Does your practice place all patients who require oral or parental corticosteroids on antibiotic prophylaxis? (i.e PCP prophylaxis) and if so, when do you advise they are safe to d/c?
That is a great question. Our practice commonly places patients on PCP prophylaxis for all patients on greater than 40 mg of steroids daily, that are anticipated to be on those steroids for greater than a couple of weeks. In general we will allow patients to discontinue the PCP prophylaxis when they are down to between 10-20 mg of prednisone.