Forum Title: Prednisone Dosage & Side Effects - Seeking Advice for Canada Prescription


Posted by: HealthyHiker

Hey everyone,

I've been prescribed Prednisone for my chronic back pain and was wondering if anyone else has experience with this medication. I'm in Canada, so the dosage info seems a bit different from what I’ve seen online. My doc gave me 20mg to start with, but I’m worried about side effects. Any tips or experiences?


Posted by: DrMedic

Hi HealthyHiker,

I see you’re taking Prednisone for your back pain. It’s important to note that the dosage can vary depending on what it's being used for and how your body reacts. For inflammation, 20mg is a common starting dose in Canada.

Just make sure to follow up with your doctor regularly. They will monitor any side effects and adjust the dosage if needed. Common side effects include increased appetite, weight gain, and mood swings. Let me know if you have any specific concerns!


Posted by: HealthyHiker

Thanks DrMedic! That’s good to hear about the dosage.

Do you know anything about tapering off it? I’m a bit worried about coming off too quickly, especially since some articles online mention adrenal suppression and other issues. Any advice on that?


Posted by: DrMedic

Absolutely, HealthyHiker!

Tapering is crucial when discontinuing Prednisone to avoid withdrawal symptoms like fatigue, joint pain, and depression. Your doctor will likely recommend a gradual reduction of the dosage over several weeks or months.

Here’s an example of how you might taper off:- Start at 20mg- Reduce by 5mg every few days (e.g., take 15mg for a week)- Continue this pattern until you reach a low enough dose to switch to alternate days

It’s important not to stop suddenly without consulting your doctor, as that can lead to adrenal insufficiency. Keep in touch with them and report any symptoms during the tapering phase.


Posted by: HealthyHiker

That makes sense! Thanks for explaining the tapering process. I’ll definitely keep in close contact with my doc about this.

One more question - are there any foods or activities that might affect how Prednisone works? Should I avoid anything specific?


Posted by: DrMedic

Great question, HealthyHiker!

Prednisone can interact with certain medications and dietary supplements. It’s important to inform your doctor about all the other medications you’re taking, including OTC drugs and herbal supplements.

In terms of diet:- Avoid alcohol as it can increase the risk of gastrointestinal side effects.- Be mindful of salt intake since Prednisone can cause sodium retention leading to fluid retention or hypertension.- Calcium and vitamin D may be important due to potential bone thinning effects.

Activities-wise, avoid strenuous exercise without your doctor’s approval. This medication can affect muscle strength and bone density, so it's best to start slowly and build up gradually as you feel better.


Posted by: HealthyHiker

Thank you so much for the detailed advice, DrMedic! I’ll make sure to follow all these steps carefully and keep a close eye on how I’m feeling. Really appreciate your help!


Posted by: DrMedic

You’re very welcome, HealthyHiker!

Feel free to reach out if you have more questions or need further guidance. Staying informed and proactive about your health is key. Best of luck with your treatment!

If anyone else has additional advice or experiences they’d like to share, please do so!