Prednisolone is an oral corticosteroid tablet used to reduce inflammation and suppress excessive immune activity in conditions such as asthma exacerbations, severe allergic disorders, and other corticosteroid-responsive inflammatory diseases. We offer 5 mg, 10 mg, 20 mg, and 40 mg tablets, allowing a prescriber to select an appropriate dose for the condition and treatment duration.
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Brand Names
Also known as (by country):
Country
Brand Names
United States
Millipred
United Kingdom
Deltacortril
Australia
PanafcorteloneSolone
FAQ
In the United States, oral prednisolone tablets are prescription-only medicines when purchased from local pharmacies. Our store policy allows customers to order this medicine without a prescription and have it sent by mail. This ordering policy does not change the medicine's prescription status in the United States.
Take the missed dose when you remember unless it is almost time for the next scheduled dose. If it is nearly time for the next dose, skip the missed dose and resume the usual schedule. Do not take two doses at once.
Not necessarily. Prednisolone is the active ingredient, but inactive ingredients can differ among manufacturers and tablet strengths. The exact excipients for the supplied tablets should be checked on the package label or accompanying product information, especially with a known allergy or intolerance.
A different appearance alone does not mean the tablets are incorrect, because manufacturers and supplied products can vary. Compare the active ingredient, strength, dosage form, manufacturer, package label, lot number, expiration date, and tablet imprint when present. Do not use the tablets until the discrepancy is checked if the ingredient, strength, dosage form, imprint, seal, or physical condition appears wrong.
Store prednisolone tablets at 68°F to 77°F in a tightly closed container. Keep them away from moisture, heat, and light. Keep the labeled container available so the strength, lot number, and expiration date can be checked when needed.
Prednisolone is a corticosteroid used for conditions in which reducing inflammation or suppressing an overactive immune response is needed. Uses include allergic conditions, asthma and other respiratory disorders, rheumatic disorders such as osteoarthritis-related inflammation, skin and eye conditions, and certain blood, gastrointestinal, endocrine, and immune disorders. The appropriate use depends on the specific condition and treatment plan.
During pregnancy, prednisolone should be used only after an individualized clinician assessment of the expected benefit and potential fetal risk. Prednisolone can pass into breast milk, so caution is appropriate during breastfeeding, particularly with higher doses or prolonged treatment. Do not stop a prescribed corticosteroid suddenly without medical guidance.
Prednisolone tablets are taken by mouth exactly as directed for the condition being treated. Taking a dose with food can help reduce stomach irritation, and once-daily regimens are often taken in the morning. The dose and duration vary widely, and treatment should not be stopped abruptly after prolonged use unless a clinician provides a tapering plan.
Description
Prednisolone is an oral corticosteroid used to reduce inflammation and suppress an excessive immune response. We offer tablets containing 5 mg, 10 mg, 20 mg, or 40 mg of prednisolone. Clinicians may prescribe it for asthma exacerbations, severe allergic or inflammatory disorders, and a range of other corticosteroid-responsive conditions. Because oral prednisolone acts throughout the body, its potential benefits must be balanced against dose- and duration-dependent risks.
What Is Prednisolone?
Prednisolone is a glucocorticoid corticosteroid related to cortisol, a hormone produced by the adrenal glands. After a tablet is swallowed, the medicine is absorbed into the bloodstream and acts in tissues throughout the body. This systemic action distinguishes oral prednisolone from corticosteroid creams, joint injections, or inhalers that are intended to concentrate treatment in a particular area.
The active ingredient in this product is prednisolone, and the dosage form is an immediate-release oral tablet. We offer 5 mg, 10 mg, 20 mg, and 40 mg strengths. Inactive ingredients may differ among manufacturers, so anyone with a known ingredient allergy should check the dispensing label and accompanying patient information.
Established Uses
Prednisolone is used when inflammation or inappropriate immune activity is an important part of a disease. Depending on the patient and the specific product labeling, clinicians may use oral prednisolone for endocrine, rheumatic, respiratory, allergic, dermatologic, gastrointestinal, blood, kidney, eye, and other inflammatory or immune-mediated conditions.
Examples include moderate or severe asthma exacerbations, severe allergic disorders that have not responded adequately to usual treatment, and selected inflammatory rheumatic diseases. It may also be used in certain autoimmune conditions and as part of treatment for some blood disorders. It is not a routine treatment for uncomplicated seasonal allergies or ordinary osteoarthritis pain, and it does not replace epinephrine during anaphylaxis.
Prednisolone controls inflammation rather than curing the underlying disease. In an acute flare, it may be prescribed as a brief course. In a chronic corticosteroid-responsive condition, treatment may last longer, but clinicians generally aim for the lowest effective dose and reassess regularly because risks increase with cumulative exposure.
How Prednisolone Works
Prednisolone enters cells and binds to glucocorticoid receptors. The resulting complex alters the activity of genes involved in inflammation and immune signaling. This reduces the production of inflammatory mediators, limits the movement and activity of certain immune cells, and decreases tissue swelling and irritation.
The broad mechanism explains why prednisolone can help in many unrelated inflammatory conditions. It also explains its range of adverse effects. Glucocorticoids influence blood glucose, fluid and electrolyte balance, bone turnover, muscle tissue, mood, eye pressure, skin integrity, and the body's response to infection.
What Clinical Experience and Evidence Show
Systemic corticosteroids have a well-established role in treating many acute and chronic inflammatory diseases. For example, a short course of an oral corticosteroid is commonly used for a significant asthma exacerbation when inhaled treatment alone is insufficient. Prednisolone can also suppress severe allergic or autoimmune inflammation while clinicians address the underlying trigger or establish a longer-term treatment plan.
Its usefulness depends on selecting an appropriate indication, dose, and duration. A higher dose or longer course does not automatically produce a better outcome and may increase harm. Prednisolone should therefore be used for a defined clinical reason rather than as a general-purpose pain reliever or a substitute for condition-specific maintenance treatment.
Strengths and General Dosage Principles
Prednisolone dosing varies substantially among conditions. Product labeling has historically included a broad adult initial-dose range, often from 5 mg to 60 mg per day, but the applicable dose may fall outside a simple pattern and can change as the disease responds. The tablets we offer can be combined when a prescribed dose requires more than one tablet.
For some adult asthma exacerbations, clinical guidance uses a short oral corticosteroid course in the range of 40 mg to 60 mg per day. Pediatric regimens are usually based on body weight and commonly use a defined maximum dose. These examples describe general clinical practice only; they are not instructions for an individual reader, and different conditions require different regimens.
A clinician considers several factors when selecting a schedule:
Condition and severity: An acute exacerbation may need a larger dose for a short period, while a chronic condition may require a lower maintenance dose.
Expected treatment duration: The risk of adrenal suppression and other complications generally rises with higher doses, repeated courses, and longer treatment.
Age and body size: Pediatric doses may be weight-based, and growth must be monitored during prolonged treatment.
Other health conditions: Diabetes, infection risk, osteoporosis, high blood pressure, glaucoma, liver disease, and psychiatric history can affect treatment decisions and monitoring.
Other medicines: Interacting drugs may increase prednisolone exposure, reduce its effect, or compound specific adverse effects.
Prednisolone is often taken with food to reduce stomach upset. Once-daily regimens are commonly taken in the morning because this better follows the body's normal cortisol rhythm and may reduce insomnia, although divided dosing is appropriate in some situations.
Not every brief course requires a taper. However, abruptly stopping after prolonged treatment, repeated courses, or a sufficiently suppressive dose can cause adrenal insufficiency or a return of the underlying disease. The prescriber should determine whether gradual dose reduction is necessary. A patient should not independently change the dose or extend a course.
Elimination and Half-Life
Prednisolone is metabolized mainly in the liver, and its metabolites are eliminated primarily in urine. Its plasma half-life is relatively short, generally about two to four hours, but its biological effects last longer because changes in gene activity continue after blood concentrations decline. Prednisolone is therefore classed as an intermediate-acting corticosteroid, with biological activity that may persist for roughly 12 to 36 hours.
Liver disease, thyroid status, interacting medicines, age, and other clinical factors can alter corticosteroid exposure or response. Kidney impairment does not automatically require a standard prednisolone dose adjustment, although kidney disease and related problems such as fluid retention or high blood pressure may require closer monitoring.
Important Safety Information
The likelihood and severity of adverse effects depend on the dose, treatment duration, underlying disease, and individual susceptibility. Before treatment, the prescriber should know about current or recent infections, vaccination plans, diabetes, high blood pressure, heart or kidney disease, liver disease, stomach ulcers, osteoporosis, glaucoma, cataracts, seizures, blood-clotting problems, and any history of severe mood or psychiatric symptoms.
Pregnancy and Breastfeeding
Systemic corticosteroid treatment during pregnancy requires an individualized benefit-risk decision. Potential fetal risks must be weighed against the danger of leaving a serious maternal condition uncontrolled. Prednisolone can also pass into human milk. A clinician may consider the dose, timing, duration, and infant's health when advising someone who is breastfeeding.
Children and Older Adults
Prednisolone is used in children when clinically appropriate, but prolonged or repeated treatment can suppress growth. Pediatric dosing and growth monitoring must be individualized. Older adults may be more vulnerable to osteoporosis, fractures, diabetes, high blood pressure, infection, muscle weakness, skin thinning, cataracts, and glaucoma, particularly during longer courses.
Diabetes and Blood Glucose
Prednisolone can raise blood glucose and may reveal previously unrecognized diabetes or worsen existing diabetes. More frequent glucose checks and temporary changes to diabetes treatment may be needed. Increased thirst, frequent urination, marked fatigue, or unexplained blurred vision should be reported promptly.
Driving and Mental Alertness
Prednisolone may cause dizziness, blurred vision, insomnia, agitation, mood changes, or other psychiatric effects. Anyone affected should avoid driving, cycling in traffic, or operating machinery until the symptoms have resolved and it is safe to resume those activities.
Contraindications and Situations Requiring Extra Caution
Prednisolone must not be used by someone with known hypersensitivity to prednisolone or another ingredient in the specific tablet. Systemic fungal infection is also generally a contraindication unless specialist treatment circumstances require corticosteroid use. Live vaccines should not be given during immunosuppressive corticosteroid therapy because of the risk of uncontrolled infection.
Corticosteroids can mask infection symptoms and reduce resistance to infection. Exposure to chickenpox or measles can be particularly serious in a person who is not immune and is taking an immunosuppressive dose. Tuberculosis, strongyloidiasis, eye infection caused by herpes simplex, recent intestinal surgery, peptic ulcer disease, diverticulitis, and severe osteoporosis are among the conditions that may require avoidance, specialist advice, preventive treatment, or closer monitoring.
Prednisolone can also cause or worsen anxiety, insomnia, depression, mania, psychosis, and other behavioral changes. Severe mood changes, hallucinations, suicidal thoughts, or marked confusion require urgent medical assessment.
Drug, Vaccine, Food, and Lifestyle Interactions
A prescriber or pharmacist should review all prescription medicines, nonprescription products, vitamins, and supplements before prednisolone is started. Important interaction groups include:
NSAIDs: Ibuprofen, naproxen, aspirin, and similar medicines can increase the risk of stomach ulceration or bleeding when combined with a systemic corticosteroid.
Anticoagulants: Prednisolone can alter the response to warfarin and related treatment, so additional clotting tests may be needed.
Diabetes medicines: Corticosteroid-related increases in blood glucose can reduce the apparent effectiveness of insulin or other glucose-lowering treatment.
Potassium-depleting medicines: Certain diuretics and amphotericin B can compound low potassium levels. Digoxin-related toxicity may become more likely if significant hypokalemia develops.
CYP3A4 inhibitors: Medicines such as ketoconazole, clarithromycin, ritonavir, or cobicistat may increase systemic corticosteroid exposure and adverse effects.
Enzyme inducers: Rifampin, carbamazepine, phenytoin, phenobarbital, and similar medicines may reduce corticosteroid exposure.
Vaccines: Live vaccines may be unsafe during immunosuppressive treatment, and the immune response to other vaccines may be reduced.
Alcohol does not have one universal direct interaction with prednisolone, but it can worsen stomach irritation, sleep disturbance, blood glucose problems, and bone loss. A clinician can advise whether avoiding alcohol is appropriate for a particular course.
Side Effects and When to Get Help
Short courses are often tolerated without serious complications, but even brief treatment can cause increased appetite, indigestion, fluid retention, difficulty sleeping, headache, acne, sweating, restlessness, and mood changes. Higher doses and longer treatment make effects such as weight gain, a rounded face, skin thinning, easy bruising, muscle weakness, high blood pressure, diabetes, osteoporosis, cataracts, glaucoma, and adrenal suppression more likely.
Urgent medical help is appropriate for trouble breathing, swelling of the face or throat, severe rash, black or bloody stools, vomiting blood, sudden vision loss, severe abdominal pain, fainting, profound weakness, seizures, serious confusion, or severe psychiatric symptoms. Fever or other signs of infection should be assessed promptly because prednisolone may make infection harder to recognize and control.
If a dose is missed, the correct response depends on the schedule. For many once-daily regimens, the dose can be taken when remembered unless the next dose is near; two doses should not be taken together unless a clinician has specifically instructed this. The dispensing label or pharmacist should be consulted when the timing is uncertain.
Overdose and Excessive Exposure
A single accidental extra dose does not usually cause severe poisoning, but a large amount or repeated excessive dosing can intensify hyperglycemia, fluid retention, high blood pressure, stomach irritation, electrolyte disturbance, agitation, confusion, or other corticosteroid effects. Risk may be greater in a child or in someone with diabetes, heart disease, kidney disease, or interacting medicines.
For an overdose in the United States, contact Poison Control at 1-800-222-1222 or use its online service for immediate case-specific guidance. Call 911 for collapse, a seizure, severe breathing difficulty, inability to wake the person, or another life-threatening symptom. Do not induce vomiting unless a medical professional specifically directs it.
Prescription Status and Our Ordering Policy
Oral prednisolone tablets are prescription-only medicines in the United States. This regulatory classification describes how the medicine is legally supplied in the country. Separately, our ordering policy does not require a prescription from the customer for us to accept an order for this product. The national classification and our checkout requirement are distinct facts and should not be interpreted as changing one another.
Customers with questions about our ordering process can contact our support team by email or online chat. Our support is available 24/7, and pharmacist assistance is available for medicine-related questions. This service does not replace an individualized diagnosis or treatment plan from the customer's own clinician.
Storage and Disposal
Store prednisolone tablets at 68°F to 77°F in a tightly closed container, protected from moisture, excessive heat, and light. Keep them out of reach of children and pets. Avoid humid storage locations such as a bathroom, and do not use tablets that are damaged, contaminated, or past their expiration date.
A medicine take-back location is the preferred disposal option for unused tablets. If one is not readily available, follow FDA guidance and the disposal instructions supplied with the medicine. Do not flush prednisolone unless specific instructions direct you to do so.
Benefits and Trade-Offs
Prednisolone's principal benefit is its broad, reliable anti-inflammatory action. This can be valuable when inflammation is severe, affects several body systems, or requires systemic treatment. Oral tablets are also practical when a clinician needs a dose that can be adjusted as symptoms and disease activity change.
The same systemic action is the main trade-off. Prednisolone affects healthy physiological processes as well as the inflammatory disease, so repeated or prolonged exposure can cause substantial complications. For a localized condition, an inhaled, topical, eye, or injected corticosteroid may sometimes control symptoms with less systemic exposure. However, these formulations are not interchangeable and should not be substituted without clinical advice.
Generic Prednisolone and Similar Medicines
Prednisolone is the generic active-ingredient name. Different manufacturers may supply generic prednisolone tablets with the same labeled strength, although tablet appearance and inactive ingredients can differ. Brand availability varies by market and formulation, so it is not accurate to assume that every prednisolone product is identical in all nonactive components.
Other corticosteroids are therapeutic alternatives rather than generic equivalents. Their potency, duration, mineralocorticoid activity, formulations, and approved uses differ:
Medicine
General duration
Key distinction
Hydrocortisone
Short-acting
Has greater mineralocorticoid activity and is commonly used for adrenal replacement as well as inflammatory conditions.
Prednisone
Intermediate-acting
Is converted in the liver to prednisolone and is used for many similar systemic indications.
Prednisolone
Intermediate-acting
Is already pharmacologically active and has broad systemic anti-inflammatory uses.
Methylprednisolone
Intermediate-acting
Has somewhat different potency and mineralocorticoid activity and is available in several systemic formulations.
Dexamethasone
Long-acting
Is substantially more potent per milligram and has minimal mineralocorticoid activity.
Budesonide
Formulation-dependent
Is often delivered locally to the airways or gastrointestinal tract and is not a direct milligram-for-milligram substitute for oral prednisolone.
Choosing among these medicines requires more than matching a dose printed on a package. The prescriber considers the treated condition, desired duration of action, route, relative potency, need for mineralocorticoid activity, and the patient's risk factors. A corticosteroid conversion should be performed by a clinician rather than attempted using tablet strengths alone.
Asked by Daniel Harris, Philadelphia, United States
I'm in Philadelphia and am concerned about my order sitting in transit. Can prednisolone tablets normally travel safely through the mail?
A
Answered by Support team
Yes, solid oral tablets can normally be mailed when they are appropriately packed and handled. Keep the tablets in their labeled packaging after arrival and check the package for damage or visible changes; the labeled storage conditions are 68°F to 77°F, protected from moisture, heat, and light.
Q
Asked by Megan Torres, Denver, United States
I usually recognize Millipred by name. Will the prednisolone package I receive show that brand, or might it have a different name?
A
Answered by Support team
The exact trade name on the package is not guaranteed and may be a generic or manufacturer name instead. Confirm that the label states prednisolone, the ordered strength, and oral tablets before use.
Q
Asked by Anthony Williams, New York, United States
I have type 2 diabetes and was given prednisolone for an asthma flare. Should I expect it to affect my glucose readings?
Prednisolone can raise blood glucose and may make diabetes harder to control, sometimes requiring closer monitoring or adjustment of diabetes treatment. Follow the glucose-monitoring plan from the clinician managing your diabetes and contact them promptly for persistent high readings.
Product specifications
Active ingredient
Prednisolone
Drug class
Corticosteroid
Dosage form
Tablet
Available strengths
5 mg, 10 mg, 20 mg, 40 mg
Route
Oral
Storage
Store at 68°F to 77°F in a tightly closed container, away from moisture, heat, and light.
ATC code
H02AB06
Regulatory information
Approval StatusPrednisolone is officially approved for human medical use in the United States.
Prescription RequirementsPrednisolone tablets are available only with a valid prescription from a licensed healthcare provider.