Re: Does your weight matter in cortisone dosing?
I know how you feel. I was first placed on cortisone at 30 mg./day. I felt better than I had in 20 yrs. I assumed it would be like thyroid and it would gradually increase to a optimal dose. Not so. He decreased it to 20 mg. As long as I didn't do anything, I could function on that. If I tried to go to exercise class, I would get wiped out. At 30 mg. I weighed about 180 lbs. As I was able to start eating again after 2 months, I gained about 15 lbs. I found out that if I increased the dose to 30 mg., I felt much better, esp. with exercising. When I talked to my endo, he was not happy. I finally got him to increase to 25 mg. on days I exercised, but he kept it at 20 mg. on other days. He actually said, that he knew I felt better on 30 mg., but that was not the point! He is too afraid of accumulated side effects for long term usage. Then I was not happy about it. But, I'm learning to adjust to it. So, I would assume you need more to feel good. I would rather have quality of life, but maybe I don't know all the effects.