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Rheumatoid Arthritis, Vivax Malaria, Fever. On Antifungal, Shelcal And Wysolone. Are They Related?
I m RA patient since 20 yrs. At present completed leumethor (06) tab and 11 tab/out of 14 of malarid (15mg) s diagnosed vivex malaria. i m on 75 mcg thronorm, udp -5,uritas 100(twice a day),nurokind,levogen,shelcal,and 10mg methotrazate once a week. Tried to tapper dose of wysolone in past.came to alternate day 5mg..but in transition period disease aggrevates.at present dr. put me on 7.5 mg wysolone alternate day n fever comes everday goes to 99.8. taken paramol 500 (3 tab per day),levotas,cytrizine, antifungal tabaf 500.but since fever comes.now mp is -ve. is this because of trying to tapper dose of wysolone? what is appropriate process of tappering wysolone?
posted on
Fri, 20 Sep 2013
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 24 Sep 2013
Answered on
Wed, 25 Sep 2013
Last reviewed on
Hi, thanks for writing to HCM.
Your persistent fever is unlikely to be related to wysolone tapering.
The level of tapering depends on what disease or illness is being treated, the dosage that was given, how long the prednisone has been taken and how often it was administered to the patient.
If your are consuming 20 mg/day, taper down in increments of 2.5 mg every four weeks, and when the dosage gets down to 10 mg per day, tapering in 1 to 2 mg every four weeks is best.
If at any time during this tapering period, the patient experiences a flare up of the disease, the treatment needs to start over again.
Tapering off of wysolone is best done under a doctor's care and supervision.
Hope this information is helpful. Good day
Your persistent fever is unlikely to be related to wysolone tapering.
The level of tapering depends on what disease or illness is being treated, the dosage that was given, how long the prednisone has been taken and how often it was administered to the patient.
If your are consuming 20 mg/day, taper down in increments of 2.5 mg every four weeks, and when the dosage gets down to 10 mg per day, tapering in 1 to 2 mg every four weeks is best.
If at any time during this tapering period, the patient experiences a flare up of the disease, the treatment needs to start over again.
Tapering off of wysolone is best done under a doctor's care and supervision.
Hope this information is helpful. Good day
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