In fact it is worth noting that 5mg of prednisone equals 20mg of hydrocortisone. It stays longer in the system so is more effective for lung disease sufferers.
She explained that the biological dosage was between 5 and 7.5mg of prednisone and I better start on the higher dosage because I was so low.
So she gave me a prescription, a handbook and said bye. Well I was stunned I had to self-manage on something I had never done before.
So went to the GP and asked for help. He said we have to build you up first so you start on 20mg, reduced to 15mg when you feel better then 10mg when you are ok you go on 7.5mg and use your handbook to manage your stress levels.
In fact for example if you go for 30mn exercise you have to take 1.5 your basic biological dosage of 5mg. It isn’t where you are at. The base is always 5mg. That I also learned.
If you have a small op like I did I had to take 20mg for 2 days and decrease rapidly. I said what is rapidly?? Well by 5mg every 2 or 3 days but then I had the 2nd op 2 weeks later so I had to start that whole process again.
Now when you are sick with a chest infection for example you follow doctor’s orders because your cortisol level is already well covered by your biological dose so what is important is that you have a steroids intake that is beneficial enough to reduce the lung inflammation and ask him how to decrease precisely.
As I have had 2 ops and now a chest infection I asked for help again, how much should I take, for how long and how should I taper down.
The lesson is that you must consult on your steroids intake when you are sick if not you will inevitably feel the drop due to the adrenal insufficiency. You may also mistake it for a drop in adrenal insufficiency but it isn’t, it is the infection, the antibiotics fighting the infection that will lead to fatigue.
Lots of love everyone 🌺
You deserve a picture if you read it all 😃
One of Bea’s: Geneva Lake