Prednisolone Oral liquid 5 mg/5 mL (p)

💊 Prednisolone Oral Liquid 5 mg/5 mL (Pediatric) – As Licensed


📄 Description:

Prednisolone is a synthetic glucocorticoid corticosteroid with anti-inflammatory, anti-allergic, and immunosuppressive properties. The oral liquid form (5 mg per 5 mL) is designed for children and patients who have difficulty swallowing tablets.


💊 Prescription / Use:

  • Indications:
    • Bronchial asthma and acute asthma exacerbations
    • Allergic conditions (urticaria, angioedema, drug reactions)
    • Autoimmune disorders (e.g., juvenile idiopathic arthritis, lupus)
    • Nephrotic syndrome (relapse or induction therapy)
    • Acute exacerbations of inflammatory bowel disease
    • Croup, severe skin reactions
    • Replacement therapy in adrenal insufficiency (Addison’s disease)
  • Typical Dosage:(To be determined by physician)
    • Children: Usually 0.5–2 mg/kg/day in divided doses
    • Doses must be adjusted based on age, weight, and severity
    • Often used as short-course therapy for acute flare-ups
    • May require tapering after prolonged use
  • Route: Oral
  • Formulation: Palatable syrup or suspension

🔬 Nature:

  • Drug class: Corticosteroid (Glucocorticoid)
  • Form: Oral Liquid (syrup or suspension)
  • Concentration: 5 mg per 5 mL
  • Type: Intermediate-acting steroid
  • Mechanism: Suppresses inflammation and immune responses

🌟 Advantages:

  • Easier dosing in children than tablets
  • Useful for younger children and elderly with swallowing issues
  • Rapid absorption and onset of action
  • Can be titrated more precisely by mL dosing
  • Available in flavored formulations for better compliance

📦 Common Packaging:

  • Supplied in amber bottles of 30 mL, 60 mL, or 100 mL
  • Comes with measuring cap or dropper
  • Label includes drug concentration, expiry, batch no., and instructions
  • Pediatric-specific formulations are sugar-free or low sugar

🧊 Storage:

  • Store at 15–25°C
  • Protect from light and freezing
  • Shake well before use (especially suspensions)
  • Use within 30–60 days after opening (as per label)
  • Keep out of reach of children

⚠️ Precautions:

  • Use lowest effective dose for shortest duration
  • Avoid live vaccines during use
  • Caution in:
    • Diabetes
    • Hypertension
    • Peptic ulcer disease
    • Infections (e.g., TB, fungal)
    • Glaucoma and growth delays
  • Adverse Effects (especially with prolonged use):
    • Increased appetite, weight gain
    • Mood swings, irritability
    • Elevated blood sugar or BP
    • Weakened immunity
    • Stunted growth (long-term use in children)
    • Gastric upset

👩‍⚕️ Patient Advice

  • Follow the prescribed dose carefully—use a dosing syringe or cup
  • Give with food or milk to reduce gastric irritation
  • If given long-term, monitor child’s growth and development
  • Do not stop suddenly—tapering is important
  • Wash hands before and after administering
  • Avoid exposure to people with infections
  • Store medication safely and check expiry

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