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Prednisone Tablets
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There is no difference between prednisolone and prednisone. The doses are equivalent when given orally and cause the same amount of
HPA axis suppression.
However, prednisolone may
be preferred by some patients with some types of metabolic disorders or advanced liver disease. Pharmaceutically, there are differences. Prednisone is very bitter and
poorly soluble in suspension formulations. Whereas prednisolone sodium phosphate is very soluble and palatable in paediatric preparations.
Patients could use either prednisolone of prednisone.
Deltasone (Prednisone) a steroid drug, is used to reduce inflammation and alleviate symptoms in a variety of disorders, including rheumatoid arthritis and severe cases of asthma. Deltasone (Prednisone)may be given to treat primary or secondary adrenal cortex insufficiency (lack of sufficient adrenal hormone in the body). Deltasone (Prednisone) is used in treating all of the following:
Abnormal adrenal gland development
Allergic conditions (severe)
Blood disorders
Certain cancers (along with other drugs)
Diseases of the connective tissue including systemic lupus erythematosus
Eye diseases of various kinds
Flare-ups of multiple sclerosis
Fluid retention due to "nephrotic syndrome" (a condition in which damage to the kidneys causes protein to be lost in the urine)
Lung diseases, including tuberculosis
Meningitis (inflamed membranes around the brain)
Prevention of organ rejection
Rheumatoid arthritis and related disorders
Severe flare-ups of ulcerative colitis or enteritis (inflammation of the intestines)
Skin diseases
Thyroid gland inflammation
Trichinosis (with complications)
Deltasone (Prednisone) lowers your resistance to infections and can make them harder to treat. Deltasone (Prednisone) may also mask some of the signs of an infection, making it difficult for your doctor to diagnose the actual problem.
Take Deltasone (Prednisone) exactly as prescribed. Dosages are kept to an absolute minimum.
If you need long-term Deltasone (Prednisone) treatment, your doctor may prescribe alternate-day therapy, in which you take Deltasone (Prednisone) only every other morning. The "resting day" gives your adrenal glands a chance to produce some hormone naturally so they will not lose the ability.
If you have been taking Deltasone (Prednisone) for a period of time, you will probably need an increased dosage of Deltasone (Prednisone) before, during, and after any stressful situation. Always consult your doctor if you are anticipating stress and think you may need a temporary dosage increase.
When stopping Deltasone (Prednisone) treatment, tapering off is better than quitting abruptly. Your doctor will probably have you decrease the dosage very gradually over a period of days or weeks.
You should take Deltasone (Prednisone) with food to avoid stomach upset.
If you are on alternate-day therapy or have been prescribed a single daily dose, take Deltasone (Prednisone) in the morning with breakfast (about 8 AM). If you have been prescribed several doses per day, take them at evenly spaced intervals around the clock.
Patients on long-term Deltasone (Prednisone) therapy should wear or carry identification.
Deltasone (Prednisone) Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Deltasone (Prednisone).
Deltasone (Prednisone) may cause euphoria, insomnia, mood changes, personality changes, psychotic behavior, or severe depression. It may worsen any existing emotional instability.
At a high dosage, Deltasone (Prednisone) may cause fluid retention and high blood pressure. If this happens, you may need a low-salt diet and a potassium supplement.
With prolonged Deltasone (Prednisone) treatment, eye problems may develop (e.g., a viral or fungal eye infection, cataracts, or glaucoma).
If you take Deltasone (Prednisone) over the long term, the buildup of adrenal hormones in your body may cause a condition called Cushing's syndrome, marked by weight gain, a "moon-faced" appearance, thin, fragile skin, muscle weakness, brittle bones, and purplish stripe marks on the skin. Women are more vulnerable to this problem than men. Alternate-day therapy may help prevent its development.
Other potential Deltasone (Prednisone) side effects from Deltasone (Prednisone) include:
Bone fractures, bruising, bulging eyes, congestive heart failure, convulsions, distended abdomen, face redness, glaucoma, headache, hives and other allergic-type reactions, increased pressure inside eyes or skull, inflamed esophagus or pancreas, irregular menstrual periods, muscle weakness or disease, osteoporosis, peptic ulcer, poor healing of wounds, stunted growth (in children), sweating, thin, fragile skin, vertigo
Do not take Deltasone (Prednisone) if you have ever had an allergic reaction to it.
You should not be treated with Deltasone (Prednisone) if you have a body-wide fungus infection, such as candidiasis or cryptococcosis.
Do not get a smallpox vaccination or any other immunization while you are taking Deltasone (Prednisone). The vaccination might not "take," and could do harm to the nervous system.
Deltasone (Prednisone) may reactivate a dormant case of tuberculosis. If you have inactive TB and must take Deltasone (Prednisone) for an extended time, you should be given anti-TB medication as well.
If you have an underactive thyroid gland or cirrhosis of the liver, your doctor will probably need to prescribe Deltasone for you at a lower-than-average dosage.
If you have an eye infection caused by the herpes simplex virus, Deltasone (Prednisone) should be used with great caution; there is a potential danger that the cornea will become perforated.
A few people taking Deltasone (Prednisone) develop Kaposi's sarcoma, a form of cancer; it may disappear when the drug is stopped.
Deltasone (Prednisone) should also be taken with caution if you have any of the following conditions:
Diverticulitis or other disorder of the intestine
High blood pressure
Kidney disorder
Myasthenia gravis (a muscle-weakness disorder)
Osteoporosis (brittle bones)
Peptic ulcer
Ulcerative colitis (inflammation of the bowel)
Long-term treatment with Deltasone (Prednisone) may stunt growth. If this medication is given to a child, the youngster's growth should be monitored carefully.
Diseases such as chickenpox or measles can be very serious or even fatal in both children and adults who are taking this drug. Try to avoid exposure to these diseases.
Deltasone (Prednisone) may decrease your carbohydrate tolerance or activate a latent case of diabetes. If you are already taking insulin or oral medication for diabetes, make sure your doctor knows this; you may need an increased dosage while you are being treated with Deltasone (Prednisone).
If you have a blood-clotting disorder caused by a vitamin K deficiency and are taking Deltasone, check with your doctor before you use aspirin.
You may be at risk of convulsions if you take the immunosuppressant drug cyclosporine (Sandimmune) while being treated with Deltasone (Prednisone).
If Deltasone (Prednisone) is taken with certain other drugs, the effects of either could be increased, decreased, or altered. Check with your doctor before combining Deltasone (Prednisone) with any of the following:
Amphotericin B (Fungizone)
Blood thinners such as Coumadin
Carbamazepine (Tegretol)
Estrogen drugs such as Premarin
Ketoconazole (Nizoral)
Oral contraceptives
Phenobarbital (Donnatal, others)
Phenytoin (Dilantin)
Potent diuretics such as Lasix
Rifampin (Rifadin)
Troleandomycin (Tao)
If you are pregnant or plan to become pregnant, inform your doctor immediately. Deltasone (Prednisone) should be taken during pregnancy or while breastfeeding only if clearly needed and only if the benefit outweighs the potential risks to the child.
Long-term high doses of Deltasone (Prednisone) may produce Cushing's syndrome. Although no specific information is available regarding short-term overdosage, any medication taken in excess can have serious consequences. If you suspect an overdose of Deltasone (Prednisone), seek medical attention. immediately.
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