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Adrenal Insufficiency vs Prednisone Withdrawal

Lung Health | Last Active: 7 hours ago | Replies (2)
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@lluth412

Hi there,

I promised to follow up with you on prednisone taper my Pulm team decided on. I am going down 2,5 mg every week - unless it gets rough and then I am to slow to tapering 2,5 every two weeks. My Dr said if I have sig fatigue and other side effects for more than two weeks after a taper that she will send me to an endocrinologist to test adrenal function. She doesn’t seem too worried about it happening as an emergency.

I tapered this morning from 15 to 12.5 and it was a rough day (I feel like I have the flu - achy fatigued and a little nauseous) but after 12 hours I’m starting to feel a little better. Hoping most weeks go this way.

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Replies to "Hi there, I promised to follow up with you on prednisone taper my Pulm team decided..."
staylorrn2000 | @staylorrn2000 | 7 hours ago

Thanks for the update. I hope your tapper goes well! Will you remind me, how long have you been on prednisone?
Everything I’m reading says the toughest days are once you drop below 5 mg. According to my endocrinologist 5mg daily will prevent adrenal insufficiency. She just told me I can try taking 2.5 mg daily for 15 days then 2.5 mg every other day for 15 days then stop. She said if I have symptoms of adrenal insufficiency such as severe fatigue, nausea, low blood pressure, to go back to 5 mg and contact her. She didn’t give me any blood pressure parameters only said if it’s “low” and said it’s important to monitor it. This was all told to me through a message, not at an appointment, so I didn’t ask how low of blood pressure I need to worry about.

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