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Author: Admin | 2025-04-28
The neurologist doctor usually prescribes an extremely high dose of steroids of around 1000 mg prednisone equivalent a day for only a few days. That high of a dose is justified for preventing permanent blindness. Giving a super high dose for only a few days is called a steroid burst dose and is given as an intravenous bolus. But doctors rarely prescribe that high of a dose for more than a few days at a time because of the high risks of side effects. Usually, the vision will return to normal and the person with multiple sclerosis will stop taking prednisone. The MS flare dies down and the emergency is over. Low Prednisone Dosage Example – Rheumatoid Arthritis The opposite side of the spectrum is using a low dose for a long time. For example, people with rheumatoid arthritis (RA) often use prednisone 5-10 mg per day for years. The RA causes so much pain and disability to justify continued use over a long time. A low dosage of prednisone is between 5-10 mg per day. Short-Term Prednisone Dosage for Bronchitis or Lung Infections Some conditions only need prednisone for a little while. The doctor might find a lung infection and prescribe something like 40mg for a day, then 30mg for a day, then to 20mg for a day, then 10 mg for a day, and finally 5 mg on the fifth day, until off of prednisone on day 6 (see the dosage taper schedule below). This is a typical short-term prednisone dosage prescription you might get from the emergency room. A short course of prednisone dosage usually lasts less than 14 days and usually less than a week. Longer-Term Prednisone Dosage for Inflammation Another situation is if the doctor prescribes prednisone long-term but not permanent. You might get 40mg for a week, then 30mg for a week, then down to 20mg for a week, and 10 mg for a week, and then 5 mg for the last week and then stop after that 5th week. The starting dosage can range between 5 to 60 mg per day of prednisone. The tapering, or lowering of prednisone dosage, continues until you are finally off. Long term prednisone is generally considered longer than 21 days of prednisone treatment. Importance of Prednisone Taper Furthermore, many people undergo a prednisone taper which involves reducing the dosage each day until the drug has been completely stopped—this could mean dropping from 40mg to 30mg and then all the way down to 0 mg in five days or less depending on individual circumstances. Five (5) Day Prednisone Dosage 40 mg Taper For emergency situations like breathing problems, rashes, or various types of pain, doctors often prescribe a short-term prednisone dosage taper. This 5-day prednisone dosage often starts at prednisone 40 mg. The Prednisone Instructions generally follow this typical dosage taper: Day 1 – Prednisone 40 mg (for example, two 20 mg tablets) Day 2 – Prednisone 30 mg (#1.5 20 mg tablets) Day 3 – Prednisone 20
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