Pred and vaccines (sorry, yes another damn post on this!)

[Exflex]

Some may remember I was on Pred for 4 years with PMR on the slow reduction shift. Well I’m back on prednisolone this time due to lung inflammation due to Covid and Pneumonia. Starting dose was 40mg/day for 7 days, today I’m down to 30mg for the following 7 days, then reducing week on week by 5mg to come off, target for being off Pred sometime in November.

As the Covid and Flu vaccine invites are going out now I’m wondering how long I should wait for the dose of Pred to fall to a level where my immune system can actually use the Covid and Flu vaccines efficiently. Any ideas / views? (I’ve read less than 10mg.)

PS both the respiratory and rheumatology consultants I saw in hospital said the ‘sweet spot’ for getting off steroids and adrenal recovery is 3 months. I’m about to find out in November, sometime. My GP just looked at me without comment when I mentioned this.

[PMRpro Ambassador]

In the case of the Covid jab, I think it was decided that although the immune response to the first 2 jabs was damped by pred, by the time you had had 3 you were catching up. So the Covid jab should still have an effect. And since I'd want them on separate days, you could have the flu jab 2 weeks later?