Steroids, Oral

What are other names for this drug?

Some of the names for oral steroids are prednisone, prednisolone, and methylprednisolone. Some product names include Prelone Syrup, Pediapred Oral Solution, Orapred, and Medrol.

What does this drug do?

Oral steroids are strong medicines that are most often used for speeding up relief of moderate to severe asthma episodes. If your child has severe asthma, an oral steroid may also be used as a long-term control medicine. Oral steroids reduce swelling, inflammation, and mucus production in the airways. They help control and prevent symptoms of asthma. Oral steroids can also reduce the "twitchiness" or irritability of the airways.

Although oral steroids are used for speeding up relief, they:

• DO NOT immediately open the airways
• DO NOT provide immediate relief of wheezing or acute asthma attacks.

Oral steroids DO speed recovery from a moderate to severe asthma episode and reduce the chance of a relapse.

There are other quick-relief or "rescue" medicines available that quickly open airways and are used to treat acute asthma attacks.

How is it taken?

Oral steroids can be taken as pills or syrup. Steroid medicine has a bitter taste. Have your child swallow the pills quickly and not hold them in his mouth. The syrup also has a bitter taste or after taste and is best swallowed quickly. After swallowing, quickly have your child take a drink of another liquid to rinse his mouth. It is best not to take this medicine on an empty stomach.

What is the usual dose?

There is no usual dose of steroids. They are carefully prescribed by your health care provider for a specific amount of time. In general, when a steroid is prescribed for less than 10 days it is called a "burst" and does not require gradually decreasing doses before stopping the medicine. Steroids taken daily or every other day for over 10 days should not be stopped without checking with your health care provider first.

Your prescribed dose of ______________________ is _____ mg to be taken ______ times a day for _____ days.

What side effects can steroids cause?

Steroid side effects vary from person to person and depend on how much, how often, and how long the medicine is taken. The most common side effect of steroids taken orally for a short time is an increased appetite. Some people also have more energy, feel a sense well-being, and have trouble sleeping. Others may feel sad or irritable.

Side effects of oral steroids taken daily, for long periods of time, and/or at high doses can be serious and may take a long time to go away once the medication is stopped.

What special instructions should be followed?

Always take the prescribed amount for the length of time prescribed. Do not change the dose or stop taking the medicine without checking with your health care provider.