for less than 15 days, you can stop it abruptly and that should be ok.

Normally, we taper it the way I told you.

But you can try and go off it and see how you feel that day. If you feel your body s going down or lot of pain has come, take a lower dose or take tylenol. But if you feel ok, then you can go off it.

Just make sure you are relaxed about it as stress has to be avoided at this stage.

Secondly, try taking an antacid syrup along with omeprazole to help suppress the acid production.

It s a bit of juggle, but since you are aware of the side effects we can try giving it a shot

Do let me know for more queries

REgards
Dr Naval
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Ways To Wean Off Prednisone

Brief Answer: Tapering prednisolone Detailed Answer: good evening. thank you for writing on health care magic Well, if you have not taken predinsolone for long duration you can go off it soon...It is only when the patient has taken it for few weeks or months, we need to go slow as taking steroids from outside suppresses the normal steroid production by the body. But don't stop it right at 20 mg. I ll give you the schedule and you can go on reducing it make it 20/mg for 3 days and then come down to 15 mg for 3 days and then 10 mg for 3 days and then 5 mg for 3 days and then 5 mg every alternate day for a week and off.. Abrupt stoppage can at times hamper the body's response to certain stress situations. So go on slow and omit it which will give time to your body time to produce it s natural steroids hope the information was useful do let me know for more queries regards dr naval