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nna - Prenisone

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You asked two questions:

1 - when to give the prednisone? We found we wait until the fever hits at least

103, usually rectally. We have a temporal scan thermometer, which we love - but

usually double check rectally before giving prednisone.

2 - how much to give? Well, it all depends on weight. The standard is 1-2

mg/kg. If giving the Orapred at 15 mg/ 5 ml solution (which seems to be the most

common), you would first convert pounds to kg. Our daughter was about 32 pounds

when we started giving, which made the conversion easy - roughly 15 kg. So she

would use 15-30 mg (or 5-10 mls which is 1-2 teaspoons).

However, we found that 3 mls still works " okay " and the time between episodes

lengthened back out. This is roughly a .6 mg/kg doseage now that she is about

35 pounds (if we did the math right)!

Hope this helps.

FYI - we started reducing the dosage on our own, but the doctors agreed we

should use the smallest effective dose. It is anyones guess as to what works for

each child.

Just keep doing your best!

~Ginger

Systems Solutions Principal, CAR Financial Services

Work: (770) 828-1397

TREO: (404) 915-5035

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