prednisolone

May 30, 2008

- I posted this originally back in February. You really need to

get a prescription from a doctor that understands .

We were told to use a second dose only if the first dose didn't knock

out the fever.

Our daughter reacted highly to the Prednisone - became totally wild. So

we had to use a very small dosage.

Typically the fevers also come closer (ours came every 10-12 days) when

we used the 2 mg/kg dosage.

Ultimately, we determined that 4-7 day fevers every 20-30 days was too

much to deal with and the Prednisone really affected her personality -

so we opted for a T & A. While not for everyone, it has worked for us so

far. We've now gone over 6 months without a fever.

Hopefully the below information will help:

Message 20426:

I see a ton of posts that discuss doses of Prednisone in teaspoons. My

concern when I read these is that it all depends on weight of your child

(just like Motrin and Tylenol)... So I thought this might help some of

you figure out the math and what dosage your doctors are

recommending.... Please bear in mind that this is for a 15mg/5ml Orapred

solution.

Typical dosage recommendation is 1-2 mg/kg ---- note that a kg is about

2.2 pounds

Also note that our Orapred dosage is 15mg/5mls (or 15 mgs per Teaspoon)

To figure out pounds to kgs to figure out the dosage here's a

calculation you can do:

LB weight * .45 / 15 = Teaspoon for 1mg/kg Dosage

OR

LB weight * .45 / 3 = ML for 1mg/kg Dosage

If your doctor is recommending 2mg/kg then you would double the result

above.

For example a 32 pound child is about 14.4 kgs. And at 15 mg/5 mls (our

form of Orapred) - you would get 32x.45=14.44/15=.96 (or Roughly 1

teaspoon).

We found that a .6mg/kg dose was about right for our daughter. She'd

run a low 100 the day after, but didn't seem to impact her as much

emotionally and the fevers spread out to about 25-35 days.

Our daughter was 34 pounds and 3 mls worked for her (so that equates to

about a .6mg dosage per kg)

For those that get really confused with all the mls, kgs, mgs -

especially when we use pounds in the US ---- I hope that the above helps

you.

BUT if for any reason you do it and the dosage seems WAY off... please

check with a pharmacist or your doctor first.

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June 3, 2008

For our 5 year-old daughter, we give one dose (we're using the Orapred

tablets, 15 mg dose) when we're sure that it's a fever episode and it

starts spiking up. We give a second dose 24 hours later. We have

found that the initial dose knocks the fever out and she's pretty much

back to normal after a few hours, but if we don't give the second dose,

the fever returns a day or so later and is then not very responsive to

the prednasone. It works really well for her, except we're now trying

to figure out if it's making her fevers come more frequently. It's not

clear cut, since she's had longer spells right after a prednisone dose,

and shorter spells without one (we haven't given it every single

time). But overall, her fevers have increased to every three weeks on

average for the past six months, so we don't know if it's connected to

the prednasone or not. We're scheduling a T & A for this summer, because

it's just too frequent now.

Best wishes,

Margie

mom of 5 year-old Rowan with and 2 year-old Liam

June 3, 2008