prednisone taper
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Management
- not necessary to taper if oral dose < 60 mg/day for 10 days[2]
- failure to taper below 5 mg/day suggests adrenal insufficiency
- after holding prednisone for 1 day, plasma ACTH should increase with primary adrenal insufficiency, but not pituitary insufficiency*[1]
- failure to taper below 5 mg/day suggests adrenal insufficiency
* if pituitary insufficiency suspected, obtain gadolinium contrast enhanced MRI neuroimaging of the brain (pituitary protocol)[1]