Begin by determining the specific indication for prednisone. Consider alternatives before prescribing, especially for chronic conditions.
Always start with the lowest effective dose. This minimizes side effects.
- For inflammatory conditions, typical starting doses range from 5-60mg daily, depending on severity. Adjust dosage based on patient response and tolerance. Regular monitoring is crucial.
Prescribe a defined treatment course. Avoid indefinite use. Tapering is vital to prevent adrenal suppression.
For short-term use (e. g., allergic reactions), a 5-7 day course might suffice. Longer courses (e. g., autoimmune diseases) require gradual dose reduction over weeks or months. A typical tapering schedule might involve decreasing the dose by 5-10mg every few days.
Clearly communicate the potential side effects to the patient. This includes:
- Increased appetite and weight gain Mood changes, including irritability and anxiety Insomnia Increased blood sugar Fluid retention Increased risk of infections
Advise patients to report any significant side effects immediately.
Regular monitoring includes blood pressure, blood glucose, and complete blood count, especially during long-term use. The frequency of monitoring will depend on the duration and dosage of prednisone. Adjust the treatment plan as needed based on these results and patient feedback.
Finally, ensure you’ve documented the prescription details completely in the patient’s medical record, including the indication, dosage, duration, and tapering schedule.
