No, he was instructed to do 20 mg until Tues. then 10 mg beginning Wed. He has felt so bad today. Not acting at all like himself. I actually packed an emergency bag for the hospital again. They told him to come back to ER if his fevers didn't subside after the weekend.
My gut feeling is that he should settle down on 20mg for a bit longer than that before dropping again, especially if he is not feeling well, but you have to take into account that this is my "diagnosis by internet" so don't take this advice without asking your docs. some more questions.
If I did my math correctly, he'd be back at 10 mg within 3 weeks. That means his adrenals would not have become dependent on the higher doses.
Higher doses of pred could make it harder to fight the infection.
Please don't hesitate to bring him back to the ER. A change in behavior for someone with a serious infection is a red flag.
I did not remember that it had only been 3 weeks at the higher dose. As Sangye says - dropping the dose after a short period like that should be OK.
Actually he is suppose to go back on 10mg Wed. He will have been on the 20 for 6 days. He has had a really rough weekend. Fever not as high last night finally. Sure hoping this new drug for the lung fungus kicks in and helps.
When you are on pred for such a short time you can teper off quite easily and without "withdrawal" effects
Jolanta
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