A WORD ABOUT ORAL STEROIDS FOR TSW

Probably the most efficient and rapid way to overcome TSW and avoiding severe withdrawal symptoms is by using the oral corticosteroid, prednisolone. In fact, in a number of cases, so severe was the suffering, I had no choice but to use this method. Also, I can often wean patients off TS more rapidly this way using wheatgrass extract and the medication together. This method generally works well. However, in my experience, the standard approach of high starting doses (e.g.50 mg) which are then reduced by large increments over a few weeks is excessive. Instead, I start with 20/25 mg. then reduce the dose gradually by 2.5mg. or 5mg. increments depending on the patient's response. Close medical supervision is however, essential, as is wheatgrass application on alternate days.