Crohn's Disease Forum » Treatment » Prednisone/Entocort » Best way to taper from 5mg of Pred?

10-28-2013, 09:34 PM   #1
Join Date: Apr 2013
Best way to taper from 5mg of Pred?

Hey everyone,

I'm (hopefully!) finishing a 3 month battle with an obstructive stricture in my TI and I finally made it down to 5mg of pred from 40mg (7.5mg now, starting tomorrow morning). Since I've made it this far, I don't want to rush things but I also want to be done with it so I know for sure if I've "won". I have been tapering 5mg every week until 15, and then 2.5mg every 4-5 days until 5mg.

I understand ~5mg of pred is the physiological equivalent of cortisone so should I be slowing down to 1mg per week or something? I also heard about switching to hydrocortisone 20mg and then tapering off that. What is the point of that?

I hope that once I am done with this I can post the details of my battles to help others as so far I have been staying away from surgery/immunosuppressants!
10-29-2013, 04:15 PM   #2
rygon's Avatar
Join Date: Jan 2010
Location: Grimsby, United Kingdom

My Support Groups:
I was on 20 or 30mg of pred for 2months (IIRC) and they just tapered it down by 5mg per week. Once down to 5mg I then stopped. I remember feeling a bit crappy every time I tapered down, but perked up after 3-4 days (ready to taper down again )
Current Meds:
2x 1200mg Mezavant, 3x50mg Azathioprine, Infliximab (6 weekly)
10-30-2013, 11:16 PM   #3
Crohn's gal since 1989
Senior Member
Crohn's gal since 1989's Avatar
Join Date: Jun 2013
Location: Ajax (Toronto), Ontario

My Support Groups:
My GI had me taper from 5mg/a day for a week, to 2.5 mg to 2.5 mg alternating days, then done.

Diagnosed 1989
Asacol,Pentasa and Entocort (didn't work in 2005 and didn't work now)
Done with Prednisone 09/07/13
Azathioprine (Imuran)150mg no longer working
Developed allergic reaction to Humira injection!
Currently trying Remicade with Methotrexate
Still trying to get into remission!

Ileocecol resection surgery
September 14th, 2013.
55cm small bowel removed!

Crohn's Disease Forum » Treatment » Prednisone/Entocort » Best way to taper from 5mg of Pred?
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