Corticosteroid equivalents

by Nathan Wei, MD, FACP, FACR

Nathan Wei is a nationally known board-certified rheumatologist and author of the Second Opinion Arthritis Treatment Kit. It's available exclusively at this website... not available in stores.

Click here: Second Opinion Arthritis Treatment Kit

Corticosteroids are powerful drugs often used in the management of rheumatic disorders.

Oral steroids:



Methylprenisolone sodium succinate


Methylprednisone acetate
Prednisolone tebutate
Triamcinolone acetonide
Triamcinolone diacetate
Triamcinolone hexacetonide

Approximate equivalent doses for glucocorticoid efficacy:

0.75 mg dexamethasone=4 mg methylprednisolone=5 mg prednisone or prednisolone= 20 mg hydrocortisone.

Intraarticular doses of long acting (depot) steroid depends on the size of the joint. Larger joints require more steroid.

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