Your doctor will determine the appropriate prednisone dosage for your eczema, usually starting with a higher dose to control the flare-up, then gradually tapering it down. Typical initial doses range from 20-60mg daily, but this varies greatly depending on the severity of your condition and your individual response. Always follow your doctor’s prescribed schedule meticulously. Never adjust your dose independently.
Potential Side Effects
Prednisone can cause several side effects, including weight gain, increased appetite, mood changes, insomnia, high blood pressure, and increased blood sugar. More serious, though less common, side effects involve weakening of bones (osteoporosis), cataracts, and increased susceptibility to infections. Report any concerning symptoms to your physician promptly. Regular monitoring of blood pressure and blood sugar may be necessary.
Long-Term Use and Alternatives
Prednisone is not a long-term solution for eczema. Prolonged use carries a higher risk of side effects. Your dermatologist will likely aim to transition you to other therapies, such as topical corticosteroids, calcineurin inhibitors (like tacrolimus or pimecrolimus), or biologics, once your eczema is under control. These alternative treatments often manage eczema effectively with fewer side effects over time. Discuss long-term management strategies with your doctor to minimize prednisone’s impact and develop a sustainable eczema plan.
Maintaining Healthy Habits
While on prednisone, focus on maintaining a balanced diet, regular exercise, and adequate sleep to support your overall health and mitigate potential side effects. Consider discussing dietary adjustments with your doctor or a registered dietitian. Open communication with your healthcare team is critical for successful eczema management.
