steroid advice: I have had a very bad cold for over... - PMRGCAuk

PMRGCAuk

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steroid advice

Reddev profile image
11 Replies

I have had a very bad cold for over two weeks cough has become unbearable… saw doctor today. Has prescribed prednisolone 30 mgs for 5 days…can I then go straight back to my 2mgs I take daily.

I have been given antibiotics as well.

thank you all in advance

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Reddev profile image
Reddev
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11 Replies
yogabonnie profile image
yogabonnie

I am surprised he would prescribe that much for a cold! or any at all. Prednisone doesnt get rid of viruses.... what did he say?? or maybe I missed something. Hope you feel MUCH better soon! Antibiotics will help if it has become bronchitis or some infection.

Reddev profile image
Reddev in reply toyogabonnie

Maybe not worded the question very well. I do have a nasty chest infection. My main concern was .. could I go straight back down to my 2mgs of prednisolone. Thank you for replying.

PMRpro profile image
PMRproAmbassador

Yes - stop taking 30mg, start back on 2mg. It is common to give a pred dose like that alongside abx these days, especially if the chest and cough is really bad. It reduces the congestion in the lungs quickly and reduces the risk of a pneumonia developing.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

Would say that 30mg is a bit OTT, but as it’s only for 5 days it’s manageable and hopefully helps, he’s obviously worried it might be more that ‘just a cold’.

PMRpro profile image
PMRproAmbassador in reply toDorsetLady

Doses like that are to stop it becoming more than just a cold if you are bad enough to justify abx!

Reddev profile image
Reddev in reply toPMRpro

Sorry .. should have said my cold has turned into a nasty chest infection. Thank you I will go too my normal dose of 2mgs after I’ve finished the 5 days of 30mgs.

Miacaro45 profile image
Miacaro45 in reply toReddev

That makes more sense. Feel better.

BettyE profile image
BettyE

One of my neighbours has had exactly the same experience; long lasting severe cold and an exhausting cough. She is now on her fourth day of ABs and steroids , sorry, don't know the dose and is slowly improving.

About twelve years ago I had an allergic reaction to penicillin and was upped from 2 to 20mgs of pred for five days and then straight back to 2 .

Reddev profile image
Reddev in reply toBettyE

Thank you. Obviously what I thought was a simple cold has turned into a nasty chest infection.

Preacherball profile image
Preacherball

Have you (or a doctor) considered the possibility that the chest infection/respiratory issues you've experienced are not the result of a viral infection, but are caused by GCA itself? The reason I ask is that I have struggled with this same issue since I was diagnosed in the summer of 2021. I do fine, until I get one of these infections which you describe, including a terrible cough. I'm going through one now. After a week of misery, fever, and no marked inprovement, I finally decided to do a five day course of 40mg pred. I have been completely off pred. and Acemera since last summer, so this is a dsappointment. My rheumy left his organization, and I have an appointmnt in March with a new one. So, I'm kind of left hanging in the wind until then.

Reddev profile image
Reddev in reply toPreacherball

I do have asthma as well so no I’ve not considered

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