Another unwanted side effect of steroids: midcycle bleeding. It seems I can not take prednisone for >3-5d without triggering other hormonal problems. This becomes a problem when I have to take steroids for a longer period (usually for 3-4 weeks for pleuritis) and I have my period for the entire interval, thus resulting in anemia. Should I enlist my gyn, is it worth starting OC's with prednisone to preclude the bleeding, or will this interfere with the prednisone's effectiveness?View Thread
Is there a "rule of thumb" as to how long a course of steroids would be before tapering is needed? I have fairly mild lupus so I get by on HCQ and NSAIDs, but occasionally need bursts for pleuritis or some other reason (typically when I have a gardening mishap and find some poison ivy/sumac/oak, or with a mild asthma flare) My pleuritis dose is longer and always tapered, but when I end up in urgent care with hives, the docs generally don't taper the 5d doses. Usually, that's not a problem, but sometimes it sends me back to my rheumatologist to get more prednisone to stretch out a taper.View Thread
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