how to get 1mg doses in pred?

[Udupik]

Where I live there is no 1mg pred . The smallest dose is 2.5mg . I’m trying to taper and I would require 1mg pred . Should I use a tablet cutter ?

[cycli]

Your bio says nothing of where you live udupik. My 1mg pred comes from our pharmacy, but is obtained from either of the Marketing Authorised companies, Wockhardt UK ltd. Ash road north, Wrexham, LL13 9UF or Strides Pharma UK ltd, Watford, Hertfordshire WD18 9SS

[DorsetLady PMRGCAuk volunteer]

So long as plain uncoated tablets they can be cut.... but not if they are EC or GR ones [usually coloured].

Plus you could use a very slow taper [it's one of the reason they were first designed].

See here for examples -

healthunlocked.com/pmrgcauk...

[Udupik in reply to DorsetLady]

Plain white

[DorsetLady PMRGCAuk volunteer in reply to Udupik]

Okay to cut then…

[PMRpro Ambassador]

What type of pred are you on? Plain, white pred or coloured enteric coated ones?

[Udupik in reply to PMRpro]

Plain white

[PMRpro Ambassador in reply to Udupik]

They can be cut using a pill cutter. And if you combine them with the slowed tapers, you can taper quite easily - in terms of dose that is!

Where are you that there are no 1mg tablets? Though there are places where it is 5mg and that is all.

[Udupik in reply to PMRpro]

India

[DorsetLady PMRGCAuk volunteer in reply to Udupik]

Would you like to check your profile and untick the Hide box next to country please.

[Udupik in reply to DorsetLady]

Done . Many thanks for the response

[PMRpro Ambassador in reply to Udupik]

Thank you!!!

[DorsetLady PMRGCAuk volunteer in reply to Udupik]

Thank you -helps us. Different countries have different meds on offer as well as different health services so saves us asking more questions.

[PMRpro Ambassador in reply to Udupik]

Thank you. And please do as DL has asked. Knowing where people are is a great help to us.

[PMRnewbie2017]

I regularly cut 2.5mg in half and have cut the halves in half for 0.625mg. It is possible with a sharp thin bladed knife but a tablet cutter should work.To be honest it's not an exact science. Tablets do not contain exactly the amount stated but it is within +/- a small amount. Add that to bioavailability, pharmacokinetics and metabolic differences between patients and different brands it won't matter if you don't take exactly 1mg. That's why the slow taper protocols are so valuable.

[Hankb]

The smallest pred. tablet available in South Africa is 5mg. I use a combination of the LIQUID FORM of pred. to get the correct doses. MrsNails gave me this tip a few years ago and it works well for me. I'm currently tapering to 3.5mg.

[WhatNoCarbs]

Don’t know if it’s available for you, but I have a dissolvable tablet form (in UK). I can therefore dissolve say 10 mg in a known liquid quantity and consume a percentage of that.

[PMRpro Ambassador in reply to WhatNoCarbs]

They are generally not supposed to be used unless there is a strong arguement for them - they cost 30 times what plain pred does!!!

[WhatNoCarbs]

Really!!! I knew they were more expensive, just not how much more. I’m on them because of an intolerance to the normal tablets - the one’s I was initially given contained milk products.

[PMRpro Ambassador in reply to WhatNoCarbs]

You have a good reason - I did remember that - but I happen to know because I found the edict issued by a midlands hospital Trust instructing their use should be restricted unless there was a justifiable need and they quoted the relevant prices!!! Makes enteric coated look cheap but they restrict them too in some places.