Equivalent anti-inflammatory doses
| Steroid | Equivalent to prednisolone 5 mg |
|---|
| Prednisolone | 5 mg |
| Hydrocortisone | 20 mg |
| Methylprednisolone | 4 mg |
| Triamcinolone | 4 mg |
| Deflazacort | 6 mg |
| Dexamethasone | 750 micrograms |
| Betamethasone | 750 micrograms |
| Cortisone acetate | 25 mg |
These cover glucocorticoid effect only. They ignore mineralocorticoid activity and duration of action.
Consider a Steroid Emergency Card and sick-day rules for people on long-term or high-dose steroids.
Frequently asked questions
What is prednisolone 5 mg equivalent to in hydrocortisone?
About 20 mg of hydrocortisone.
How strong is dexamethasone compared with prednisolone?
Dexamethasone 750 micrograms is about equal to prednisolone 5 mg.
Who needs a Steroid Emergency Card?
People at risk of adrenal insufficiency, such as those on 5 mg prednisolone or more for 4 weeks.
References
- BNF. Glucocorticoid therapy: equivalent anti-inflammatory doses. bnf.nice.org.uk
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