Posted by Bob P on November 07, 2001 at 12:04:48:
In Reply to: Prednisolone posted by Kay Ward on November 07, 2001 at 11:19:34:
I went through 3 of them during my current cluster. The 6 tabs today will kick in right away. He'll probably sleep all night with no headaches tonight. For me the 6, 5 and 4 tablet days were headache free. On the 3 tablet day the headahces would come back. Was nice to get a couple nights sleep though. Some people are on a sustained dose. They'll be on 30 or 40 or 50mg for a couple of weeks and then taper off. Here is an excerpt from a Goadsby article: SteroidsCorticosteroids are highly efficacious and the most rapid-acting of the preventative agents. But caution must be exercised in using them because of the potential for serious side-effects. Treatment should be limited to a short intensive course of two to three weeks of tapering doses.We start patients on oral prednisolone 1mg/kg to a maximum of 60mg once daily for five days, then decrease the dose by 10mg every three days. Unfortunately, relapse almost invariably occurs because the dose is tapered. For this reason, steroids are used as an initial therapy in conjunction with preventatives, until the latter are effective.
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