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Prednisolone: Uses, Dosage, Side Effects & Brands | MedexInfo

Prednisolone: Uses, Dosage, Side Effects & Brands | MedexInfo

Prednisolone

Rx Only
Generic NamePrednisolone
Therapeutic ClassCorticosteroid
Common Dose5–60 mg daily depending on condition
Max / 24h100 mg
PregnancyCategory C
Indications ▼
Inflammatory and autoimmune conditions (e.g., rheumatoid arthritis, lupus)
Severe allergies and asthma exacerbations
Adrenal insufficiency
Certain hematologic and oncologic conditions
Shock or severe systemic inflammation
Mechanism & Pharmacokinetics ▼
Mechanism: Binds to glucocorticoid receptors, modulating gene transcription to suppress inflammation and immune response.
Pharmacokinetics: Well absorbed orally; metabolized in liver; excreted primarily via urine; half-life ~3–4 hours; biological effects longer due to receptor binding.
Dosage & Administration ▼
Patient CategoryRecommended DoseMax / 24h
Adults5–60 mg orally daily, dose individualized per condition100 mg
ElderlyStart at lower end; monitor for side effects100 mg
Children0.14–2 mg/kg/day orally in divided dosesDepends on indication
Note: Taper gradually after long-term use to avoid adrenal insufficiency. Can be given with food to reduce GI irritation.
Side Effects ▼
Hyperglycemia, fluid retention, weight gain
Increased infection risk, mood changes, insomnia
Osteoporosis, adrenal suppression with long-term use
Gastrointestinal irritation or ulceration
Contraindications ▼
Systemic fungal infections
Hypersensitivity to prednisolone or other corticosteroids
Caution in uncontrolled infections, diabetes, hypertension, peptic ulcer
Drug Interaction ▼
Concurrent NSAIDs increase risk of GI ulceration
May reduce efficacy of vaccines
CYP3A4 inhibitors/inducers can alter plasma levels
Diuretics may worsen hypokalemia risk
Pregnancy & Lactation ▼
Use only if benefits outweigh risks; potential for fetal growth restriction
Excreted in breast milk in small amounts; monitor infant for adrenal effects
Clinical / Research Summary ▼
Effective anti-inflammatory and immunosuppressive agent in a wide range of conditions
Rapid symptom relief in acute exacerbations of asthma and autoimmune diseases
Well-studied in numerous clinical trials and guidelines
Patient Counseling Points ▼
Take exactly as prescribed; do not stop abruptly after long-term use
Take with food to minimize GI upset
Report signs of infection, unusual bruising, or hyperglycemia
Storage & Handling ▼
Store at 20–25°C (68–77°F)
Protect from moisture and light
Keep out of reach of children
Medical Disclaimer: This information is for educational purposes only. Consult a healthcare provider for professional guidance.

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