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#214100 - 08/05/11 09:31 AM Medrol dose pak vs prednisone taper
poodlegirl Offline
Registered Visitor

Registered: 12/01/07
Posts: 2254
Loc: Houston
What is the difference between a medrol dose pak and a prenisone taper? My primary is giving me a pred taper for my sciatic pain. The nurse said this is not the same as the medrol dose pak, but didn't give me any more info. I've not had the pred taper before.

Thanks for your help with this.
_________________________
Brenda

undifferentiated spondyloarthropy, HLA-B27+, iritis, naproxen 500 mg, 2x/day, trochanter bursitis, Joint Hypermobility Syndrome, migraines, SI joint dysfunction/hypermobility, DDD L4/L5 and L3/L4, straightening of cervical spine, diabetes, sleep apnea.

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#214119 - 08/05/11 11:22 AM Re: Medrol dose pak vs prednisone taper [Re: poodlegirl]
Roqufort Offline
Registered Visitor

Registered: 05/28/08
Posts: 1162
Loc: Texas
a medrol dose pak is 6 days of a 6-5-4-3-2-1 taper. pred taper would most likely be a longer time frame, maybe a week of 5, then week of 4 ect. I cant take pred as it makes me rage, but I have been on medrol long tapers before.
_________________________
Carrie
Retired Navy Wife, 43 / mother of 5, Fort Worth, Texas
Remicade, Norco, lunesta, buspar, Folic Acid, MTX

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#214122 - 08/05/11 11:39 AM Re: Medrol dose pak vs prednisone taper [Re: Roqufort]
JenInCincy Offline
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Registered: 05/19/08
Posts: 13279
Loc: Cincinnati, OH
Brenda, it is worth asking for a lot more detail - one of prednisone's renowned side effects is TROUBLE SLEEPING! I'm not saying you should/shouldn't take it - it could really help with the pain - but definitely make an informed decision. Try to start with something that could be a short taper in case the side effects make you want to kill someone and eat them smile
_________________________
Jen, 42, happy partner of James and Moma to Evan, 14, & Lucy, 12.5 (Crohn's dx @ age 3; on Remicade since April 2010.) I take piroxicam, Flexeril, & Nucynta ER nightly. 3 anti-TNFs didn't pan out for me.

"Science is the father of knowledge, but opinion breeds ignorance." -- Hippocrates

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#215886 - 08/26/11 10:57 AM Re: Medrol dose pak vs prednisone taper [Re: JenInCincy]
KimD592 Offline
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Registered: 08/25/11
Posts: 2156
I'm not quite sure, to be honest. My neurosurgeon ordered the Medrol dose pak for me about a month and a half ago, but the pharmacy didn't have it at the time, so they substitued it for Prednisone taper. They are both taken the same way...first day you take 6, then 5, then 4, and so on. I think they are just different types of steroids, but both can be taken in a taper, which is basically a steroid burst. I'm currently on the Medrol dose pak now.
_________________________
Kim - age 32, married with 3 children
DX: Psoriatic Arthritis, HLA B27+
Meds: Enbrel = liquid gold, Naproxen PRN, Prednisone PRN

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#215890 - 08/26/11 11:27 AM Re: Medrol dose pak vs prednisone taper [Re: KimD592]
seekonk Offline
Registered Visitor

Registered: 12/06/10
Posts: 1254
It's the same thing. Medrol is a kind of corticosteroid just like prednisone. The Medrol pak is a taper over a specific number of days.


Edited by seekonk (08/26/11 11:32 AM)
_________________________
Spondylitis since '08, finally diagnosed Feb '11.
Enbrel 50mg/week.

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#215893 - 08/26/11 11:33 AM Re: Medrol dose pak vs prednisone taper [Re: KimD592]
avonldy Offline
Registered Visitor

Registered: 12/14/09
Posts: 2466
Loc: N. Sacramento Valley
My GP just gave me a script for a pred taper. It's for 20mg pills. I take 1 pill/day for 5 days, the 1/2 pill/day for 3 days then 1/4 pill /day till all the pills are gone. When My GI puts me on steroids, he has me start at 40mg/day for 2 weeks the 1 week at leach lever on the way down.

My GI's nurse says that you wont have a problem sleeping if you take it as early in the morning as possible. She said to take the whole dose and not split it up. It worked the last time I was on pred. In the past, I had to take sleeping pills to get to sleep and now I don't. This is a new thing in his office as in the past they had me split my dose.
_________________________
Donna
Suffering since a teenager.Dx with AS Dec 2009. Dx with ulcerative colitis 1998, both knees replaced 2006. GP said I had "some kind of inflammatory arthritis" 25 years ago. It has taken 50 years to get a Dx.

Mobic, Nexium, Naproxin, Lipitor, 6-MP, Nexium, Miacalcam, MSContin and 2 Norco for break through pain

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#215907 - 08/26/11 02:54 PM Re: Medrol dose pak vs prednisone taper [Re: avonldy]
poodlegirl Offline
Registered Visitor

Registered: 12/01/07
Posts: 2254
Loc: Houston
Now the rheumy wants me to take 5 mg of pred a day for awhile to see if it helps the toe. I don't want to take it very long, though. She gave me 30 pills. I am afraid of having trouble getting off of it if I take it for very long. I have seen some posts where people had problems, but I can't remember the dosage or time length.

Anyone have any problems with a 5 mg dose?
_________________________
Brenda

undifferentiated spondyloarthropy, HLA-B27+, iritis, naproxen 500 mg, 2x/day, trochanter bursitis, Joint Hypermobility Syndrome, migraines, SI joint dysfunction/hypermobility, DDD L4/L5 and L3/L4, straightening of cervical spine, diabetes, sleep apnea.

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#215909 - 08/26/11 03:30 PM Re: Medrol dose pak vs prednisone taper [Re: poodlegirl]
avonldy Offline
Registered Visitor

Registered: 12/14/09
Posts: 2466
Loc: N. Sacramento Valley
Usually when someone has problems getting off pred, it's because the started on much larger doses and for a long period of time. I had problems many years ago when I was on 40mg for over a month. It took me over 6 months to taper off. I was taking 1mg pills at the end.

I don't worry at all now when I take a short course of pred. I just started one that my GP put me on because I wanted stronger pain meds. He is hoping the pred will reduce my pain and we can avoid going to a much stronger med. 5 mg of pred is really a small amount. I wouldn't worry. I hope it helps you to feel better.
_________________________
Donna
Suffering since a teenager.Dx with AS Dec 2009. Dx with ulcerative colitis 1998, both knees replaced 2006. GP said I had "some kind of inflammatory arthritis" 25 years ago. It has taken 50 years to get a Dx.

Mobic, Nexium, Naproxin, Lipitor, 6-MP, Nexium, Miacalcam, MSContin and 2 Norco for break through pain

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#215910 - 08/26/11 03:37 PM Re: Medrol dose pak vs prednisone taper [Re: avonldy]
poodlegirl Offline
Registered Visitor

Registered: 12/01/07
Posts: 2254
Loc: Houston
Ok. Thanks, Donna. That really helps.

I hope the pred helps reduce your pain a lot, too!
_________________________
Brenda

undifferentiated spondyloarthropy, HLA-B27+, iritis, naproxen 500 mg, 2x/day, trochanter bursitis, Joint Hypermobility Syndrome, migraines, SI joint dysfunction/hypermobility, DDD L4/L5 and L3/L4, straightening of cervical spine, diabetes, sleep apnea.

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#215912 - 08/26/11 03:43 PM Re: Medrol dose pak vs prednisone taper [Re: poodlegirl]
avonldy Offline
Registered Visitor

Registered: 12/14/09
Posts: 2466
Loc: N. Sacramento Valley
It always does. Between my GI and my GP, they keep me with a stash of pred to keep on hand, just in case I get a AS or UC flare over a long weekend.
_________________________
Donna
Suffering since a teenager.Dx with AS Dec 2009. Dx with ulcerative colitis 1998, both knees replaced 2006. GP said I had "some kind of inflammatory arthritis" 25 years ago. It has taken 50 years to get a Dx.

Mobic, Nexium, Naproxin, Lipitor, 6-MP, Nexium, Miacalcam, MSContin and 2 Norco for break through pain

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