How to Safely Taper Off Glucocorticoids
Published: Feb 24, 2024
Medically reviewed by Jerome Albert Ecker | MD, Assistant Professor of Medicine, Duke University - Durham, NC on February 24th, 2024.
Successfully reducing glucocorticoids takes careful planning. Follow these steps to taper off safely and effectively.
Contents
Understanding the Basics
Before starting the tapering process, it's important to understand why it's necessary. Glucocorticoids can cause serious side effects, so reducing the dose can improve overall health. The goal is to find the lowest effective dose or stop the medication entirely if possible.
Creating a Tapering Plan
A personalized tapering plan should consider the patient's health status and response to the medication. Typically, the dose is reduced by 5-10% every one to two weeks. Regular check-ins with healthcare providers are essential to monitor progress and adjust the plan as needed.
Monitoring for Symptoms
Pay attention to any withdrawal symptoms or return of disease symptoms during the tapering process. These can include fatigue, joint pain, or fever. If symptoms occur, it's important to consult with a healthcare provider to determine the best course of action.
Frequently Asked Questions
It helps reduce the risk of withdrawal symptoms and manage the underlying condition.
Typically every one to two weeks, depending on individual response.
Fatigue, joint pain, and fever are common symptoms during tapering.
Consult a provider if any withdrawal symptoms or health changes occur.
Key Takeaways
Tapering off glucocorticoids safely requires a well-thought-out plan and monitoring.
Start your glucocorticoid tapering journey by consulting Doctronic for a personalized plan.Related Articles
References
Volkmann ER, Rezai S, Tarp S, et al. We still don't know how to taper glucocorticoids in rheumatoid arthritis, and we can do better. J Rheumatol 2013; 40:1646.
Byyny RL. Withdrawal from glucocorticoid therapy. N Engl J Med 1976; 295:30.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.