prednisone and antibiotic use for copd, how often

Posted by lizjlb @lizjlb, Oct 7, 2025

Is it really necessary for both? I hate prednisone and the dosage is for a long time. Does anyone just take the antibiotic only? Prednisone keeps me from sleeping for one thing. Also, do you start them both or alone at first sign of a cold or wait till you get phylum and coughing. Seems like move start with sinus and then eventually turn into phylum.

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Profile picture for hellopam @hellopam

Quick note - I take prednisone at night right before I go to bed. That way it doesn't have time to get fully into my system and I can sleep. If I take it any earlier, it keeps me awake. Worth a try.

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@hellopam taking in Am doesn’t work for helping sleep?

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Profile picture for lizjlb @lizjlb

@hellopam taking in Am doesn’t work for helping sleep?

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@lizjlb It keeps me awake if taken in AM but not PM.

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Profile picture for bobarb @bobarb

I always know when my husband‘s going to have a flareup… Starts with a small cough and turns into a bigger one… At that point we go to urgent care or the hospital and get on some right away so that he doesn’t have to stay in the hospital. If you can keep ahead of the exacerbations, it’s a win.

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@bobarb but does he start with a cold or just the coughing

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Profile picture for suzyq61 @suzyq61

As far as a cold my doctor just put me on NyQuil and DayQuil

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@suzyq61 your pulmonary or primary doc? doubt if my pulmonary doc would approve

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Profile picture for lizjlb @lizjlb

@suzyq61 your pulmonary or primary doc? doubt if my pulmonary doc would approve

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@lizjlb my pulmonary doctor, with the medications I’m on I always ask him first before taking anything . I told him I had a cold at the time and that’s what he said I could take

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Profile picture for bobarb @bobarb

I should also tell you that he is on prednisone for the rest of his life… Small dose only… He is on portable oxygen during the day and an oxygen and CPAP at night. I’ve seen significant improvements in his sleep pattern… Hope this helps.

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@bobarb
Can you please tell.me what his small dose is? I have gotten prednisone from my doctor at times.

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Profile picture for bobarb @bobarb

I should also tell you that he is on prednisone for the rest of his life… Small dose only… He is on portable oxygen during the day and an oxygen and CPAP at night. I’ve seen significant improvements in his sleep pattern… Hope this helps.

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May I ask what dose he is on? I’ve been in the hospital three times this year and have been on prednisone since December. Trying to wean off ~ and get down to 5 mg a day but then the shortness of breath comes back and I have trouble breathing again.

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Sometimes when one has been on prednisone for a long time, weaning has to be very very slow and gradual—perhaps decreasing by a portion of a mg at a time. Your doctor’s office should be able to help guide you. Prednisone does come in 1mg pills.

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Profile picture for hicopd @hicopd

Sometimes when one has been on prednisone for a long time, weaning has to be very very slow and gradual—perhaps decreasing by a portion of a mg at a time. Your doctor’s office should be able to help guide you. Prednisone does come in 1mg pills.

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@hicopd thank you! I will ask my doctor for a prescription as I would like to get off of it if possible!

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Profile picture for suzyq61 @suzyq61

I’ve been on both at the same time it’s what my doctor subscribed, he doesn’t let me stay on prednisone too long there’s a lot of bad side affects. I’m on breztri and ohtuvayre and i hardly sleep

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@suzyq61
I can’t use Breztri makes it hard to breath

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