Prednisolone Tapering Down From 10 Mg In Exfoliative Dermatitis

My Father (age 80 yrs) was put on wysolone 10 mg for 1 month for exfoliative dermatitis (erythroderma). His skin colour returned to normal in 1 month but due to reduced albumin levels, hie edema still persisted. Dr advised him to reduce the dosage to 5 mg for 10 days...and then 5 mg alternate days. Within 5-6 days of reducing to 5 mg, the redness returned, and edema reappeared on his face, elbows etc.
He continued with the 5 mg for 2 more days, and the flare up has begun to subside. Now he need to taper down the dose further. Will it be a better idea to make it 5 mg and 2.5 mg on alternate days instead of 5 and 0? And then 2.5 and 0...to finally 0?

I am worried if he goes without the 5 mg on alternate days, the flare up will happen again

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Hello, Sunny! How is your dad doing?

These steroids could actually contribute to the edema, so it would really be best that he follow his doctor's instructions for tapering, in order to ensure the best outcome.

It may or may not flare again, there's really no way to know for sure, if it does, he'll need to have it reevaluated.

Is there anything else I can help with?

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Thanks for your reply. The exfoliative dermatitis flared up again, and he is back on 10 mg prednisolone. His albumin levels were again low, and now we are waiting for his albumin levels to be back close to normal. There doesn't seem to be much else that can be done, other than continuing steroids! He has general edema, and skin gets dry within hours. He has edema on the face, which makes it a bit scary. Feel quite helpless.

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