Tapering steroids dose

Hello Karen, my doctors have me taking Prednisone daily, and for the last three years. I have been taking it because they use to have me taking another drug called, Theophylline, but I had to wean off of Theophylline, which landed me in the hospital for two weeks, due to making my heart beat too fast. In the past, I had suffered from Congestive Heart Failure, so my heart has a tendency to beat faster than the normal, and Theophylline, increased the beats all the more. But, it did seem that they replaced Theophylline with another drug, which is the steroid called, Prednisone. I've been taking it daily for three years now. Theophylline treats symptoms of asthma, and other lung problems, such as emphysema, and on-going bronchitis. This medicine is a bronchodilator. I am not sure if it replaces the job of Prednisone, but please ask your doctor about it. Now that my heart seems much stronger, since my Heart Failure occurred three years ago, I may ask my doctor to put me back on it again. 

The National Heart, Lung, and Blood Institute (NHLBI) recommended dosing for systemic prednisone, prednisolone, or methylprednisolone in pediatric patients whose asthma is uncontrolled by inhaled corticosteroids and long-acting bronchodilators is 1–2 mg/kg/day in single or divided doses. It is further recommended that short course, or "burst" therapy, be continued until the patient achieves a peak expiratory flow rate of 80% of his or her personal best or until symptoms resolve. This usually requires 3 to 10 days of treatment, although it can take longer. There is no evidence that tapering the dose after improvement will prevent a relapse.

Dosage requirements of corticosteroids vary among individuals and the diseases being treated. The usual starting dose range is 5 mg to 60 mg daily depending on the disease being treated. Doses are adjusted based on patient response. In general, the lowest possible effective dose is used. Corticosteroids given in multiple doses throughout the day are more effective, but also more toxic than alternate-day therapy where twice the daily dose is administered every other morning. Prednisolone should be taken with food to reduce irritation of the stomach and intestines.


--- Stress is often mentioned by CSS patients around the time of their diagnosis, and in a way this seems related to the adrenal glands as well. A patient in another support group reported reading in "The Stress of Life" by Dr. H. Seyle:.... "the adrenal glands are the processors of stress in our bodies. A person's stress resistance will vary with the competence of his adrenals. Continually stressing them, finally depletes them. When we become exhausted by life, on a mental or physical level, our adrenal glands often fail to keep up, and illness ensues".

Tapering steroids dose

tapering steroids dose


--- Stress is often mentioned by CSS patients around the time of their diagnosis, and in a way this seems related to the adrenal glands as well. A patient in another support group reported reading in "The Stress of Life" by Dr. H. Seyle:.... "the adrenal glands are the processors of stress in our bodies. A person's stress resistance will vary with the competence of his adrenals. Continually stressing them, finally depletes them. When we become exhausted by life, on a mental or physical level, our adrenal glands often fail to keep up, and illness ensues".

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