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1Basic principles and indications for corticosteroid therapy should applyThe benefits of ADT should not encourage the indiscriminate use of steroids.
You should not take prednisone if you are breastfeeding unless instructed otherwiseIt may be excreted in your breast milk and may harm your nursing child.
Once control has been establishedtwo courses are availableachange to ADT and then gradually reduce the amount of corticoid given every other day orbfollowing control of the disease process reduce the daily dose of corticoid to the lowest effective level as rapidly as possible and then change over to an alternate day scheduleTheoreticallycourseamay be preferable.
Some side effects may require medical attentionOther side effects do not require medical attention and may go away during treatmentPatients should check with their physician about any side effects that continue or are bothersome.
3In less severe disease processes in which corticoid therapy is indicatedit may be possible to initiate treatment with ADTMore severe disease states usually will require daily divided high dose therapy for initial control of the disease processThe initial suppressive dose level should be continued until satisfactory clinical response is obtainedusually four to ten days in the case of many allergic and collagen diseasesIt is important to keep the period of initial suppressive dose as brief as possible particularly when subsequent use of alternate day therapy is intended.
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