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Weaning off Prednisone.
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I have been on Prednisone for about a year and a half. I was on 5mg for 1 year and then after a muscle biopsy to confirm DM, my rheumatologist increased to 60mg in October and has since been weaning me off. I am currently taking 25mg Prednisone with 150mg Imuran and 200mg Plaquenil. As I have been decreasing the steroid, I have noticed the patchy and flaky, dry skin on my chest has seemed to become more prominent, as well as one little spot underneath my eye. I also seem to be a little more tired than normal, but have trouble sleeping at night. On Monday, I plan to speak with my rheumatologist's clinical assistant and get some insight from my doctor.
In your opinion, do I need to increase steroids again? Does this mean I'm not responding to treatment? What are my options? I don't know what it's going to take to get this under control...I just want my life back. I want to be 21!!!! Posted on 02/12/12, 05:11 pm |
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@madison and @maruska
I believe that hydrocortisone (a steroid) is the standard treatment for adrenal insufficiency. However, hydrocortisone is about 1/4 the strength of prednisone. So 10 mg. of hydrocortisone is about 2.5 mg. of prednisone. My current doctor used hydrocortisone to get me off prednisone, and it worked. Also, hydrocortisone is a bio-identical steroid and has a shorter half-life.
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@Nanny, that is exactly what he explained to me about hydrocortisone. I am glad to hear you had a good experience with it.
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@madison and @maruska

