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Prednisolone

  • Medical and Pharmacy Editor: John P. Cunha, DO, FACOEP
    John P. Cunha, DO, FACOEP

    John P. Cunha, DO, FACOEP

    John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.

Brand Name: Pediapred, FloPred, Orapred, Orapred ODT, Millipred, Millipred DP, Prelone Syrup, Veripred 20

Generic Name: Prednisolone

Drug Class: Corticosteroids

What Is Prednisolone and How Does It Work?

Prednisolone is a prescription medication indicated in treatment of endocrine disorders, rheumatic disorders, collagen diseases, dermatologic disease, allergic states, ophthalmic diseases, respiratory diseases, hematologic disorders, neoplastic diseases, edematous states, gastrointestinal disease, and diseases affecting the nervous system.

Prednisolone is available under the following different brand names: Pediapred, FloPred, Orapred, Orapred ODT, Millipred, Millipred DP, Prelone Syrup, and Veripred 20.

Dosage of Prednisolone:

Adult and Pediatric Dosages:

Oral Solution

  • 5 mg/5 ml
  • 10 mg/5 ml
  • 15 mg/5 ml
  • 20 mg/5 ml
  • 25 mg/5 ml

Tablet

  • 5 mg

Tablet, dose pack

  • 5 mg (6 days [21 tablets])
  • 5 mg (12 days [48 tablets])

Tablet, orally disintegrating

  • 10 mg
  • 15 mg
  • 30 mg

Dosing Considerations – Should be Given as Follows:

Adult Dosage Considerations:

Rheumatoid Arthritis

  • 5.75 mg orally each day

Multiple Sclerosis

  • 200 mg/day orally for 1 week, then 80 mg orally every other day for 1 month

Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD) (off label)

  • 30-40 mg orally daily for 10-14 days

Bell's Palsy (off label)

  • 60 mg orally for 5 days; then taper down by 10 mg daily for 5 days for total duration time of 10 days

Pediatric Dosage Considerations:

Inflammation

  • 0.1-2 mg/kg/day orally in single daily dose or divided every 6-12 hours; not to exceed 80 mg/day

Acute Asthma

  • 1-2 mg/kg/day in single daily dose or divided every 12 hours for 3-5 days

Nephrotic Syndrome

  • First 4 weeks: 60 mg/m²/day or 2 mg/kg/day orally divided every 8 hours until urine is protein free for 3 consecutive days; not to exceed 28 days; dose not to exceed 80 mg/day Subsequent 4 weeks: 40 mg/m² or 1-1.5 mg/kg orally every other day; not to exceed 80 mg/day Maintenance in frequent relapses: 0.5-1 mg/kg/dose orally every other day for 3-6 months. Treatment may have to be individualized

What Are Side Effects Associated with Using Prednisolone?

Common Side effects of Prednisolone include:

This document does not contain all possible side effects and others may occur. Check with your physician for additional information about side effects.

What Other Drugs Interact with Prednisolone?

If your doctor has directed you to use this medication, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider or pharmacist first.

Prednisolone has no known severe interactions with other drugs.

Serious interactions of prednisolone include:

Prednisolone has serious interactions with at least 74 different drugs.

Prednisolone has moderate interactions with at least 234 different drugs.

Prednisolone has minor interactions with at least 127 different drugs.

This information does not contain all possible interactions or adverse effects. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share this information with your doctor and pharmacist. Check with your health care professional or doctor for additional medical advice, or if you have health questions, concerns or for more information about this medicine.

What Are Warnings and Precautions for Prednisolone?

Warnings

  • This medication contains prednisolone. Do not take Pediapred, FloPred, Orapred, Orapred ODT, Millipred, Millipred DP, Prelone Syrup, or Veripred 20 if you are allergic to prednisolone or any ingredients contained in this drug.
  • Keep out of reach of children
  • In case of overdose, get medical help or contact a Poison Control Center immediately

Contraindications

Effects of Drug Abuse

  • No information available

Short-Term Effects

  • See "What Are Side Effects Associated with Using Prednisolone?"

Long-Term Effects

  • Long-term use associated with fluid retention and hypertension
  • Development of Kaposi's sarcoma associated with prolonged corticosteroid use
  • See "What Are Side Effects Associated with Using Prednisolone?"

Cautions

  • Use with caution in cirrhosis, diabetes, ocular herpes simplex, hypertension, diverticulitis, following myocardial infarction, thyroid disease, seizure disorders, hypothyroidism, myasthenia gravis, hepatic impairment, peptic ulcer disease, osteoporosis, ulcerative colitis, psychotic tendencies, untreated systemic infections, renal insufficiency, and pregnancy
  • Thromboembolic disorders or myopathy may occur
  • Delayed wound healing is possible
  • Patients receiving corticosteroids should avoid chickenpox or measles-infected persons if unvaccinated
  • Latent tuberculosis may be reactivated (patients with positive tuberculin test should be monitored)
  • Some suggestion (not fully substantiated) of slightly increased cleft palate risk if corticosteroids are used in pregnancy
  • Parenteral forms (prednisolone sodium phosphate) have been discontinued
  • Suppression of hypothalamic-pituitary-adrenal axis may occur particularly in patients receiving high doses for prolonged periods or in young children; discontinuation of therapy should be done through slow taper
  • Posterior subcapular cataract formation associated with prolonged use of corticosteroids
  • Prolonged use of corticosteroids may increase risk of secondary infections
  • Increase in intraocular pressure associated with prolonged use of corticosteroids
  • Long-term use associated with fluid retention and hypertension
  • Development of Kaposi's sarcoma associated with prolonged corticosteroid use
  • Acute myopathy associated with high dose of corticosteroids
  • Corticosteroid use may cause psychiatric disturbances

Pregnancy and Lactation

  • Use prednisolone with caution if benefits outweigh risks
  • Animal studies show risk and human studies are not available, or neither animal nor human studies were done
  • Predinsolone is excreted in breast milk; use with caution if breastfeeding
Reviewed on 6/9/2017

Medscape. Pediapred.
https://reference.medscape.com/drug/pediapred-orapred-prednisolone-342745
RxList. Prednisolone.
https://www.rxlist.com/prednisolone-drug.htm

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