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Prednisolone counselling — GPhC CRA MCQ

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EasyRespiratory TherapeuticsPrednisolone counsellingGPhC CRA

A 66-year-old woman is prescribed prednisolone 30mg once daily for 5 days for an acute COPD exacerbation. She has type 2 diabetes and asks when to take the tablets. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Take the dose in the morning with or after food

Short courses of prednisolone are usually taken in the morning to mimic physiological cortisol and reduce sleep disturbance. Taking with or after food can reduce dyspepsia. In diabetes, corticosteroids can increase glucose, so the patient should be advised about monitoring and seeking advice if readings rise.

Reference: BNF; NICE CKS