section name header

Pronunciation ⬇

pred-NISS-oh-lone audio

Indications ⬆ ⬇

REMS

Unlabeled Use:

Action ⬆ ⬇

Therapeutic Effects:

Pharmacokinetics ⬆ ⬇

Absorption: Well absorbed following oral administration.

Distribution: Widely distributed, crosses the placenta, and probably enters breast milk.

Metabolism/Excretion: Metabolized mostly by the liver.

Half-life: 2.1–3.5 hr (plasma), 18–36 hr (tissue); adrenal suppression lasts 1.25–1.5 days.

Contraind./Precautions ⬆ ⬇

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects ⬆ ⬇

Adverse reactions/side effects are much more common with high-dose/long-term therapy

CNS: depression, euphoria, headache, ↑ intracranial pressure (children only), personality changes, psychoses, restlessness.

EENT: cataracts, ↑ intraocular pressure.

CV: hypertension.

GI: PEPTIC ULCERATION, anorexia, nausea, vomiting.

Derm: acne, ↓wound healing, ecchymoses, fragility, hirsutism, petechiae.

Endo: adrenal suppression, hyperglycemia.

F and E: fluid retention (long-term high doses), hypokalemia, hypokalemic alkalosis.

Hemat: THROMBOEMBOLISM, thrombophlebitis.

Metab: weight gain, weight loss.

MS: muscle wasting, osteoporosis, avascular necrosis of joints, muscle pain.

Misc: cushingoid appearance (moon face, buffalo hump), ↑ susceptibility to infection.

Interactions ⬆ ⬇

Drug-Drug:

Route/Dosage ⬆ ⬇

see Calculator

Implementation ⬆ ⬇

US Brand Names ⬆ ⬇

Flo-Pred, Orapred, Orapred ODT, Pediapred, Prelone

Classifications ⬆ ⬇

Therapeutic Classification: corticosteroids (intermediate-acting), immune modifiers

Availability ⬆ ⬇

(Generic available)

Time/Action Profile ⬆ ⬇

(anti-inflammatory activity)

ROUTEONSETPEAKDURATION
POunknown1–2 hr1.25–1.5 days

Assessment ⬆ ⬇

Lab Test Considerations:

Pot. Nursing Diagnoses ⬆ ⬇

Patient/Family Teaching ⬆ ⬇

Evaluation/Desired Outcomes ⬆ ⬇

Code ⬆

NDC Code*