Stopping corticosteroid therapy
In autoimmune disease, clear end-points should be set before starting therapy. Corticosteroids may improve mood and give patients a feeling of general well-being unrelated to the effect on the disease being treated. Subjective assessments can therefore be misleading. Objective clinical parameters should be used to monitor the need for continuing or restarting therapy . proteinuria in nephritis, spirometry in asthma and creatinine kinase in myositis. Therapy should be tapered off. For example, with prednis(ol)one, the dose is reduced in steps of -5 mg every 3-7 days down to 15 mg/day. At that point, switch to alternate day therapy and reduce in mg steps over 2-3 weeks. This minimises the impact on mood and lessens the drop in general well-being.
A corticosteroid is a type of medication that is often referred to as a steroid. This powerful medication is used to treat inflammation . For example, it may be used to treat such things as swelling and redness. These medications are also used to treat itching that occurs as the result of allergies or other types of conditions. A doctor may prescribe them for treating a range of illnesses and conditions, including asthma , arthritis, and certain diseases; they are also prescribed for people who are dealing with severe allergies and certain conditions that affect the skin.