Posted 7/8/2015 2:24 AM (GMT 0)
Hi, no I would say that is an average starting dose. It all depends how ill you are when you start oral steroids. They can only give you a certain amount orally, and if your body needs a bigger dose then you would need to go into hospital for IV steroids.
For me personally I normally see results within a couple of days, unless of course I needed a larger dose, both times that has happened to me I have been hospitalised and put on IV steroids, which work very fast.
I'm currently in a flare myself, taking 40mg prednisolone daily (I live in the UK so we don't have prednisone). Fingers crossed it is working because it is day 3 for me too and I have been able to start eating again.
Some tips you might have heard already are to take them with food (ironic I know!) and to take them in the morning about 8-9am. I also take the calcichew tablets.
I did suffer side-effects the second time that I was in hospital. It didn't happen until after I had been home and on oral steroids a while I think, but I got 'moon face', which was really horrible as my hair had fallen out (due to the severity of the UC itself). It did eventually go away but it took a few months from what I can recall. Sorry I have a very bad memory.
I don't know if it counts as a side effect, but with both of my major flares (the ones where I was in hospital), I got physically dependant on the steroids, eg. when I was trying to reduce the dose, I would flare-up again at about 15 mg and have to go back up to the higher dose.
As for weight gain, I did notice it after my 2nd hospital stay also, but I really don't know what caused it, as I wasn't eating any more than normal. It could have been the steroids, or the fact I had just turned 30, or the fact that I was too ill to work or do any exercise for quite a while whilst I recovered. It certainly didn't go away once I had finished the steroids, in fact it has been slowly creeping up over the years, much more noticeably since I have been much less active than I used to be. Also I personally have to stick to a low residue diet, which makes losing weight through diet virtually impossible.
I have also suffered depression for about 4-5 years (managed to come off the anti-depressants a few months ago). The depression started in 2009 when my ex boyfriend left me, but got much worse when I was hospitalised in 2010, which I attribute to the UC itself rather than the steroids, as I have always had huge problems coping with the UC mentally.
I did have a 3 month flare from Dec 2014 - Feb 2015, and had no problems with the steroids, probably because it was over a much smaller time period.