Carefully assess the patient’s condition to determine if prednisone is the right choice. Prioritize conditions where the benefits clearly outweigh the risks. These include severe allergic reactions, autoimmune diseases like lupus and rheumatoid arthritis, and certain cancers.
Consider the patient’s medical history. Document allergies, particularly to corticosteroids. Review existing medications for potential drug interactions. Note any history of diabetes, hypertension, glaucoma, osteoporosis, or peptic ulcers, as prednisone can exacerbate these conditions.
Thoroughly evaluate the patient’s current health status. Obtain a complete blood count and assess organ function, paying close attention to liver and kidney health. Regular monitoring during treatment is critical.
| Severe Asthma Exacerbation | Generally Suitable | Short-term use, monitor for side effects. |
| Mild Allergic Rhinitis | Generally Unsuitable | Consider alternative treatments first. |
| Autoimmune Hepatitis | Often Suitable | Close monitoring of liver function. |
| Acute Bacterial Infection | Generally Unsuitable | Antibiotics are the primary treatment. |
Regularly monitor patients on prednisone for side effects, including weight gain, fluid retention, mood changes, and increased blood sugar. Adjust the dosage or consider alternative treatments as needed. Patient education on potential side effects and their management is vital. Remember to taper the dosage gradually to minimize withdrawal symptoms.
