Juvia Pharma Drug reference

A short educational article, not advice tailored to your own medicines. Read the disclaimer

When a 20 mg prednisolone course needs a taper

3 min readReviewed 31 October 2026. Updated
Descending dose stairs icon with prednisolone tablets

Key facts

Tablet on this note20 mg
Usual daily range5–60 mg
Short written burstOften no taper
Repeat / long courseTaper may be required

Checked against the current FDA label, named clinical trials, and the sources listed on this site.

01When a long 20 mg course is stopped

If after long-term therapy prednisolone is to be stopped, withdraw gradually rather than abruptly. Relative adrenocortical insufficiency may persist for months after discontinuation of therapy. A 20 mg tablet is one labelled strength. In any situation of stress occurring during that period, hormone therapy should be reinstituted. Surgical procedures, trauma, and intercurrent illness are such stresses.

Sources and how this letter was sealed

  1. DailyMed prednisolone tablets USP: 5–60 mg/day range; HPA / withdrawal language.
  2. ESE/ES 2024 glucocorticoid-induced adrenal insufficiency guidance: short-course taper habit.

Method in brief: open primary sources, annotate against the current FDA label, countersign by Dr. Nora Lindqvist, MD, then seal with a dated review. Full walk-through on the method page and editorial standards.

How to cite this page - Vancouver style

Juvia Pharma Drug Reference. When a 20 mg prednisolone course needs a taper [Internet]. Stockholm: Juvia Pharma; 21 October 2026 [cited 2026 Aug 21]. Available from: https://juviapharma.com/postscripts/prednisolone-taper-basics/

Desk thread

Answers follow the U.S. prednisolone tablets prescribing information.

Helga Nystrom, Kalmar writes

On 20 mg for eight weeks already. Printable taper from this page?

Desk reply

If after long-term therapy prednisolone is to be stopped, withdraw gradually rather than abruptly. Relative adrenocortical insufficiency may persist for months after discontinuation of therapy. A 20 mg tablet is one labelled strength. In any situation of stress occurring during that period, hormone therapy should be reinstituted. Surgical procedures, trauma, and intercurrent illness are such stresses.

Before you start, stop, or change any medicine mentioned above, run it past your prescriber or pharmacist - they hold your chart, this despatch does not. Desk notice.