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Old 09-26-2007, 02:53 PM #21
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Lightbulb prednisone or a Medrol dospak

are the two most commonly used.

Medrol (methylprednisolone) is typically given for acute situations. The pak is designed with a built in taper. 21 tablets for 6 days.

Prednisone is a generic name, made by many companies.

The question really is what dose would your doctor recommend?
That would be his/her decision. Anywhere from 2.5mg/day to 10mg I would think for starters. (for prednisone)

Some allergists use 50mg prednisone/day for 3 days pulse with no taper. But that is not a common dose.
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Old 09-26-2007, 07:29 PM #22
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No such luck! It's the wrong type of steroid. But only take them if there's a clear indication, okay?

I was on them near a year when I was first diagnosed.It never helped, and it took ages to recovre from them. Now when I take them for a few days for sinus ifnection--which I really do need them for---I go through what I'm going through now--a suppressed pituitary gland 3 months after 5 days of medicine.

Only with a really clear diagnosis, Mark. Not just to give it a try. Too dangerous.
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--- LYME neuropathy diagnosed in 2009; considered "idiopathic" neuropathy 1996 - 2009
---s/p laminectomy and fusion L3/4/5 Feb 2006 for a synovial spinal cyst
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Old 09-27-2007, 08:08 AM #23
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Originally Posted by LizaJane View Post
No such luck! It's the wrong type of steroid. But only take them if there's a clear indication, okay?

I was on them near a year when I was first diagnosed.It never helped, and it took ages to recovre from them. Now when I take them for a few days for sinus ifnection--which I really do need them for---I go through what I'm going through now--a suppressed pituitary gland 3 months after 5 days of medicine.

Only with a really clear diagnosis, Mark. Not just to give it a try. Too dangerous.


What should I do if my neurologist doesn't run all the tests that are on your website,I wont know whether there is an underlying problem or not,I was going to ask my doctor to put me on a course but now I don't know what to do...
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Old 08-26-2012, 12:21 AM #24
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Hi all I have another question, would it be worth taking a course of Prednisolone or some other inflammation suppressing med to dampen down any inflammation to see if it relieves the symptoms of neuropathy? Even if the docs haven't found any autoimmune cause for the neuropathy... It would of course have to be done under a doctors supervision... Just a thought
It would be best to have the doctor's consent, but I have taken it without, I can just tell when the liver is acting up.
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Old 08-28-2012, 12:13 PM #25
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Mark:

Are you saying Prednisone or Prednisolone??
I believe the difference is Prednisone goes through the kidney. Prednisolone goes through the liver.
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Old 08-28-2012, 02:32 PM #26
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Lightbulb

Prednisone has to be metabolized by the liver to its active form prednisolone.

In US, Upjohn patented prednisone as Deltasone many decades ago, and that became the preferred form here for humans by habit.

But Vets use prednisolone for most animals, and especially cats, who cannot convert prednisone well to the active form.

Upjohn also made methylprednisolone aka Medrol and patented that, which is still used commonly here for inflammation and transplanted organ rejection prevention. The Medrol Dospak is a carded taper the patient can easily punch out daily for correct use. It is still very common here.

Prednisolone is still used in other countries however for humans.
Here in US it is becoming difficult to find in pharmacies now, which I discovered when our cat Oreo needed it for her cancer chemo. Two pharmacies told me they couldn't even special order it, so we HAD to get ours from our Vet.
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