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5mg of prednisone longterm experiences?

Autoimmune Diseases | Last Active: 14 hours ago | Replies (24)

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Profile picture for laura1970 @laura1970

I am a disabled healthcare professional. It is generally said that 5 mg of prednisone is equivalent to what the body produces naturally. But what is true for a population is not necessarily true for an individual. In my experience, weight matters, ie, low weight individuals respond differently than the average 70 kg man. Also most studies were done on men, so less information available about women. And in my experience, in periods of high stress (illness, car accidents, etc), a small but significant portion of patients will require “stress dose steroids “ . This makes sense as taking prednisone, even 5 mg, gives your adrenals a holiday, causing some shrinkage (or atrophy).

Of note, I haven’t seen this phenomenon with 2,5 mg of prednisone.

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Replies to "I am a disabled healthcare professional. It is generally said that 5 mg of prednisone is..."

@laura1970 This is all very interesting! Great to hear from someone in the healthcare field. Thanks for sharing your knowledge.
I have AIH, so an overactive immune system, so hope adrenal atrophy may be less likely.
Really good to hear about your experiences with 2.5 mg of prednisone. I'm currently being tapered and am on 5mg so will be requesting 2.5 going ahead if all is stable with my blood work next month.