Risks of taking Prednisolone

nicolettc

15 Posts
Reply Posted on: Jul 15, 2012 at 11:09pm
Dear Dr Braverman,

May I please have your advice on the following questions:

  • The longer Prednisolone is taken, the greater the risks of bone thinning because steroids impair calcium absorption. Would you recommend your patients to take extra calcium supplement? If so, at what dose?
  • For the unborn baby, there is an increased risk of birth defects such as cleft lip and cleft palate. Would you recommend taking extra folic acid with the aim of reducing such risk. If so, at what dose do you recommend?


My sincere thanks.

Nicole

Dr. Braverman

2026 Posts
RE: Risks of taking Prednisolone Posted on: Jul 16, 2012 at 6:42am
our patients take an extra 1200mg of Calcium per day. And we rarely see cleft palate with our prednisone patients and there are no studies to show that folic acid supplementation in this setting will reduce the risk any further, however taking an extra 2mg per day would not hurt.
Again I am not familiar with your case and final decisions on management must be with your doctor.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

nicolettc

15 Posts
Reply RE: Risks of taking Prednisolone Posted on: Jul 16, 2012 at 7:09pm
Dear Dr Braverman,
You are really amazing doctor. You are on the other side of the world and I have your replied within 24 hours! I can't have the same service here from my local general doctors.
Unfortunately, due to our personal circumstances we are unable to be trated by you. But having your clarification on things that I am unsure, it gives me so much confident.
God bless you Dr.
Nicole

Dr. Braverman

2026 Posts
RE: Risks of taking Prednisolone Posted on: Jul 16, 2012 at 7:38pm
Your quite welcome.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.