Steroid equivalency


What is steroid equivalence?

The corticosteroid equivalence calculations are based on old studies comparing the degree of ACTH suppression following a single dose of corticosteroid. The degree of suppression depends on the dose of steroid given as well as the timing of that dose in relation to the drug’s half-life.

What is dexamethasone equivalent to prednisone?

Dexamethasone is sixfold as potent as prednisone and prednisolone as an antiinflammatory; thus, 6 mg of prednisone/prednisolone is equivalent to 1 mg of dexamethasone.

How do you convert oral hydrocortisone to IV?

What is the equivalent dose of oral prednisolone to intravenous (IV) hydrocortisone? Prednisolone 5mg orally is equivalent to hydrocortisone 20mg intravenously (equivalent anti-inflammatory dose).

How much prednisone is equal to Solumedrol?

Although they are both glucocorticoids, methylprednisolone and prednisone are not exactly the same. Prednisone must be metabolized to its active form, prednisolone, in order to have an effect on the body. A dose of 4 mg of methylprednisolone is equivalent to a 5 mg prednisone.

What are the 3 types of steroids?

The main types of steroids are:Oral steroids. Oral steroids reduce inflammation and are used for treating many different conditions, including: … Topical steroids. Topical steroids include those used for the skin, nasal sprays and inhalers. … Steroid nasal sprays.

Which is stronger prednisone or dexamethasone?

Dexamethasone is a long-acting glucocorticoid with a half-life of 36 to 72 hours, and is 6 times more potent than prednisone. Prednisone is shorter acting, with a half-life of 18 to 36 hours.

How much prednisone is equivalent to 20mg of hydrocortisone?

About This CalculatorCompoundEquivalent DoseMineralocorticoid PotencyHydrocortisone20 mg1Prednisone5 mg0.6Prednisolone5 mg0.6Triamcinolone4 mg05 more rows•Oct 24, 2015

How do you convert milligrams to steroids in mL?

Therefore, there must be 1,000 milligrams in a milliliter, making the formula for mg to ml conversion: mL = mg / 1000 .

Is oral dexamethasone equivalent to IV?

In conclusion, the AUC of 6 mg oral dexamethasone in patients hospitalized with pneumonia is not significantly different from the AUC of 4 mg intravenous dexamethasone. This makes oral dexamethasone an appropriate alternative to intravenous administration in these patients.

What is the conversion of methylprednisolone to prednisone?

Conversion DataGlucocorticoidApproximate Equivalent dose (mg)Half-life (Biologic) hoursMethylprednisolone418-36Prednisolone518-36Prednisone518-36Triamcinolone418-367 more rows•Sep 7, 2017

How much dexamethasone is equal to hydrocortisone?

20 mg hydrocortisone and 25 mg of cortisone acetate each provide a mineralocorticoid effect that is approximately equivalent to 0.1 mg fludrocortisone….DexamethasoneEquivalent doses (mg)0.75Antiinflammatory activity relative to hydrocortisone*30Duration of action (hours)36 to 7213 more columns

What steroid is stronger than prednisone?

Methylprednisolone is stronger than prednisone: prednisone is four times as potent as cortisol, a steroid hormone that is present in the body. methylprednisolone is five times as potent as cortisol.

How long does 4mg dexamethasone stay in your system?

Dexamethasone is known as a long-acting drug. Its half-life is 36 to 72 hours.

What is the closest thing to prednisone over the counter?

Other alternatives to prednisone Common over-the-counter anti-inflammatory drugs for arthritis include ibuprofen, naproxen, and diclofenac gel.

How long does it take for dexamethasone to work for inflammation?

6. Response and effectiveness. Peak effects of dexamethasone are reached within 10 to 30 minutes of administration; however, it may take a couple of days before any inflammation is well controlled.

Can you switch from prednisone to dexamethasone?

Conclusions. A corticosteroid switch from prednisone to dexamethasone is effective for mCRPC which progressed on A + P treatment. Patients with lower PSA at corticosteroid switch and/or longer mCRPC-free survival may gain more benefits by the corticosteroid switch.

Which glucocorticoid is equivalent to fludrocortisone?

Glucocorticoid doses which provide a mineralocorticoid effect that is approximately equivalent to 0.1 mg fludrocortisone are prednisone or prednisolone 50 mg or hydrocortisone 20 mg.

What is the potency of fludrocortisone?

Fludrocortisone. –. 0. 125. 12 to 36. The Anti-inflammatory potency is responsible for anti-inflammatory and immunosuppressive properties as well as the metabolism of carbohydrates, proteins, and fats. The mineralocorticoid potency is used sodium (salt) retention and potassium and hydrogen excretion. It basically does what aldosterone normally does.

What is the relative potency of IM?

Relative potency for intra-articular or IM administration may vary significantly. Potency is relative to hydrocortisone. The Anti-inflammatory potency is responsible for anti-inflammatory and immunosuppressive properties as well as the metabolism of carbohydrates, proteins, and fats.

How does the steroid conversion calculator work?

This health tool transforms one steroid medication dosage to another steroid dosage based on equivalent dose. The list of corticosteroid medication available to convert is:

Why are steroids used in clinical settings?

Steroid conversions are often used in the clinical setting due to medication shortages or required formulation for treatment i.e. IV or oral. Medical specialists are also required to consider potency and the duration of the effect not only the steroid conversion in mg.

What is a steroid conversion calculator?

The steroid conversion calculator performs the equivalence for any given dose for all the steroids available in the drop down lists.

What is a steroid convertor?

The steroid convertor transforms one steroid dosage into another dosage based on the equivalent dose for either IV or oral administration. The following table offers information on the equivalent dose, the anti-inflammatory and mineralocorticoid potency and about biological half-life. Interm. Interm.

What is the purpose of prednisone?

Prednisone – is an anti-inflammatory that suppresses the immune system, it is used to treat allergic disorders, skin conditions, arthritis etc.

About This Calculator

The conversion (based on anti-inflammatory potency) is described with a great deal of variability in the literature. 1, 2, 3, 4 This calculator uses the following anti-inflammatory potencies to convert between different corticosteroid compounds:

References and Additional Reading

Chrousos GP, “Chapter 39. Adrenocorticosteroids & Adrenocortical Antagonists” (Chapter). Katzung BG, Masters SB, Trevor AJ: Basic & Clinical Pharmacology, 11e.

Why is oral glucocorticoid less potent than parenteral?

Oral potency may be less than parenteral potency because significant amounts (up to 50% in some cases) may not reach the circulation. Cortisol is the standard of comparison for glucocorticoid potency.

Is cortisol a glucocorticoid?

Cortisol is the standard of comparison for glucocorticoid potency. Select a steroid to convert cortisone hydrocortisone prednisone prednisolone triamcinolone methylprednisolone dexamethasone betamethasone. Dose (mg):

Topical Steroid Potency Chart

Curious about the potency of topical steroids? Perhaps your health care provider prescribed you a treatment and you’d like to know how potent it is.

Steroid Potency Chart

This chart is for educational use only. Please read the full prescription insert for known side effects, precautions, or warnings. Also, please talk with your health care provider for the specific dose and frequency that is right for you. The National Psoriasis Foundation does not endorse any specific treatment for psoriatic disease.

What Can You Get Over-the-Counter?

While topical steroids require a prescription from a health care provider, there are over-the-counter treatment options that may help reduce the symptoms you are experiencing.


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