Interaction charts on this desk are for reading, not for writing a prescription or filling a bottle. Open the orbit disclaimer
Orbit · Orbit · Endocrine / immune
Last reviewed · 13 min read · Updated
Orbit card
| Onset | Anti-inflammatory effect within hours to a day |
|---|---|
| Duration | Intermediate; HPA recovery lags the last tablet |
| Food | With food if gut protests |
| Alcohol | Adds GI bleed risk with NSAIDs |
Orbit · prednisolone 5 mg. Vaccine and taper desk at Laugavegur 28 - not a remote steroid clinic.
Systemic corticosteroids and live vaccines need a timing plan. Duration and companion immuno-suppression matter more than the 'tiny tablet' speech.
The Caelum lock is generic prednisolone 5 mg, thirty tablets. Solutions and ODT products are other NDCs. Twenty-milligram thirties are a different cash board.
If mornings are the habit question, the steroid orbit is the clock. This page is the interaction chart.
Duration and companion immuno-suppression matter more than the tiny-tablet speech. Name prednisolone before a live nasal influenza or yellow-fever appointment. Household live-virus exposure on week four also belongs on the slip. Do not cold-stop after four weeks without a taper plan just because a child was vaccinated.
CYP3A4 inducers can shrink a 5 mg day. Carbamazepine, rifampin, and St John's wort are usual names. TB clinic rifampin plus asthma 5 mg that suddenly feels useless is prescriber math, not a silent climb to 20 mg. Wort for winter mood also needs a serotonin review if an SSRI is present.
CYP3A4 inhibitors can raise exposure. Name azoles and some macrolides the week they start.
NSAID plus steroid is a GI bleed stack. Alcohol helps the stack. Naproxen plus 5 mg plus a weekend of beer and stomach fire is the labeled conversation. Black stool is care, not a finish-the-week reflex. Do not add a second NSAID.
Glucose rises. Fingersticks at 16 mmol on week two are a log-and-call, not a midnight stop after a multi-week course. The diabetes and steroid prescribers both need the log. A silent stop can be worse than a high fingerstick.
Infection masks. Fever on prednisolone is a call. Push-through inflammation slogans hide bacteria.
Pharmacy prednisone 5 mg is a phone call. They are not casual twins. Almost-the-same-letters is not a substitution speech.
HPA recovery after a multi-week course is written. Feeling well on day six is not an adrenal test. Pocketing leftover 5 mg after week three is how people crash.
Solutions and ODT are other NDCs. Twenty-milligram thirties are another cash board. Pediatric liquids are weight-based. Adult 5 mg tablets are not a household steroid pool for a child's flare.
Osteoporosis risk grows with duration. Calcium and vitamin D plans are counseling, not a license to add orlistat without a thyroid thought.
Peer-pass wants start date and live-vaccine dates on one slip. Ingrid does not taper by mail.
Sources stay DailyMed immunosuppression, vaccine, and taper language.
Educational only. Adrenal crisis picture: 112. Reviewed 21 August 2026.
The 5 mg lock is a taper cash row. It is still a systemic steroid after weeks.
Confirm every change with the clinician who started the course.
If the indication was a seven-day 5 mg bridge, write the stop date before the first swallow. A locum who thinks every 5 mg is chronic asthma will refill a burst into a month. Infection masking and glucose still apply to short courses. Do not extend because joints felt nicer on day six.
A new azole can raise steroid exposure. Moon-face jokes are not monitoring. Name the azole. Do not assume 5 mg is too small to interact. Rifampin still shrinks exposure the other way. Call both clinics rather than climbing.
Adrenal crisis picture after an abrupt stop of a longer-than-you-admitted course is 112. Reviewed 21 August 2026. Educational only. Pharmacy prednisone 5 mg remains a phone call, not almost-the-same-letters.
Live-vaccine dates still belong on the bag. Black stool on an NSAID pair is still seek-care. Adult 5 mg tablets are still not a child's liquid. Ingrid charts at Laugavegur 28. She does not extend bursts by thread.
CYP3A4 inducers (carbamazepine, some other anticonvulsants, rifampin, St John's wort) can lower corticosteroid exposure. That is prescriber math, not a silent climb.
CYP3A4 inhibitors can raise exposure. Name azoles and some macrolides.
NSAID plus steroid is a GI bleed stack. Alcohol helps the stack. One NSAID is enough to name.
| Partner | Issue | Desk move |
|---|---|---|
| Live vaccine | Timing / immune | Name steroid at clinic |
| CYP3A4 inducer | Lower steroid level | Prescriber math |
| NSAID / alcohol | GI bleed | Spoken pair; gut protection plan |
| Prednisone swap | Not a casual twin | Call before swallowing |
Do not climb 5 mg yourself when rifampin starts. Call both clinics. CYP3A4 induction shrinks steroid exposure. People who treat a sudden flare on rifampin as 'the 5 mg failed' invent a kitchen 20 mg and then meet adrenal math on the way down.
Yellow fever Friday after five weeks of 5 mg with a Thursday last tablet is a travel-clinic date problem, not an assumption. Live-vaccine timing after systemic steroid is a dated conversation. Do not assume a one-day gap is enough because the lock tablet looks small.
Black stool on ibuprofen plus prednisolone is a bleed until proven otherwise. Seek care. Do not take another NSAID. The 5 mg lock does not make the gut pairing polite. Coffee-ground vomit is 112.
Two adult 5 mg tablets shared with a febrile child because liquid ran out is a pediatric error. Weight-based liquids only. Adult thirties are not a household pool. Seek pediatric advice. Do not repeat it.
St John's wort plus week four of 5 mg plus fluoxetine shrinks the steroid and adds serotonergic load. Tell both prescribers. The Prozac 10 orbit is a different CYP story. Do not invent a kitchen stack because mood and joints arrived in the same month.
Peer-pass wants start date and live-vaccine dates. Adrenal crisis picture - vomiting, collapse, severe weakness - is 112. Reviewed 21 August 2026. Sources stay DailyMed vaccine and taper language. Educational only. Pharmacy prednisone 5 mg remains a phone call, not almost-the-same-letters.
A new azole week can raise steroid exposure the other direction. Name the azole. Do not assume 5 mg is too small to interact. Moon-face jokes are not a monitoring plan.
Glucose climbs on 5 mg in people who already run high. A pump that climbed is a diabetes-clinic call, not a silent extra 5 mg because joints still ache.
Icelandic holiday weekends empty 5 mg bottles and people invent every-other-day maps that are accidental tapers. Call for a bridge. Do not skip Friday and Saturday because the pharmacy is closed.
Ingrid charts. She does not raise prednisolone by thread. If the indication was a seven-day bridge, say so. A locum who thinks every 5 mg is chronic asthma will mishandle the stop date.
Infection masks. Fever on prednisolone is a call.
Pharmacy prednisone 5 mg is a phone call. They are not casual twins.
HPA recovery after a multi-week course is written. Feeling well on day six is not an adrenal test.
Pocketing leftover 5 mg after week three is how people crash.
Solutions and ODT are other NDCs. Twenty-milligram thirties are another cash board.
Duration and companion immuno-suppression matter more than the tiny-tablet speech. Name the steroid before a live nasal influenza or yellow-fever appointment.
CYP3A4 inducers can shrink a 5 mg day. Carbamazepine, rifampin, and St John's wort are the usual names. That is prescriber math, not a silent climb to 20 mg.
Inhibitors can raise exposure. Name azoles and some macrolides.
NSAID plus steroid is a GI bleed stack. Alcohol helps the stack.
Glucose rises. Logs beat a midnight stop after weeks.
Infection masks. Fever on prednisolone is a call.
Pharmacy prednisone 5 mg is a phone call. They are not casual twins.
HPA recovery after a multi-week course is written. Feeling well on day six is not an adrenal test.
| Visit | Say aloud |
|---|---|
| Live vaccine | Steroid name + duration |
| New anticonvulsant | CYP inducer check |
| Daily ibuprofen | Bleed stack |
| Till swap to prednisone | Call before swallow |
Steroids raise glucose. Logs beat a midnight stop after weeks.
Infection can hide. Fever on prednisolone is a call. Household live-virus exposure belongs on the slip.
The taper trace is the step-down companion. Abrupt stop after a suppressing course can look like adrenal crisis.
| Absorption | Oral uptake; food if GI upset. |
|---|---|
| Distribution | Glucocorticoid receptor effect is the point. |
| Metabolism | CYP3A4 contributes; inducers and inhibitors move exposure. |
| Excretion | HPA recovery lags the last milligram after long courses. |
Prednisone is a prodrug. Products and some potency conversations differ. See prednisone. Do not treat a substitution as trivia.
Osteoporosis risk grows with duration. Calcium/vitamin D plans are counseling, not a license to add orlistat without a thyroid thought.
Personal tapers stay with the clinician who started the course.
Prednisolone chips
Osteoporosis risk grows with duration. Calcium plans are counseling, not a license to add orlistat without a thyroid thought.
Pediatric liquids are weight-based. Adult 5 mg tablets are not a household pool.
Peer-pass wants start date and live-vaccine dates on one slip.
Sources stay DailyMed immunosuppression, vaccine, and taper language.
Educational only. Adrenal crisis picture: 112.
| Item | Note |
|---|---|
| Osteoporosis risk grows with duration. C | chart |
| Pediatric liquids are weight-based. Adul | till |
The Caelum lock is generic prednisolone 5 mg x 30. Oral solution and ODT are other products. A coupon does not write a taper.
Caelum does not dispense.
Generic prednisolone 5 mg x 30 tablets, GoodRx table, 21 August 2026.
Generic prednisolone 5 mg, thirty tablets, the Caelum taper orbit, 21 August 2026. GoodRx lists 5 mg x 30 at $296.59 / $115.83. Twenty-milligram thirties list $6.60 / $6.60. Oral solution and ODT are other products. Caelum does not dispense.
Duration and companion immuno-suppression matter more than the tiny-tablet speech. Name the steroid before live vaccines.
CYP3A4 inducers can shrink a 5 mg day. Carbamazepine, rifampin, and St John's wort are usual names. Prescriber math, not a silent climb.
Inhibitors can raise exposure. Name azoles and some macrolides.
NSAID plus steroid is a GI bleed stack. Alcohol helps the stack. Black stool is care, not a finish-the-week reflex.
Glucose rises. Logs beat a midnight stop after weeks.
Courses long enough to suppress the axis need a step-down. Short labeled bursts are a different map - see prednisone if that was the product.
Solutions and ODT are other NDCs. Twenty-milligram thirties are another cash board.
Osteoporosis risk grows with duration. Calcium/vitamin D plans are counseling, not a license to add orlistat without a thyroid thought.
Laugavegur peer-pass wants start date and live-vaccine dates on one slip.
Sources stay DailyMed immunosuppression, vaccine, and taper language.
Vaccines, CYP inducers, NSAIDs, and tapers outrank flare poetry. 5 mg after weeks is still a systemic steroid.
Companions: taper, steroid, prednisone if the bottle changed names.
Checked against the current label and reviewed by Dr. Ingrid Bergsson. See Lift, Chart, Peer-pass, Publish.
Prednisolone vaccine and taper thread at Laugavegur, peer-passed by Dr. Ingrid Bergsson. Educational only. Adrenal crisis or severe infection: 112.
Disa R., asthma flare Live nasal flu vaccine next week - still on prednisolone 5 mg?
Live vaccines and systemic corticosteroids need a timing plan. 5 mg can look 'tiny' and still matter depending on duration and other immuno-suppression. Do not walk into a live-vaccine clinic without naming the steroid. Confirm with your clinician. Icelandic emergency: 112.
Jonas M., NSAID Ibuprofen every day plus prednisolone 5 mg for a month?
NSAID plus systemic steroid raises GI bleed risk. It is a spoken pair. Alcohol on top is worse. Do not add a second NSAID because pain 'moved.'
Ida M., glucose Fingersticks 16 mmol on 5 mg week two. Stop tonight?
Log and call. A silent stop after two weeks can be worse than a high fingerstick. The diabetes and steroid prescribers both need the log.
Jon P., ulcer Black stool on ibuprofen plus prednisolone. Finish the steroid week?
Black stool is a bleed until proven otherwise. Seek care. Do not take another NSAID. The steroid plan is a clinician call, not a finish-the-blister reflex.
Sara L., infection Fever on prednisolone - push through because inflammation is the enemy?
Steroids mask infection. Fever plus a systemic steroid is a same-week call, not a 'push through' slogan. Live-virus exposure in the house also belongs on the slip.
Asta P., day6 Seven-day 5 mg bridge, joints nicer day six, leftover ten tablets. Continue?
Do not extend a burst because day six felt nicer. Call the clinician who wrote the seven days. Infection masking still applies. Icelandic emergency: 112 if you have fever with a serious-looking flare or collapse. Write the original stop date on the bag.
Anna S., kid Pediatric liquid plus my 5 mg tablets shared for a flare?
No. Pediatric maps are weight-based liquids. Adult 5 mg tablets are not a household steroid pool. Sharing is how tapers and vaccines go wrong.
Oddny K., CYP story Started carbamazepine. 5 mg feels like nothing now.
CYP3A4 inducers can lower corticosteroid exposure. That is a prescriber math problem, not a DIY climb to 20 mg. Name the inducer. The steroid orbit keeps morning-dose habits.
Tomas E., live Yellow fever Friday. On 5 mg for five weeks. Last tablet Thursday.
Do not assume Thursday equals Friday safe live virus. Call the travel clinic with dates and duration.
Petur A., diabetes Glucose spiked on 5 mg. Stop tonight?
Steroids raise glucose. Log and call. A silent stop after a multi-week course can be worse than a high fingerstick. The diabetes clinician and the steroid prescriber both need the log.
Nanna L., child Shared two 5 mg tablets with a febrile child. Liquid empty.
Stop sharing. Seek pediatric advice. Adult tablets are not a household pool. Weight-based liquids only. Do not repeat it because the child 'looked the same as last winter.'
Kristjan D., vaccine Yellow fever Friday, last 5 mg Thursday after five weeks.
Call the travel clinic. A one-day gap is not an assumption. Live-vaccine timing after systemic steroid is a dated conversation. Do not board assuming the lock tablet was too small to count.
Stefan P., swap Till gave prednisone 5 mg, said it is the same letters almost.
Call before swallowing. Prodrug versus prednisolone is not trivia. Ask for the written name.
Magnus T., vs pred Pharmacy gave prednisone 5 mg instead of prednisolone 5 mg.
They are not casual twins. Prednisone is a prodrug. Potency and products differ. Call before you treat them as identical. The prednisone orbit is here.
Valgerdur S., rifampin Rifampin week one. Five milligrams feels useless. Raise tonight?
Do not climb. Call both clinics. CYP3A4 induction shrinks steroid exposure. A kitchen 20 mg is how adrenal math arrives later. Icelandic emergency: 112 if you collapse or vomit with severe weakness.
Helga R., taper Feel fine on day six of a longer course - stop the last 5 mg tablets?
Courses long enough to suppress the HPA axis need a written taper. Feeling fine is not an adrenal test. See the taper trace. Abrupt stop after weeks is how people crash.
Olafur B., kid Shared two 5 mg tablets with a febrile child because the liquid ran out.
Stop that. Pediatric maps are weight-based liquids. Adult tablets are not a household pool. Seek pediatric advice.
Lara H., wort Started St John's wort for mood on week four of prednisolone 5 mg.
Wort can induce CYP3A4 and shrink steroid exposure. Tell both prescribers. Do not climb 5 mg yourself to chase the old effect. Mood drugs also need their own serotonin review if an SSRI is present.
Pia N., stool Black stool on ibuprofen plus prednisolone. Finish the steroid week anyway?
Black stool is a bleed until proven otherwise. Seek care. Do not take another NSAID. The steroid plan is a clinician call.
Olaug K., live Child in the house got a live vaccine. I am on week four of 5 mg.
Household live-virus exposure belongs on the slip. Ask the clinician who owns the steroid whether extra caution or timing changes apply. Do not stop cold after four weeks without a taper plan.
Gudrun F., rifampin Rifampin week one. Asthma 5 mg feels like chalk. Raise tonight?
Do not climb 5 mg yourself. Rifampin induces CYP3A4. Call both clinics. Icelandic emergency: 112.
Niels V., rifampin TB clinic started rifampin. Asthma 5 mg prednisolone suddenly useless.
Rifampin induces CYP3A4 and can shrink steroid exposure. Call both clinics. Do not climb 5 mg yourself. This desk does not treat TB. Icelandic emergency: 112.
Svana M., wort St John's wort plus week four of 5 mg plus fluoxetine.
Wort can shrink the steroid and add serotonergic load. Tell both prescribers. Do not climb 5 mg to chase the old effect.
Ragnar T., NSAID Naproxen and prednisolone 5 mg and a weekend of beer. Stomach fire.
That is the bleed stack. Seek care if stools darken or pain is severe. Do not add a second NSAID.
Helgi P., stool Black stool on ibuprofen plus 5 mg. Finish the week?
Seek care. Black stool is a bleed until proven otherwise. Do not take another NSAID. Coffee-ground vomit is 112. Bring both bottles so the locum sees the pair.
Bjorn L., azole Nail azole started, still on 5 mg, face puffier. Fine because the tablet is small?
Name the azole. Exposure can rise. Do not assume 5 mg is too small. Call both clinics. Do not add a kitchen extra tablet and do not stop abruptly if the course has been longer than a week. Moon-face is a reason to call, not a joke.
Desk note Minimum taper packet?
Start date, current 5 mg schedule, planned step-down, live-vaccine dates, NSAID/alcohol list, glucose log, infection symptoms. Caelum educates. Ingrid does not taper by mail. Confirm with your clinician. Adrenal crisis picture: 112.