Treatments

Oral Steroids (Prednisolone)

What are Oral Steroids?

Oral steroids, such as prednisolone, are powerful anti-inflammatory medications used to treat severe eczema flares when other treatments haven't been effective.

Short-Term Treatment

Usually prescribed for a short course (5-14 days) to quickly control severe flares

Important Safety Warning

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 Are They Used?
  • Severe Flares

    When eczema is severely affecting quality of life

  • Widespread Eczema

    When a large area of the body is affected

  • Other Treatments Ineffective

    When topical treatments haven't provided adequate control

Taking Your Medication
  • 1.Take with food to reduce stomach irritation
  • 2.Take in the morning (following your body's natural cortisol rhythm)
  • 3.Follow the tapering schedule exactly as prescribed
  • 4.Complete the entire course as directed
  • 5.Don't skip doses or take extra tablets
  • 6.Keep regular appointments with your healthcare provider
Potential Side Effects

Short-term side effects may include:

  • Increased appetite
  • Mood changes
  • Difficulty sleeping
  • Indigestion
  • Increased blood sugar

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.

Long-term Treatment

While oral steroids are typically used short-term, some cases may require longer treatment:

  • Bridging Treatment

    Prednisolone may be used as a bridge while transitioning to other long-term medications

  • Maintenance Dose

    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:

  • A true rebound effect from the medication
  • The return of your original eczema symptoms that were being suppressed

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.

Transitioning to Immunosuppressants

For severe or persistent eczema, your doctor may recommend transitioning to immunosuppressant medications. Common options include:

  • Cyclosporine
  • Methotrexate

Learn About Immunosuppressants

Understanding long-term treatment options

Important Notes

Medical History:

Always inform your doctor about any other medications, medical conditions, or if you're pregnant/planning pregnancy.

  • Carry a steroid card while taking prednisolone
  • Keep regular follow-up appointments
  • Don't take anti-inflammatory painkillers unless prescribed
  • Get medical advice if you become ill while taking steroids