關於 prednisone ，我們在網路上蒐集到這些相關的討論、資訊與評價

Q: prednisone 在Facebook 的評價

使用免疫抑制劑與施打COVID19 疫苗的關係，整理一些重點供參考：1. 使用以下藥物， #無需更改藥物和 #施打疫苗時間：Hydroxychloroquine; apremilast; IVIG; glucocorticoids, prednisone-equivalent dose

Q: prednisone臨床筆記 在Facebook 的評價

狼瘡性腎炎的治療 #teaching #sle • 每一個病人都要使用 Hydroxychloroquine（定期追蹤眼科）。 • 誘導治療：IV pulse methylprednisolone, then oral prednisone 0.3–0.5 mg/kg/d + MMF 2–3 g/d or IV pulse cyclophosphamide 500 mg biweekly x 6. MMF/CNI (especially tacrolimus) combination and high-dose CY are alternatives, for patients with nephrotic-range proteinuria and adverse prognostic factors. • 維持治療：azathioprine、MMF、prednisone 維持治療：IV pulses of methylprednisolone + cyclophosphamide—> azathioprine，類固醇 + MMF —> MMF）發現抑制 B 細胞刺激器 BAFF/BLyS 的單株抗體 Belimumab 10 mg/kg（第一個月每 2 週，然後每個月）使用 2 年（誘導及維持治療）能改善主要終點（PCR ≤0.7、eGFR 下降< 20%、eGFR ≥60、未使用其他的拯救治療，43% vs 32%，需治人數 NNT 9 人）和次要終點（PCR ≤0.5、eGFR 下降< 10%、eGFR ≥90、未使用其他的拯救治療），也能降低洗腎/換腎或腎臟相關的死亡。 https://www.nejm.org/doi/full/10.1056/NEJMoa2001180 Belimumab as Add-on Therapy in Lupus Nephritis https://en.uoa.gr/…/2109_8erapeia_nefritidas_lykou_tektonid… • 拯救治療：rituximab （證據不足） • 膜性腎病（證據不足）：ACEI/ARB、prednisone + MMF • 如果治療無效，必須要重複做腎臟切片 https://medium.com/…/%E4%B8%8D%E8%A6%81%E7%94%A8%E6%9C%88%E… 研究中的藥物：obinutuzumab（抑制 CD20 的單株抗體）、itolizumab（抑制 T 細胞CD6 的單株抗體）、iguratimod（抗發炎藥物）。

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關於prednisone 在 Prednisone: Dosing and Side Effects - YouTube 的評價

prednisone 在 Facebook 的最讚貼文

2021-06-08 01:50:40 有 388 人按讚

使用免疫抑制劑與施打COVID19 疫苗的關係，整理一些重點供參考：

1. 使用以下藥物， #無需更改藥物和 #施打疫苗時間：Hydroxychloroquine; apremilast; IVIG; glucocorticoids, prednisone-equivalent dose <20mg/day
Sulfasalazine; Leflunomide;; Azathioprine; Cyclophosphamide (oral); TNFi; IL-6R; IL-1; IL-17; IL-12/23; IL-23; Belimumab; oral calcineurin inhibitors; Glucocorticoids, prednisone-equivalent dose ≥ 20mg/day**

2. 以下藥物可 #考慮暫停1-2周:
Methotrexate，JAKi，Abatacept IV

3. Rituximab 是前隔四週後隔2-4週。

4. 普拿疼或 NSAID 藥物最好在打疫苗 #前24小時內不要服用，打疫苗後如果有需要如 #發燒情況才適量使用。

4. #器官移植者之免疫抑制藥物無需停藥。

感謝 #Meng_Hsiuan_Kuo 提供個人整理的圖表如下。

詳細建議請參考：
https://www.rheumatology.org/Portals/0/Files/COVID-19-Vaccine-Clinical-Guidance-Rheumatic-Diseases-Summary.pdf

Tags: prednisone 無需更改藥物和施打疫苗時間考慮暫停1 前24小時內不要服用發燒情況才適量使用器官移植者之免疫抑制藥物無需停藥 Meng_Hsiuan_Kuo

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prednisone 在日本自助旅遊中毒者 Facebook 的最佳解答

By 日本自助旅遊中毒者

2021-04-21 18:15:22 有 712 人按讚

國際血栓形成和止血學會更新了AZ/嬌生疫苗引起的血栓併血小板低下的診斷和治療指引。給大家參考。

#國際血栓形成和止血學會(ISTH)
Vaccine Induced Immune Thrombotic Thrombocytopenia（VITT）診斷和治療指引（2021.4.20更新）

Step 1.#誰有風險得到VITT？
a) 是否在注射AZ或是嬌生新冠疫苗後4~28天發生症狀？　

b) 是否有血栓的症狀或徵候？
可能的例子包括新發生的：
○ 嚴重而持續的頭痛，可能加上視力改變，癲癇發作（肢體有不自主的動作）
○ 嚴重而持續的肚子痛
○ 小腿腫脹或是痛
○ 胸痛，可能加上呼吸困難　　

如果問題ab都沒有，那就不是VITT。請照臨床常規處理。
如果ab皆有，請往Step 2。

Step 2.#對於有風險的病人如何做VITT的篩檢？
a) 根據症狀做適當的影像檢查來確認是否有血栓。（比方說頭痛者做頭部電腦斷層靜脈血管攝影，肚子痛做腹部電腦斷層靜脈血管攝影）
b) 安排緊急的全血細胞計數（CBC）。

如果影像檢查上沒有血栓：那就不是VITT。
如果血小板正常大於15萬：VITT不是很可能。
如果有血栓的證據，且血小板小於15萬：請往Step 3。

Step 3.#初始評估
做標準的血液凝固相關檢查 (D-dimer, PT, aPTT and Clauss fibrinogen)
檢查有無抗血小板第四因子的抗體（anti-PF4，不是所有的試劑都可以偵測此抗體，HITT ELISA最可靠）

如果可靠的PF4抗體檢查陰性，那可排除VITT。就當一般血栓治療。
如果PF4抗體檢查陽性，特別是OD值很高，那就很可能是VITT。可以做確診的功能性試劑檢查，並當VITT處理。
如果沒有PF4抗體檢查可做，可檢查D-dimer。如果顯著上升的D-dimer很可能是VITT，比方說四倍以上上升。可當VITT處理。

Step 4.#治療
1.測PF4抗體可能須要時間。如果看起來可能，不要等待結果出來才給治療。

2.立刻給予免疫球蛋白兩天的療程（IVIG 0.5 to 1 g/kg daily for 2 days）

3.在血小板小於5萬者可考慮使用類固醇（prednisone 1 to 2 mg/kg）

4.避免輸注血小板，除非病人需要緊急手術。避免使用肝素相關藥物（heparin, LMWH），避免warfarin。

5.在血小板大於5萬且沒有嚴重流血者，建議給予非肝素的抗凝血藥物：fondaparinux, argatroban, or a direct　oral anticoagulant (e.g., apixaban, rivaroxaban）

6.照會血液科醫師。

7.考慮血漿交換（plasma exchange）或是補充Fibrinogen纖維蛋白原到其濃度大於1.0 g/L。特別在如果血小板在給予IVIG還有類固醇後還是小於三萬，或是纖維蛋白原到其濃度小於1.0 g/L。

提醒：
1.VITT處置是個進展中的議題。請注意參考最新版本的指引。

2.每個國家或地區應該依據當地的醫療型態還有檢查有無修正成自己的治療指引。

3.列出可以做PF4抗體檢查的實驗室，或是可以聯絡的血液科專家可能有幫助。

Tags: prednisone 國際血栓形成和止血學會誰有風險得到VITT 對於有風險的病人如何做VITT的篩檢初始評估治療

日本自助旅遊中毒者

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無關日本旅遊或商業留言一律刪除。我不會在臉書回答日本旅遊的問題，因為臉書粉絲頁面不是一個適合問問題的頁面，大家看不到，無法一起回答，以後的人也搜尋不到。所以也請勿傳訊，寫私信或留悄悄話問我旅遊問題。部落格上公開問問題，我回答可以讓需要的人都有看見或是搜尋的到的機會。請大家在部落格發問，只要非以下常見的問題，我會盡量回答的。日本/東京自助旅遊的常見問題FAQ http://linshibi.com/?p=14 這就是我不會回答的問題們，新手請優先閱讀。也可到日本旅遊中毒者社團來問問題 http://on.fb.me/1M1xkkK

只要你不是在日本，就是在前往日本的路上，沒幾個月就想"回"日本，都歡迎你加入一起分享日本旅遊的種種！歡迎加入LINE接收即日本旅遊資訊 @linshibi 歡迎加入社團 https://www.facebook.com/groups/

prednisone 在臨床筆記 Facebook 的最讚貼文

By 臨床筆記

2020-09-29 17:14:36 有 62 人按讚

狼瘡性腎炎的治療
#teaching #sle
• 每一個病人都要使用 Hydroxychloroquine（定期追蹤眼科）。
• 誘導治療：IV pulse methylprednisolone, then oral prednisone 0.3–0.5 mg/kg/d + MMF 2–3 g/d or IV pulse cyclophosphamide 500 mg biweekly x 6. MMF/CNI (especially tacrolimus) combination and high-dose CY are alternatives, for patients with nephrotic-range proteinuria and adverse prognostic factors.
• 維持治療：azathioprine、MMF、prednisone <7.5 mg/d

BLISS-LN（幸福，RCT，N = 448，都有接受誘導—> 維持治療：IV pulses of methylprednisolone + cyclophosphamide—> azathioprine，類固醇 + MMF —> MMF）發現抑制 B 細胞刺激器 BAFF/BLyS 的單株抗體 Belimumab 10 mg/kg（第一個月每 2 週，然後每個月）使用 2 年（誘導及維持治療）能改善主要終點（PCR ≤0.7、eGFR 下降< 20%、eGFR ≥60、未使用其他的拯救治療，43% vs 32%，需治人數 NNT 9 人）和次要終點（PCR ≤0.5、eGFR 下降< 10%、eGFR ≥90、未使用其他的拯救治療），也能降低洗腎/換腎或腎臟相關的死亡。
https://www.nejm.org/doi/full/10.1056/NEJMoa2001180

Belimumab as Add-on Therapy in Lupus Nephritis
https://en.uoa.gr/…/2109_8erapeia_nefritidas_lykou_tektonid…

• 拯救治療：rituximab （證據不足）
• 膜性腎病（證據不足）：ACEI/ARB、prednisone + MMF
• 如果治療無效，必須要重複做腎臟切片

https://medium.com/…/%E4%B8%8D%E8%A6%81%E7%94%A8%E6%9C%88%E…

研究中的藥物：obinutuzumab（抑制 CD20 的單株抗體）、itolizumab（抑制 T 細胞CD6 的單株抗體）、iguratimod（抗發炎藥物）。

Tags: prednisone teaching sle

臨床筆記

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這裡是心臟內科及重症專科醫師林世崇的醫療筆記部落格，提供實用的臨床醫療資訊，歡迎分享！

prednisone 在コバにゃんチャンネル Youtube 的精選貼文

By コバにゃんチャンネル

2021-10-01 13:19:08 有 9 人看過有 1 人喜歡

コバにゃんチャンネル

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コバにゃん☆です?

prednisone 在大象中醫 Youtube 的精選貼文

By 大象中醫

2021-10-01 13:10:45 有 0 人看過有 0 人喜歡

大象中醫

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長照是一個劇變的旋轉舞台百年難得一見沒有準備的人被旋轉舞台甩出去不是坐下就是躺下而大象中醫是太極的推手推動著旋轉舞台讓所有爬不起來的人背後有一股推手力量支撐再站起來

prednisone 在大象中醫 Youtube 的最佳解答

By 大象中醫

2021-10-01 13:09:56 有 0 人看過有 0 人喜歡

大象中醫

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社群媒體上有些相關的討論：

prednisone 在 Prednisone: Dosing and Side Effects - YouTube 的推薦與評價

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#49. Prednisone | UPMC Hillman Cancer Center

Prednisone is a steroid given orally (by mouth) to treat cancer. Find side effects, allergic reactions, and food and drug interactions.

#50. prednisone - PharmGKB

Prednisone is a synthetic glucocorticoid derived from cortisone. It is a prodrug (biologically inert) and need to be converted to the active form ...

#51. Prednisone - Chemotherapy Drugs - Chemocare

Prednisone glucocorticosteroid anti-inflammatory side effects, how it's given, how it works, precautions and self care tips for treatment of side effects ...

#52. Prednisone - PDR.Net

prednisone. Drug Summary. Classes. Systemic Corticosteroids, Plain. DEA Class. Rx. Description. Commonly-prescribed oral corticosteroid with little ...

#53. Prednisone ≥98% | 53-03-2 - Sigma-Aldrich

Prednisone ≥98%; CAS Number: 53-03-2; EC Number: 200-160-3; Synonyms: 17α,21-Dihydroxy-1,4-pregnadiene-3,11,20-trione,Dehydrocortisone,1,4-Pregnadiene-17α ...

#54. Prednisone and Coronavirus: Do Corticosteroids Make You

Learn more about whether steroids like prednisone make suppress the immune system and what to do if you take them in light of the ...

#55. Methylprednisolone vs. Prednisone - Healthline

Methylprednisolone and prednisone are two similar drugs that treat rheumatoid arthritis. Both belong to a class of drugs called corticosteroids.

#56. Prednisone - Myasthenia Gravis Foundation

Prednisone is a synthetic hormone commonly referred to as a steroid, specifically a glucocorticoid type of steroid. Prednisone is very similar to the hormone ...

#57. Prednisone (Steroids) - NephCure Kidney International

Prednisone belongs to a class of drugs known as corticosteroids. Corticosteroids work by decreasing the body's immune system response to various diseases or ...

#58. Steroid Side Effects: How to Reduce Corticosteroid Side Effects

... to anti-inflammatory steroids (corticosteroids) such as prednisone and methylprednisolone (Medrol®) and dexamethasone (Decadron®).

#59. Pathogen- and antibiotic-specific effects of prednisone in ...

We found evidence for a different prednisone response in patients with pneumococcal pneumonia in whom intravenous antibiotic duration was not shorter ( ...

#60. Prednisolone & Prednisone - Arthritis Australia

Although prednisone is slightly different, the information contained in this document also applies to that medication. What benefit can you expect from your ...

#61. Prednisone Dosage & Rx Info | Uses, Side Effects - eMPR.com

Prednisone Contraindications: Systemic fungal infections. Live vaccines. Prednisone Warnings/Precautions: Tuberculosis. Latent amebiasis. Strongyloides ...

#62. Prednisone | Prednisolone - MotherToBaby

This sheet talks about exposure to oral prednisone or prednisolone in a pregnancy and while breastfeeding. This information should not take ...

#63. Prednisone Article - StatPearls

Prednisone is a synthetic, anti-inflammatory glucocorticoid that derives from cortisone. It is biologically inert and converted to ...

#64. Prednisone - Ontario Renal Network

Find information about funding for prednisone, an immunosuppressant medication commonly used for the treatment of glomerulonephritis (GN, or glomerular ...

#65. Deltasone | National Multiple Sclerosis Society

Prednisone is one of a group of corticosteroids (cortisone-like medicines) that are used to relieve inflammation in different parts of the body.

#66. Safety and efficacy of prednisone versus placebo in short-term ...

Prednisone is commonly used for initial short-term therapy of episodic cluster headaches before preventive medication such as verapamil ...

#67. Prednisone for arthritis (Lodotra). Side effects and dosage

Corticosteroids like prednisone are good at reducing inflammation. By doing this, prednisone reduces swelling and stiffness in the joints ...

#68. prednisone - Women's Health

You should not use prednisone if you are allergic to it, or if you have a fungal infection anywhere in your body. Steroid medication can weaken your immune ...

#69. prednisone - Pharmaceutical Benefits Scheme (PBS) |

prednisone 1 mg tablet, 100 (PI, CMI), 1, 100, 4, $14.82, $16.12, $20.54. Available brands. Predsonea. Panafcorta. * Additional charge for this brand is ...

#70. Apo-Prednisone - Uses, Side Effects, Interactions

Apo-Prednisone: Prednisone belongs to the group of medications called corticosteroids. It is used to treat a number of conditions. It is more commonly used ...

#71. PREDNISOLONE and PREDNISONE oral - Essential drugs

Therapeutic action. – Steroidal anti-inflammatory drug (corticosteroid). Indications. – Symptomatic treatment of allergic and inflammatory diseases or ...

#72. Prednisone, prednisolone, and dexamethasone (corticosteroids)

Your child needs to take one of these medicines: prednisone, prednisolone, or dexamethasone. This information sheet explains what these ...

#73. prednisone 50 mg tablet | Kaiser Permanente

Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems,

#74. Lurie Center for Autism: Prednisone - Massachusetts General ...

However, because prednisone suppresses the immune system, it leaves patients more susceptible to infections. Relationship to autism spectrum disorders (ASD):.

#75. Steroids (Oral) - American Osteopathic College of Dermatology

Prednisone is the oral tablet form of steroid most often used. Less than 7.5 mg per day is generally considered a low dose; up to 40 mg daily is a moderate ...

#76. Prednisone - St. Jude Children's Research Hospital

Prednisone (also called Deltasone ® or Orasone ® ) is a man-made steroid that works like a natural steroid made by the adrenal gland in your body.

#77. Effectiveness and safety of lower dose prednisone for initial ...

In summary, initial treatment of newly diagnosed acute graft--host disease with lower dose prednisone is effective. Within the statistical limitations of the ...

#78. Prednisone - Oral - MyHealth Alberta

Prednisone - Oral. Pronunciation: PRED-ni-sone. Common Brand Name(s): Winpred. Important: How To Use This Information.

#79. Prednisone raw material characterization and formulation ...

During the study, prednisone tablets and the active pharmaceutical ingredient (API) prednisone from two different manufacturers were characterized with respect ...

#80. Prednisone - RheumInfo

Prednisone is a synthetic hormone commonly referred to as a “steroid”. Prednisone is very similar to cortisone, a natural corticosteroid hormone produced by ...

#81. prednisone Uses, Side Effects, Dosage & Interactions

Drug Information on prednisone includes side effects, uses, drug interactions, dosage, drug pictures, overdose symptoms, and what to avoid.

#82. Prednisone, Prednisolone, Methylprednisolone - BC Transplant

Prednisone, prednisolONE and methylprednisolone are also referred to as corticosteroids or “steroids”. These “steroids” are different from the type used by ...

#83. Prednisone - BC Cancer

If you remember at the time for the next dose, take both doses and return to your usual dosing times. • Do not stop taking prednisone without ...

#84. Prednisone - Muscular Dystrophy News

Prednisone. Prednisone is a synthetic corticosteroid that is generally prescribed to delay the progression of muscle weakness in muscular ...

#85. What is Prednisone? | Live Science

Prednisone is a medication designed to prevent the release of substances in the body that can cause inflammation, thereby lowering redness ...

#86. A Different Look at Corticosteroids - American Academy of ...

Prednisone and methylprednisolone, which are intermediate-acting products, are four to five times more potent than hydrocortisone.

#87. prednisone | CS Mott Children's Hospital | Michigan Medicine

You should not use prednisone if you are allergic to it, or if you have a fungal infection anywhere in your body. Steroid medication can weaken your immune ...

#88. prednisone

Estrogens: Reduces metabolism of prednisone via increased level of transcortin; half-life of corticosteroid prolonged because of increased protein-binding.

#89. Prednisone - Arthritis Foundation

Drug Class: Corticosteroids Brand Names: Prednisone Intensol, Rayos.

#90. Prednisone: Dosing and Side Effects - YouTube

Brief review of prednisone dosing and common or serious side effects. Learn more about prednisone at ...

#91. prednisone - Hematology Oncology Associates of ...

How is this drug used? Prednisone is FDA approved for the treatment of leukemias and lymphomas in adults and acute leukemia of childhood. It is also indicated ...

#92. Ask the doctor: Does prednisone increase blood pressure?

I have rheumatoid arthritis, and my doctor wants me to take prednisone for it. Will this drug be bad for my blood pressure, which is already high?

#93. Prednisone - Side Effects, Uses, Dosage, Overdose ... - RxWiki

Prednisone is a prescription medication used to treat many conditions including: low corticosteroid levels (adrenal insufficiency) ...

#94. Dexamethasone Versus Prednisone in Children Hospitalized ...

Traditionally, prednisone and prednisolone (PRED) 1 to 2 mg/kg per day for 3 to 10 days has been recommended to treat children with acute asthma ...

#95. Dr. Megan - Health Expert Promoting Recovery from Prednisone

Discover exactly how to have the good effects outweigh the side effects of prednisone. Dr. Megan gives you the tools and advice to get your life back.

#96. Prednisone for Dogs Cats Generic (brand may vary) - Valley ...

Free Shipping on most orders over $49. Great Low Price. Prednisone for Dogs Cats Generic brand may vary Safe.Pharmacy|Arthritis, Pain Inflammation | Dog.

#97. Prednisone 10 mg - Sigma Pharmaceuticals

Prednisone 10 mg is an oral steroid that is useful for treatment of many allergic or inflammatory disorders.

#98. Thuốc Prednisone: Công dụng, chỉ định và lưu ý khi dùng

Thuốc Prednisone là một loại corticosteroid được sử dụng nhằm thay thế cho steroid tự nhiên ở cơ thể. Đây là thuốc được sử dụng để điều trị một số triệu ...

#99. Prednisone 10mg-30s - Buy Medicines Online at Generika ...

Prednisone 10mg (Vonwelt) 30pcs tablet Anti-inflammatory and for allergy Taken with aeal.

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