Oral steroids, such as prednisolone, are powerful anti-inflammatory medications used to treat severe eczema flares when other treatments haven't been effective.
Usually prescribed for a short course (5-14 days) to quickly control severe flares
Never stop taking oral steroids suddenly. Always complete the prescribed course as directed.
Oral steroids are typically prescribed with a tapering schedule (gradually reducing dose). Stopping suddenly can cause serious health problems.
When eczema is severely affecting quality of life
When a large area of the body is affected
When topical treatments haven't provided adequate control
Short-term side effects may include:
Long-term Use:
Long-term or frequent use of oral steroids can lead to more serious side effects. Your doctor will carefully consider the benefits versus risks.
While oral steroids are typically used short-term, some cases may require longer treatment:
Prednisolone may be used as a bridge while transitioning to other long-term medications
Some patients may need a low maintenance dose while other treatments take effect
Understanding Flares After Treatment
When stopping prednisolone, you might experience what seems like a rebound flare. This could be either:
This is why it's crucial to follow your prescribed tapering schedule and have a clear long-term management plan in place.
Long-term Monitoring:
Regular check-ups, blood tests, and bone density scans may be required to monitor for potential side effects.
For severe or persistent eczema, your doctor may recommend transitioning to immunosuppressant medications. Common options include:
Understanding long-term treatment options
Medical History:
Always inform your doctor about any other medications, medical conditions, or if you're pregnant/planning pregnancy.