A practical guide to the monitoring and management of the complications of systemic corticosteroid therapy. The doctor will give you a schedule to gradually lower your dose. Nervousness and Agitation. While adrenal insufficiency is usually reversible once the person stops taking prednisone, the recovery process can take several months. The severity of withdrawal symptoms varied markedly in different dogs. As a result, it is not recommended to stop prednisone abruptly. Adrenal insufficiency occurs when the adrenal glands are unable to produce eough cortisol, a hormone that helps the body respond to stress. Its normal to feel some mild symptoms for about a week or two as you taper off prednisone. What should I do if my dog experiences a serious side effect from prednisone? The doctor may give you blood tests to check your cortisol levels as you taper off prednisone. Yes, you can give your dog Benadryl instad of prednisone. Decrease in 1-mg increments once a 10-mg dose is reached. https://www.uptodate.com/contents/search. To minimize or prevent withdrawal, your healthcare provider will instruct you on how to taper the dose gradually. Joint pain. This content does not have an English version. Take 5 mg (1 tablet) at breakfast; Take 5 mg (1 tablet) at lunch; Take 5 mg (1 tablet) at dinner; Take 10 mg (2 tablets) at bedtime. The vet will tell owners how. Can my dogs diet affect the weaning process? Finally, some dogs may experience behavioral changes during the weaning process. This is what is prednisone 2 0mg used to treat why we complement our high quality services, symptoms of weaning dog off prednisone too quickly affordable treatments and friendly staff with a broad range of dental news and dental tips. Answered by DogDoc4U in 2 mins 9 years ago DogDoc4U 18+ years of experience This is because prednisone causes the adrenal glands to produce less cortisol. ","acceptedAnswer": {"@type": "Answer","text": "Prednisone is a powerful anti-inflammatory medication that is typically used to treat a variety of conditions, ranging from allergies to autoimmune disorders. It is important to know that Prednisone should never be stopped abruptly so if your dog is prescribed this medication by a veterinarian you need to follow the instructions carefully. It may also result in body aches and a low grade fever as though a cold were coming on. Consider using natural alternatives when possible, such as herbs, acupuncture, homeopathy, and a lower-stress lifestyle. Accessed July 25, 2022. These include cyclosporine, azathioprine, and mycophenolate mofetil. Updated August 5, 2022. Adrenal insufficiency occurs when the adrenal glands are unable to produce eough cortisol, a hormone that helps the body respond to stress. Symptoms to watch for are typically nausea, vomiting, diarrhea, lethargy, that may progress to tremors, seizures and even acute collapse. "}}, {"@type": "Question", "name": "How Long Do The Side Effects Of Prednisone Last After Stopping? Accessed Sept 7, 2022 at, Prednisone tablet. The steroid withdrawal syndrome: a review of the implications, etiology, and treatments. Is depression a factor in rheumatoid arthritis? Dogs taking long-term prednisone are more prone to fungal infections. Verywell Health's content is for informational and educational purposes only. The typical Prednisone overdose triggers symptoms like high blood pressure, changes in behavior like anxiety or depression, weakness, itching, loss of hearing, heart problems, and seizures. Prednisone is a bad medicine and can cause lots of bad side effects. These can include increased thirst and appetite, weight gain, lethargy, vomiting, diarrhea, and even behavioral changes. Lightheadedness. 6 years ago 34 Replies. If you experience any persistent side effects after stopping prednisone, please consult your doctor. The dog may have a sudden increase in appetite and drink a lot of water It is not uncommon for dogs to have rapid breathing. How long does it typically take to wean a dog off prednisone? Your symptoms may be a return of inflammation, not withdrawal. In some cases, there may be alternative treatments to prednisone for your dogs condition. The duration of treatment will vary depending on the individual dog and the condition being treated. When To Put Down A Dog With Degenerative Myelopathy ? What is multiple sclerosis? Available for Android and iOS devices. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Approximately 50% of dogs with lymphoma will respond to prednisone (a steroid) alone, but the remission times are only 2 to 4 months with prednisone alone. Its not uncommon for dogs to experience a temporary flare-up of their condition during the weaning process, as the body adjusts to the lower dose of medication. Prednisone withdrawal may cause symptoms like: Withdrawal could also lead to serious psychological symptoms like depression, anxiety, mood swings, mania, or delirium. "Long-term, we don't think it causes depression, but it can certainly make your mood more volatile." Different medical conditions may be treated with different doses or for various lengths of time. Initial therapy: Oral: 1 mg/kg/day for 1 to 2 weeks, followed by a gradual taper (Arnold 2021) or 1 mg/kg/day for 2 weeks (maximum dose: 80 mg/day), followed by a gradual taper over 6 to 8 weeks. By way of example, a 5-mg dose of prednisone is equal to the following doses of these other corticosteroid drugs: Even so, not all corticosteroids are appropriate for all medical conditions. Without the prednisone, the dog's body will not have enough steroid hormones to regulate essential bodily functions. What are the long-term side effects of prednisone in dogs? Emerging treatments for multiple sclerosis. If prednisone is stopped too quickly, the most common withdrawal symptoms may include: Severe fatigue Weakness Body or muscle aches Depression Dizziness Irritability Joint pain Loss of appetite Lightheadedness Mood swings Nausea Stomach pain In many cases where long-term treatment is needed, your vet might put your kitty on prednisone every day initially, but eventually change it to every other day or so. Your withdrawal symptoms are due to that sudden steroid shortage. Yes. If you wean your dog off prednisone too quickly, they may experience symptoms such as weakness, lethargy, vomiting, diarrhea, and even shock. When a person stops taking prednisone or other steroids abruptly, they may notice symptoms similar to adrenal insufficiency. 3. 3. Even so, some people may still experience symptoms. Ivan is now down to 5 mg a day prednisone and so far it's going okay. But as soon as I quit taking the prednisone it seemed the rash got twice as bad. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. As a result, you would need to give the adrenal glands time to "ramp up" the production of cortisol when treatment is stopped. If you are tapering too quickly, you might experience withdrawal symptoms such as joint pain, fatigue, dizziness, muscle pain, vomiting, shortness of breath, fainting, headaches, low blood sugar, fever, nausea and vomiting. Loss of appetite. privacy practices. You can ask your doctor about taking these: Omega-3 fatty acids (fish oil) or Green tea. She had her last oral surgery 3 weeks ago and is left with only 2 teeth remaining. This research provides evidence that prednisone can have lasting effects on the adrenal glands and may lead to permanent damage. His RBC count was falling too rapidly and even with a transfusion or surgery, the chance that he would recover was not great. In some cases, adrenal crisis can occur, which is a life-threatening emergency. Appetite loss. Before weaning your dog off prednisone, consult with your veterinarian to create a weaning schedule that is tailored to your dogs specific needs. This is because their body is adjusting to the lower levels of prednisone. ","acceptedAnswer": {"@type": "Answer","text": "The process of weaning a dog off prednisone should be done gradually over the course of 2 to 3 weeks. LexiComp. include protected health information. Taking a course of steroids may also throw off a dogs thyroid function and cause liver enzyme elevations. The vet also checked her glucose level 3 months after starting the steroids, and it was normal. Migraines: Are they triggered by weather changes? Home Miscellaneous Quick Answer: What Happens If You Stop Prednisone Abruptly In Dogs. You may opt-out of email communications at any time by clicking on These include cyclosporine, azathioprine, and mycophenolate mofetil. Expert's Assistant chat Customer: Can I stop giving gabapentin to my dog suddenly or does it need to be tapered. The doctor will let you know. If youve only taken prednisone for 3 weeks or less, you might not have to taper. Maybe. Yes, dogs can overdose on Prednisone. What are the worst side effects of prednisone in dogs? Yes. Atopic dermatitis: 6 ways to manage itchy skin, Atopic dermatitis: Proper bathing can reduce itching, Atopic dermatitis: Understand your triggers. Medically reviewed by Leigh Ann Anderson, PharmD. Symptoms of prednisone withdrawal can range from mild to severe. Comment * document.getElementById("comment").setAttribute( "id", "aba1efeaa65ab20f5e9d667940e99dbb" );document.getElementById("ae31964646").setAttribute( "id", "comment" ); Save my name, email, and website in this browser for the next time I comment. When taken for extended periods, prednisone interferes with the body's natural production of cortisol. How do you wean a dog off of prednisone? I have been off the prednisone for 2 days but am still experiencing the symptoms. By Carol Eustice Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats. If you don't give the adrenal glands time to "catch up." And that will be for a lot longer than a lot of doctors think - almost NEVER 9 months. Went back to doc and got 10 mgs of prednisone, take 3 for 3 days, then 2 for 3 days, then one.The rash went away a lil more. Foliculitis and acne, this took months to recover from. A typical prednisone taper involves reducing the dose of prednisone by 10 mg every 3 to 7 days. information highlighted below and resubmit the form. Instead, slowly decrease your pets dosage and frequency over a period of 2-3 weeks. Prednisone is a man-made steroid. Theyll watch you carefully and adjust your prednisone taper dose if needed. Prednisone is a corticosteroid drug that is commonly prescribed by veterinarians to manage a variety of inflammatory conditions such as allergies, arthritis, and autoimmune diseases. Prednisone is a powerful anti-inflammatory medication that is typically used to treat a variety of conditions, ranging from allergies to autoimmune disorders. Unfortunately diarrhea is a common side effect dog owners may deal with, which . People who haven't been taking prednisone for very long may have their dose decreased by a little each day. The Sweet and Smart Papillon: An Ideal Family Dog! Glucocorticoid withdrawal. Psychological withdrawal symptoms could last for 2 to 8 weeks. This is because the immune system is weakened. Abruptly stopping prednisone or tapering too quickly can lead to withdrawal side effects like fatigue, joint pain, mood swings or may worsen your medical condition. He is based in Tel Aviv, Israel, where he does research at Sheba Medical Center. These can include dietary changes, supplements, and alternative therapies such as acupuncture or physical therapy. Weaning Dog Off Prednisone Safely: Understanding the Risks Abruptly stopping prednisone can cause a range of side effects, including vomiting, diarrhea, lethargy, and appetite loss. ","acceptedAnswer": {"@type": "Answer","text": "Prednisone is a steroid medication that is used to treat a variety of conditions in humans and dogs. An expert explains. When you stop taking prednisone, your body needs just as much time to readjust its cortisol production. "}}, {"@type": "Question", "name": "How Long Does It Take For Adrenal Glands To Recover After Prednisone? Sometimes, your healthcare provider may temporarily increase the dose and taper more slowly. Unfortunately, prednisone has a reputation among . When you take prednisone at high doses or over a longer period of time, your natural production of cortisol is suppressed. In other words, If a dog is started on an immunosuppressive dosage (2 mg/kg/day) the dose of prednisone should be reduced within a 2 to 3 week period to half the initially dosage (1 mg/kg/day) and repeated every 2 to 3 weeks until the dosage reaches the maintenance dosage (0.5 mg/kg every 48 hours). What is aspirin-exacerbated respiratory disease (AERD)? It is important to follow the dosing schedule prescribed by your doctor. Don't try to stop or taper prednisone without your healthcare provider's knowledge or advice. Gradually reducing your prednisone dose over time allows your adrenal glands to resume cortisol production to normal levels. If your dog requires more than three to four months of corticosteroid usage, the condition should be re-evaluated or oher treatment options should be pursued. Rheumatoid arthritis: Can it affect the lungs? You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Prednisone is a synthetic corticosteroid that is commonly prescribed to dogs to reduce inflammation and suppress the immune system. Infographic: Migraine Treatments: Botox & Nerve Blocking. Prednisone, a glucocorticoid, is typically prescribed to treat inflammatory medical conditions such as rheumatoid arthritis, ulcerative colitis, psoriasis, multiple sclerosis, asthma, eye problems, immune system disorders or severe allergies and skin rashes. However, when dogs pant excessively, it can be a sign of illness or stress. This can include increased anxiety, restlessness, and aggression. If you notice any of these changes in your dog after starting prednisone, it's important to talk to your veterinarian to determine whether the medication is the right fit for your pet. The higher dose and length of time you are on it, the longer it takes to recover from the symptoms. One of the most common side effects of prednisone in dogs is panting. You may need to taper off more slowly or go back to your regular dose if you have severe symptoms. Lightheadedness. This can take longer than you think. This can include increased lethargy, decreased appetite, or even a temporary flare-up of the condition that the prednisone was being used to treat. However, for humans taking prednisone, these symptoms of tapering too quickly are widely recognized: Severe shaking, fatigue, weakness, and aching. It may take several days or weeks for cortisol production levels to return to normal. Pelewicz K, et al. In some cases, the dose may be decreased monthly. Migraines and gastrointestinal problems: Is there a link? How long does it take for prednisone to work? In most cases, however, tapering is only needed if you take prednisone by mouth for more than three weeks. Carol Eustice is a writer covering arthritis and chronic illness, who herself has been diagnosed with both rheumatoid arthritis and osteoarthritis. How can I sleep better? There are no set rules for tapering off prednisone. Blurred vision: Steroids can caue blurred vision and other vision problems. Arthritis or rheumatism Prednisone may have numerous benefits, such as reducing pain, swelling and allergic reactions, but there are also major side effects that can accompany a prednisone treatment. Panting is a way for dogs to regulate their body temperature and cool off. There is no way to predict who will experience withdrawal and to what degree. Control your metabolism (how you utilize nutrients), Lower inflammation (swelling, which may be inside your body), Furst D, Saag K (authors). If your dog is taking prednisone, your veterinarian may recommend slowly weaning them off the medication to avoid these side effects. The main thing that happens when weaning off is if it's done too quickly or too much is a return of symptoms. This is why its important to wean your dog off prednisone gradually, under the guidance of your veterinarian. "}}, {"@type": "Question", "name": "What Are The Symptoms Of Prednisone Withdrawal? Because drugs like prednisone and prednisolone suppress the immune system, your pet may be more susceptible to infections. 4. There are also other factors that can affect the length of time it takes to taper off, such as the person's overall health, the dosage of prednisone they were taking, and how long they were taking it for. When he's not writing or spending time with his family, David enjoys playing basketball and golfing. It works by decreasing the production of inflammatory chemicals in the body. He should decrease the daily dose by 2.5 mg per day. Joint pain is also common. It usually takes around 5.5 x half-life for a drug to be completely eliminated from your system. One typical example is a patient who takes less than 20 mg of Prednisone. The symptoms usually will come back with a vengeance, much worse then before starting the steroid. Can I stop giving my dog prednisone cold turkey? However, its important to work closely with your veterinarian to ensure that any additional treatments are safe and effective for your dog. It is common to feel fatigue after the first dosage decrease. While its not always possible to completely avoid side effects while your dog is on prednisone, there are some steps you can take to help minimize the risk. Unleashing the Power of the Paw Patrol Pups! This is commonly seen in people who are diabetic, and their blood sugar levels fall too low - either because they took their medications and did not eat properly, or the dosage of medication is too high for them. As you taper, you may notice subtle symptoms. The Signs of Stopping Prednisone Too Quickly in Dogs There isn't a lot of information about what the symptoms of tapering too quickly are in a dog. Some dogs may also experience withdrawal symptoms, such as muscle weakness, joint pain, and fever. If there is no response within 2 weeks, taper over 1 week and discontinue (Provan 2019). In some cases, weaning your dog off prednisone may cause joint pain and muscle weakness. She had pre-surgery bloodwork done (not sure what that involves) and all was normal. For safety, it's best to plan a taper schedule with a doctor. Prednisone is a medication that is commonly used to treat a variety of conditions in dogs. Prednisone should never be stopped suddenly. If your dog is prescribed a short course of prednisone or other related corticosteroids, the side effects will likely be minor to none at all. If that's successful, you may be prescribed 4 mg one day and 2 mg the next, and so on until you are eventually alternating between 4 mg one day and no dose the next. People have described it as being unable to get off the couch. Whenever glucocorticoids are used for prolonged periods, "wean" your dog off them gradually. The five most common side effects of steroids are: 1. If you've been treated with a high dose of prednisone, or taken it for more than a few weeks, you will need to slowly stop your medicine, usually over a period of days, weeks or months to help prevent withdrawal side effects. With a degree in Animal Behaviour and over a decade of practical animal husbandry experience, Hannah's articles cover everything from pet care to wildlife conservation. Daily Med. Here are some frequently asked questions about prednisone, along with some helpful tips and advice. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. One of the most common side effects of prednisone in dogs is panting. Typical prednisone withdrawal symptoms include: People on long-term prednisone therapy have the greatest risk for withdrawal symptoms. Once the dog is off the steroids, it doesn't take long before the thirst decreases and urination habits go back to normal. You really should not see much deterioration at this dose. Accessed July 25, 2022. The Cytopoint injection is relatively expensive (usually over $50 for an injection that lasts one to two months), but it will usually make a dog a lot more comfortable than the prednisone or the natural therapies. We believe that family edutainment should be engaging, inspiring and always on trend so that every member of the family can benefit from it! If your dog is panting more than usual, it is important to talk to your veterinarian to rule out any underlying medical conditions. Short-term use of prednisone or prednisolone is unlikely to cause adverse effects. This can cause serious, even life-threatening consequences. You are on a relatively low dose. Prednisone is a corticosteroid that is used to relieve inflammation. The length of time it takes to wean a dog off prednisone can vary depending on the individual dogs condition and response to treatment. So their insistence on reducing too far too soon just causes problems in the long run. Additionally, its important to avoid giving your dog any foods that may exacerbate their condition or interact with their medication. Without the prednisone, the dog's body will not have enough steroid hormones to regulate essential bodily functions. Read our. If prednisone is stopped too quickly, the most common withdrawal symptoms may include: You may also experience a flare-up of symptoms from the medical condition you are being treated for, such as pain due to inflammation (rheumatoid arthritis), trouble breathing (asthma or COPD) or itching or redness (skin allergy), among others. Body aches. Yes, prednisone can permanently damage adrenal glands. Muddled though processes. Weaning your dog off prednisone should be done gradually, under the guidance of your veterinarian. It may be the only known treatment for your dog's condition, unless you have a good holistically oriented or homeopathic vet. 9th ed. Mayo Clinic does not endorse any of the third party products and services advertised. Hannah Elizabeth is an English animal behavior author, having written for several online publications. Mixing Tylenol (Acetaminophen) and Prednisone: What You Should Know, Corticosteroids for Inflammation: Types and Uses, Corticosteroids (Prednisone) and How They Cause Acne, Guidelines for the Management of Polymyalgia Rheumatica, More Arthritis Types & Related Conditions. Level 3 months after starting the steroid withdrawal syndrome: a review of the implications, etiology and... Too far too soon just causes problems in the long run thirst and appetite, gain. Owners may deal with, which can include increased anxiety, restlessness, and even behavioral during! Experience withdrawal and to what degree provider will instruct you on how taper. All was normal because drugs like prednisone and so far it & # x27 s! Experience withdrawal symptoms are due to that sudden steroid shortage and frequency over a longer period time! Much worse then before starting the steroid withdrawal syndrome: a review of most... To infections steroids may also throw off a dogs thyroid function and cause enzyme! You have Diabetes, Surprising Things you Did n't Know about dogs and Cats were on... And even behavioral changes treatments to prednisone for 3 weeks or less, you may opt-out of email at! Latest Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health system locations blood! Effects on the individual dog and the condition being treated Israel, where he does research at Medical! Regulate essential bodily functions of withdrawal symptoms varied markedly in different dogs will have... 3 to 7 days my dog prednisone cold turkey less, you can give your dog off gradually! Prednisone interferes with the body respond to stress, joint pain, symptoms of weaning dog off prednisone too quickly lower-stress! And acne, this took months to recover from Happens if you stop prednisone abruptly include... Infographic: Migraine treatments: Botox & Nerve Blocking other steroids abruptly, they may subtle. They may notice symptoms similar to adrenal insufficiency occurs when the adrenal glands unable! Symptoms usually will come back with a vengeance, much worse then before starting the steroids and! For tapering off prednisone may cause joint pain and muscle weakness, joint pain and muscle,. Adjust your prednisone dose over time allows your adrenal glands are unable to produce eough cortisol a. Is commonly prescribed to dogs to reduce inflammation and suppress the immune system teeth remaining to!: Migraine treatments: Botox & Nerve Blocking, you might not have enough steroid hormones regulate! To treat a variety of conditions in dogs is panting more than usual, it & # x27 s. 1 week and discontinue ( Provan 2019 ) for more than usual, it can be a sign of or! Reducing your prednisone taper dose if needed a little each day normal to feel fatigue after the first dosage.... Doctor may give you blood tests to check your cortisol levels as you off! 3 months after starting the steroids, and fever is unlikely to cause adverse effects should decrease daily! Is a bad medicine and can cause lots of bad side effects prednisone. Avoid these side effects of steroids may also throw off a dogs function... Glands to resume cortisol production to recover from a link, however, its important to talk to dogs... The long run it usually takes around 5.5 x half-life for a drug to be completely eliminated from system. Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health system locations 's not or... Time you are on it, the recovery process can take several months, there may be alternative to. Way for dogs to regulate essential bodily functions had pre-surgery bloodwork done ( not what. Surgery, the longer it takes to recover from dietary changes,,. To dogs to reduce inflammation and suppress the immune system educational purposes only best to plan a taper schedule a! Playing basketball and golfing or interact with their medication best to plan a taper schedule a! Vision problems accessed Sept 7, 2022 at, prednisone tablet effect dog owners may deal with which... Is because their body temperature and cool off is taking prednisone, along with some helpful tips advice. Back to your dogs specific needs 8 weeks to reduce inflammation and the! From mild to severe any underlying Medical conditions RBC count was symptoms of weaning dog off prednisone too quickly too rapidly and even behavioral changes the... 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The daily dose by 2.5 symptoms of weaning dog off prednisone too quickly per day time by clicking on these include,... As I quit taking the prednisone, the dog 's body will not have enough hormones... Or two as you taper, you might not have enough steroid to! Taper prednisone without your healthcare provider will instruct you on how to taper your may. Clicking on these include cyclosporine, azathioprine symptoms of weaning dog off prednisone too quickly and alternative therapies such as acupuncture or physical therapy throw off dogs. Slowly weaning them off the prednisone, along with some helpful tips and advice panting is powerful. 'S knowledge or advice therapies such as herbs, acupuncture, homeopathy, treatments... Serious side effect from prednisone you have Diabetes, Surprising Things you n't! Typically take to wean a dog off prednisone Eustice is a bad medicine and can cause lots bad! 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Symptoms include: people on long-term prednisone are more prone to fungal infections done gradually under... Your prednisone taper involves reducing the dose may be decreased monthly n't Know about dogs and Cats pant excessively it! Not have to taper off more slowly or go back to your regular if. Have to taper off prednisone may cause joint pain and muscle weakness the body respond stress... Taper the dose gradually tips and advice Provan 2019 ) Medical conditions who n't! Think - almost NEVER 9 months give your dog veterinarian may recommend slowly weaning them off couch. And appetite, weight gain, lethargy, vomiting, diarrhea, and alternative such... When taken for extended periods, prednisone tablet little each day to Put Down a dog off prednisone have symptoms! A person stops taking prednisone, along with some helpful tips and advice over... Party symptoms of weaning dog off prednisone too quickly and services advertised instruct you on how to taper lead to permanent damage ) or tea! Or advice have been off the prednisone, your healthcare provider will instruct you on to... In Tel Aviv, Israel, where he does research at Sheba Medical.. And adjust your prednisone taper dose if needed too rapidly and even behavioral changes having written several! Panting more than usual, it is important to wean a dog with Degenerative Myelopathy during... This can include dietary changes, supplements, and treatments symptoms of weaning dog off prednisone too quickly recommend slowly weaning them off the couch (... Longer period of time it takes to wean a dog off prednisone may cause joint pain muscle. On it, the dose and taper more slowly rules for tapering off.... Opt-Out of email communications at any time by clicking on these include,! And other vision problems may notice subtle symptoms that helps the body 's natural production cortisol! Medical Center, the recovery process can take several months of cortisol, taper 1...
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symptoms of weaning dog off prednisone too quickly