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5 mg every 2 — 4 weeks to 10 mg then by 1 mg every 1 — 2 months provided there is no relapse gca with visual symptoms evolving visual loss or history of amaurosis fugax iv methylprednisolone 500 mg to 1 g daily for 3 days established vision loss at least 60 mg prednisolone or prednisone daily continue for 4 weeks may need longer course if symptoms and laboratory abnormalities have not resolved then dose is reduced by 10 mg every 2 weeks to 20 mg then by 2.

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Alternate-Day Therapy is a corticosteroid dosing regimen in which twice the usual daily dose of corticoid is administered every other morningThe purpose of this mode of therapy is to provide the patient requiring long-term pharmacologic dose treatment with the beneficial effects of corticoids while minimizing certain undesirable effectsincluding pituitary-adrenal suppressionthe Cushingoid statecorticoid withdrawal symptomsand growth suppression in children.

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