Prednisone Treatment Report

Category: Prescription Drugs

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See also: EPOCH, R-CVP protocol

What is Prednisone?

An example of Prednisone

Prednisone is a synthetic corticosteroid drug that decreases inflammation and suppresses the immune system. It is used for many purposes including relapses in MS; for rheumatic disorders; neoplasms; collagen diseases. Prednisone is activated by the liver into prednisolone.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
480 78 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
238 81 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
197 54 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_cant_tell
187 32 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
164 48 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none
88 31 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell

See all 1,808 patients currently taking Prednisone

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Reported Side Effects

Side effects as an overall problem

Severe
174
Moderate
232
Mild
177
None
120

Commonly reported side effects, conditions, and hospitalizations associated with Prednisone

201
90
52
48
44
43
See all 392 reported side effects See top 6 reported side effects

Reported Dosages

Frequently reported dosages based on patients currently taking Prednisone. See all 152 dosages

  2.5 mg daily 5 mg/5 mL daily 5 mg daily 7.5 mg daily 10 mg daily 15 mg daily 20 mg daily 40 mg daily 50 mg daily 60 mg daily
  67 Number of Patients: 67 203 Number of Patients: 203 374 Number of Patients: 374 56 Number of Patients: 56 274 Number of Patients: 274 48 Number of Patients: 48 174 Number of Patients: 174 55 Number of Patients: 55 64 Number of Patients: 64 70 Number of Patients: 70  

Reported Stop Reasons

Why Patients Stopped Taking Prednisone (multiple reasons could be selected)
Reason # Patients Percentage of patients
Course of treatment ended 811   Course of treatment ended: 64%
Doctor's advice 266   Doctor's advice: 21%
Side effects too severe 184   Side effects too severe: 15%
Other 87   Other: 7%
Did not seem to work 73   Did not seem to work: 6%
Not indicated 37   Not indicated: 3%
Personal research 26   Personal research: 2%
Change in health plan coverage 7   Change in health plan coverage: 1%
Expense 5   Expense: 0%

See all 1202 patients who’ve stopped taking Prednisone

Currently Taking Prednisone

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Stopped Taking Prednisone

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Prednisone

Always
617 88%
Usually
50 7%
Sometimes
16 2%
Never
20 3%

Burden

Difficulty being on treatment

Burden of Prednisone

Very
67 10%
Somewhat
78 11%
A little
128 18%
Not at all
430 61%

Cost

Paid out of pocket

Cost of Prednisone

$200+
4 1%
$100-199
3 1%
$50-99
10 2%
$25-49
20 5%
< $25
386 91%

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103 patient evaluations for Prednisone

Purpose: Polymyositis (Started Dec 22, 2009)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Mar 20, 2013 5 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate ModerateModerateModerateModerateModerate AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
Mar 20, 2013
Advice & Tips
Try to get by on the lowest dose possible !
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
  • LSK
    Sex: F
    Data Quality: 3 stars
    MS: 20 yrs
    Type: Secondary Progressive
    Sensation: Moderate
    Overall: Moderate
    Cognition: severe
    Vision: none
    Speech: moderate
    Swallowing: moderate
    Upper limb: moderate
    Walking: moderate
  • 12214-thumb
  • See LSK's full Prednisone history
Purposes: Asthma and Asthma (Started Feb 09, 2010)
Date Dosage Asthma Perceived effectiveness Asthma Perceived effectiveness Side Effects Adherence Burden
Jan 31, 2013 5 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major ModerateModerateModerateModerateModerate AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Feb 27, 2010 10 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major ModerateModerateModerateModerateModerate AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Feb 17, 2010 10 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways A littleA littleA littleA littleA little
Side effects:
Weight gain
  • Icon_thumb_off 0 helpful marks
  • TSSRA
    Data Quality: 2 stars
    • Sex: Female
    • Age: 43y
    Condition: RA (Rheumatoid Arthritis) 15 additional condition(s)
    Quality of Life:
    • Mental: Moderate
    • Physical: Moderate
    I am: Neutral
  • 46076-thumb
  • See TSSRA's full Prednisone history
Purpose: RA (Rheumatoid Arthritis) (Started Jul 17, 2012)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Nov 01, 2012 10 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate ModerateModerateModerateModerateModerate AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Jul 31, 2012 10 mg Daily Led_efficacy_2Led_efficacy_2Led_defaultLed_defaultSlight MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
Jul 31, 2012
Advice & Tips
3rd week of taking this medication- not working on swelling and stiffness
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
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What is predniSONE?

Prednisone is in a class of drugs called steroids. Prednisone prevents the release of substances in the body that cause inflammation.

Prednisone is used to treat many different conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders.

Prednisone may also be used for other purposes not listed in this medication guide.


Precautions

You should not use this medication if you are allergic to prednisone, or if you have a fungal infection anywhere in your body.

Steroid medication can weaken your immune system, making it easier for you to get an infection. Steroids can also worsen an infection you already have, or reactivate an infection you recently had. Before taking this medication, tell your doctor about any illness or infection you have had within the past several weeks.

Other medical conditions you should tell your doctor about before taking prednisone include:

  • liver disease (such as cirrhosis);
  • kidney disease;
  • a thyroid disorder;
  • diabetes;
  • a history of malaria;
  • tuberculosis;
  • osteoporosis;
  • a muscle disorder such as myasthenia gravis;
  • glaucoma or cataracts;
  • herpes infection of the eyes;
  • stomach ulcers, ulcerative colitis, or diverticulitis;
  • depression or mental illness;
  • congestive heart failure; or
  • high blood pressure

If you have any of these conditions, you may need a dose adjustment or special tests to safely take prednisone.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Prednisone can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Steroids can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication.

Do not receive a "live” vaccine while you are being treated with prednisone. Vaccines may not work as well while you are taking a steroid.

Avoid drinking alcohol while you are taking prednisone.

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Instructions

Seek emergency medical attention if you think you have received too much of this medicine.

A single large dose of prednisone is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

If you miss a dose or forget to take your medicine, contact your doctor or pharmacist for instructions.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any of these serious side effects:

  • problems with your vision;
  • swelling, rapid weight gain, feeling short of breath;
  • severe depression, unusual thoughts or behavior, seizure (convulsions);
  • bloody or tarry stools, coughing up blood;
  • pancreatitis (severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate);
  • low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling); or
  • dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).

Less serious side effects may include:

  • sleep problems (insomnia), mood changes;
  • acne, dry skin, thinning skin, bruising or discoloration;
  • slow wound healing;
  • increased sweating;
  • headache, dizziness, spinning sensation;
  • nausea, stomach pain, bloating; or
  • changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist).

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

There are many other medicines that can interact with steroids. Below is only a partial list of these medicines:

  • aspirin (taken on a daily basis or at high doses);
  • a diuretic (water pill);
  • a blood thinner such as warfarin (Coumadin);
  • cyclosporine (Gengraf, Neoral, Sandimmune);
  • insulin or diabetes medications you take by mouth;
  • antibiotics such as ketoconazole (Nizoral), rifampin (Rifadin, Rifater, Rifamate, Rimactane), or troleandomycin (Tao); or
  • seizure medications such as phenytoin (Dilantin) or phenobarbital (Luminal, Solfoton).

This list is not complete and there may be other drugs that can interact with prednisone. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Other Names

Liquid Pred, Orasone, Prednicen-M, Sterapred, Sterapred DS, predniSONE, Deltasone, Meticorten, and Prednicot

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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