PredniSONE 5 mg Tablet, 100-count — NDC 0054-8724-25 (Billing 00054-8724-25)
This is a package of 100 tablets of PredniSONE 5 mg Tablet from Hikma Pharmaceuticals USA Inc., marketed since Apr 1972 and currently FDA-listed; retail pharmacies pay about $0.0447 per tablet (NADAC). It is this product's only package size.
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification
- GSN (GCN sequence number): 006753
- GCN: 27176
- GPI-14 (Medi-Span): 22100045000315
- HICL (First Databank): 002879
- AHFS class code: 68:04.00.00
- RxCUI (RxNorm): 198144
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 1, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 1, 2026
RxNorm drug class
This medicine belongs to the Corticosteroid class.
Where does this data come from?
- RxClass (NLM) · catalog refreshed Oct 1, 2026
Clinical
- It calms inflammation and lowers immune activity. It is used for allergies, arthritis, lupus, skin, gut, lung, eye and blood conditions, and more. Your prescriber chose it for your...
- Take it with food or milk to protect your stomach. A once-daily dose is usually best in the morning. If you have delayed-release tablets, take them with food and swallow them whole...
- No, not after long-term use. Your body may need time to restart its own steroid production. Your doctor will lower the dose gradually.
- Bigger appetite, weight gain, trouble sleeping, mood swings and stomach upset are common. Call your doctor for signs of infection, black stools, severe stomach pain, vision changes...
Patient education
Supplement & herbal interactions
Some supplements/herbs that may interact with Prednisone — tap one for details:
Prednisone may be associated with lower levels of 8 nutrients — worth a chat with your pharmacist, not a cause for alarm.
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 1, 2026
Ask a licensed pharmacist directly — free, answered by our team.
Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per ea | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | $0.045 | $4.47 / 100 tablets |
| Medicaid paysCMS SDUD · 12 mo | $0.2103 | $21.03 / 100 tablets |
| Medicare drug plans payPart D · Q2 2026 | $0.2837 | $28.37 / 100 tablets |
| Medicare Part B allowsASP · J7512 | $0.004 / J7512 unit | — |
Where does this data come from?
- CMS NADAC weekly file · file of Feb 21, 2024
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · through Q4 2025
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Billing & reimbursement
Where does this data come from?
- CMS ASP NDC-HCPCS crosswalk · refreshed Sep 22, 2026
- DMEPDAC NDC-HCPCS crosswalk
- openFDA NSDE billing units · refreshed Sep 7, 2026
Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Marketing end | Status |
|---|---|---|---|---|
| 00054-8724-25 You're viewing this Main listing | 10 BLISTER PACK in 1 CARTON / 10 TABLET in 1 BLISTER PACK | 1972-04-21 | — | Active |
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| PredniSONE 5 mg 00054-9828-25 | Hikma | 100 tablets | $0.037 | AB | Availability likely | save 18% |
| Prednisone 5 mg 00378-0640-01 | Mylan | 100 tablets | $0.037 | — | Availability likely | save 18% |
| Prednisone 5 mg 00591-5052-01 | Actavis | 100 tablets | $0.037 | — | Availability likely | save 18% |
| Prednisone 5 mg 59651-0486-01 | Aurobindo | 100 tablets | $0.037 | AB | Availability likely | save 18% |
| prednisone 5 mg 60219-1706-01 | Amneal | 100 tablets | $0.037 | AB | Availability likely | save 18% |
| Prednisone 5 mg 60687-0122-01 | American | 100 tablets | $0.037 | AB | Availability likely | save 18% |
| prednisone 5 mg 60687-0903-01 | American | 100 tablets | $0.037 | AB | Availability likely | save 18% |
| Prednisone 5 mg 62135-0471-18 | Chartwell | 180 tablets | $0.037 | — | Availability likely | save 18% |
| PredniSONE Tablets, USP, 5 mg 63561-0120-01 | Granulation | 100 tablets | $0.037 | AB | Availability likely | save 18% |
| Prednisone 5 mg 70954-0058-10 | ANI | 100 tablets | $0.037 | AB | Availability likely | save 18% |
| PredniSONE 5 mg 00054-4728-25 | Hikma | 100 tablets | $0.045 | AB | FDA listed | — |
| PredniSONE 5 mgthis 00054-8724-25 | Hikma | 100 tablets | $0.045 | AB | FDA listed | — |
| Prednisone 5 mg 00603-5337-15 | Par | 21 tablets | $0.337 | AB | Availability likely | +654% |
| prednisone 5 mg 00615-8439-05 | NCS | 15 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 10135-0776-01 | Marlex | 100 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 42708-0114-21 | QPharma, | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 42708-0136-21 | QPharma, | 21 tablets | — | — | FDA listed | — |
| PredniSONE 5 mg 43063-0968-21 | PD-Rx | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 50090-3354-00 | A-S | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 50090-3361-04 | A-S | 40 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 50090-5814-00 | A-S | 21 tablets | — | — | FDA listed | — |
| PredniSONE 5 mg 50090-6619-00 | A-S | 21 tablets | — | AB | FDA listed | — |
| PredniSONE 5 mg 50090-6621-06 | A-S | 90 tablets | — | AB | FDA listed | — |
| PredniSONE 5 mg 50090-6623-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 50090-7124-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 50090-7505-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 50090-7684-00 | A-S | 21 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 50090-7686-06 | A-S | 90 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 50090-7688-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 50090-7931-00 | A-S | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 50090-7933-00 | A-S | 42 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 50090-7935-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 51407-0921-10 | Golden | 1000 tablets | — | — | FDA listed | — |
| prednisone 5 mg 51655-0068-21 | Northwind | 21 tablets | — | — | FDA listed | — |
| PredniSONE 5 mg 51655-0355-26 | Northwind | 90 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 51655-0765-21 | Northwind | 21 tablets | — | — | FDA listed | — |
| prednisone 5 mg 51655-0988-21 | Northwind | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 55154-2146-00 | Cardinal | 10 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 55154-2582-00 | Cardinal | 10 tablets | — | AB | FDA listed | — |
| PredniSONE 5 mg 60760-0796-21 | St. | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 63187-0020-10 | Proficient | 10 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 63187-0066-05 | Proficient | 5 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 63187-0997-05 | Proficient | 5 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 63629-1605-00 | Bryant | 42 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 63629-2264-01 | Bryant | 100 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 64380-0783-01 | Strides | 100 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 67046-1642-03 | Coupler | 30 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 67544-0399-60 | Aphena | 90 tablets | — | AB | FDA listed | — |
| PredniSONE 5 mg 68071-3581-01 | NuCare | 100 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 68071-3729-01 | NuCare | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 68071-3742-01 | NuCare | 100 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 68788-8579-03 | Preferred | 30 tablets | — | — | FDA listed | — |
| Prednisone 5 mg 68788-9551-02 | Preferred | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 70518-3537-00 | REMEDYREPACK | 21 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 70518-3539-00 | REMEDYREPACK | 30 tablets | — | AB | Discontinued | — |
| PredniSONE 5 mg 70518-4271-00 | REMEDYREPACK | 100 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 70882-0117-21 | Cambridge | 21 tablets | — | AB | Discontinued | — |
| Prednisone 5 mg 71335-0508-00 | Bryant | 42 tablets | — | AB | Discontinued | — |
| Prednisone 5 mg 71335-1780-00 | Bryant | 42 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 71335-2134-00 | Bryant | 42 tablets | — | AB | FDA listed | — |
| PredniSONE Tablets, USP, 5 mg 71335-2753-00 | Bryant | 42 tablets | — | AB | FDA listed | — |
| PredniSONE Tablets, USP, 5 mg 71335-3042-01 | Bryant | 100 tablets | — | AB | FDA listed | — |
| PredniSONE Tablets, USP, 5 mg 71335-3043-01 | Bryant | 1000 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 71610-0834-30 | Aphena | 30 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 72162-2149-00 | Bryant | 1000 tablets | — | — | FDA listed | — |
| PredniSONE Tablets, USP, 5 mg 72162-2484-00 | Bryant | 1000 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 72189-0593-21 | Direct_Rx | 21 tablets | — | — | FDA listed | — |
| Prednisone 5 mg 72789-0413-21 | PD-Rx | 21 tablets | — | AB | FDA listed | — |
| PredniSONE Tablets, USP, 5 mg 72789-0474-01 | PD-Rx | 100 tablets | — | AB | FDA listed | — |
| PredniSONE Tablets, USP, 5 mg 72789-0498-30 | PD-Rx | 30 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 76420-0067-21 | Asclemed | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 80425-0068-01 | Advanced | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 80425-0069-01 | Advanced | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 80425-0106-01 | Advanced | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 80425-0479-01 | Advanced | 21 tablets | — | AB | FDA listed | — |
| PredniSONE 5 mg 80425-0480-01 | Advanced | 21 tablets | — | AB | FDA listed | — |
| PredniSONE 5 mg 80425-0481-01 | Advanced | 21 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 80425-0482-01 | Advanced | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 82804-0223-10 | Proficient | 10 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 87063-0043-01 | ASCLEMED | 100 tablets | — | AB | FDA listed | — |
| prednisone 5 mg 42708-0186-21 | QPharma | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 61919-0365-21 | DIRECT | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 70518-0305-00 | REMEDYREPACK | 21 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 66267-0172-06 | NuCare | 6 tablets | — | AB | FDA listed | — |
| Prednisone 5 mg 63629-2261-01 | Bryant | 21 tablets | — | AB | Discontinued | — |
| Prednisone 5 mg 50090-0439-00 | A-S | 21 tablets | — | AB | FDA listed | — |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA Orange Book · refreshed Sep 3, 2026
- CMS NADAC weekly file · file of Feb 21, 2024
Availability & generic status
This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.
Where does this data come from?
- FDA Orange Book · refreshed Sep 3, 2026
What it looks like
Where does this data come from?
- FDA label on DailyMed · label index refreshed Oct 1, 2026
Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
Where does this data come from?
IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.- FDA label on DailyMed · label index refreshed Oct 1, 2026
- FDA openFDA NDC Directory · synced Oct 1, 2026
Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
Manufacturer & labeler
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- Drugs@FDA
Full prescribing information FDA SPL
🎯 Indications and Usage ▾
INDICATIONS Prednisone tablets and solutions are indicated in the following conditions: 1. Endocrine Disorders Primary or secondary adrenocortical insufficiency (hydrocortisone or cortisone is the first choice; synthetic analogs may be used in conjunction with mineralocorticoids where applicable; in infancy mineralocorticoid supplementation is of particular importance) Congenital adrenal hyperplasia Hypercalcemia associated with cancer Nonsuppurative thyroiditis 2. Rheumatic Disorders As adjunctive therapy for short-term administration (to tide the patient over an acute episode or exacerbation) in: Psoriatic arthritis Rheumatoid arthritis, including juvenile rheumatoid arthritis (selected cases may require low-dose maintenance therapy) Ankylosing spondylitis Acute and subacute bursitis Acute nonspecific tenosynovitis Acute gouty arthritis Post-traumatic osteoarthritis Synovitis of osteoarthritis Epicondylitis 3.
Collagen Diseases During an exacerbation or as maintenance therapy in selected cases of: Systemic lupus erythematosus Systemic dermatomyositis (polymyositis) Acute rheumatic carditis 4. Dermatologic Diseases Pemphigus Bullous dermatitis herpetiformis Severe erythema multiforme (Stevens-Johnson syndrome) Exfoliative dermatitis Mycosis fungoides Severe psoriasis Severe seborrheic dermatitis 5. Allergic States Control of severe or incapacitating allergic conditions intractable to adequate trials of conventional treatment: Seasonal or perennial allergic rhinitis Bronchial asthma Contact dermatitis Atopic dermatitis Serum sickness Drug hypersensitivity reactions 6.
Ophthalmic Diseases Severe acute and chronic allergic and inflammatory processes involving the eye and its adnexa such as: Allergic corneal marginal ulcers Herpes zoster ophthalmicus Anterior segment inflammation Diffuse posterior uveitis and choroiditis Sympathetic ophthalmia Allergic conjunctivitis Keratitis Chorioretinitis Optic neuritis Iritis and iridocyclitis 7. Respiratory Diseases Symptomatic sarcoidosis Loeffler’s syndrome not manageable by other means Berylliosis Fulminating or disseminated pulmonary tuberculosis when used concurrently with appropriate antituberculous chemotherapy Aspiration pneumonitis 8.
Hematologic Disorders Idiopathic thrombocytopenic purpura in adults Secondary thrombocytopenia in adults Acquired (autoimmune) hemolytic anemia Erythroblastopenia (RBC anemia) Congenital (erythroid) hypoplastic anemia 9. Neoplastic Diseases For palliative management of: Leukemias and lymphomas in adults Acute leukemia of childhood 10. Edematous States To induce a diuresis or remission of proteinuria in the nephrotic syndrome, without uremia, of the idiopathic type or that due to lupus erythematosus.
11. Gastrointestinal Diseases To tide the patient over a critical period of the disease in: Ulcerative colitis Regional enteritis 12. Nervous System Acute exacerbations of multiple sclerosis 13.
Miscellaneous Tuberculous meningitis with subarachnoid block or impending block when used concurrently with appropriate antituberculous chemotherapy Trichinosis with neurologic or myocardial involvement
⏱️ Dosage and Administration ▾
DOSAGE AND ADMINISTRATION The initial dosage of prednisone may vary from 5 mg to 60 mg of prednisone per day depending on the specific disease entity being treated. In situations of less severity lower doses will generally suffice while in selected patients higher initial doses may be required. The initial dosage should be maintained or adjusted until a satisfactory response is noted.
If after a reasonable period of time there is a lack of satisfactory clinical response, prednisone should be discontinued and the patient transferred to other appropriate therapy. IT SHOULD BE EMPHASIZED THAT DOSAGE REQUIREMENTS ARE VARIABLE AND MUST BE INDIVIDUALIZED ON THE BASIS OF THE DISEASE UNDER TREATMENT AND THE RESPONSE OF THE PATIENT. After a favorable response is noted, the proper maintenance dosage should be determined by decreasing the initial drug dosage in small decrements at appropriate time intervals until the lowest dosage which will maintain an adequate clinical response is reached.
It should be kept in mind that constant monitoring is needed in regard to drug dosage. Included in the situations which may make dosage adjustments necessary are changes in clinical status secondary to remissions or exacerbations in the disease process, the patient’s individual drug responsiveness, and the effect of patient exposure to stressful situations not directly related to the disease entity under treatment; in this latter situation it may be necessary to increase the dosage of prednisone for a period of time consistent with the patient’s condition.
If after long-term therapy the drug is to be stopped, it is recommended that it be withdrawn gradually rather than abruptly. Multiple Sclerosis In the treatment of acute exacerbations of multiple sclerosis daily doses of 200 mg of prednisolone for a week followed by 80 mg every other day for 1 month have been shown to be effective. (Dosage range is the same for prednisone and prednisolone.) ADT ® (Alternate Day Therapy) ADT is a corticosteroid dosing regimen in which twice the usual daily dose of corticoid is administered every other morning.
The purpose of this mode of therapy is to provide the patient requiring long-term pharmacologic dose treatment with the beneficial effects of corticoids while minimizing certain undesirable effects, including pituitary-adrenal suppression, the Cushingoid state, corticoid withdrawal symptoms, and growth suppression in children. The rationale for this treatment schedule is based on two major premises: (a) the anti-inflammatory or therapeutic effect of corticoids persists longer than their physical presence and metabolic effects and (b) administration of the corticosteroid every other morning allows for re-establishment of more nearly normal hypothalamic-pituitary- adrenal (HPA) activity on the off-steroid day.
A brief review of the HPA physiology may be helpful in understanding this rationale. Acting primarily through the hypothalamus a fall in free cortisol stimulates the pituitary gland to produce increasing amounts of corticotropin (ACTH) while a rise in free cortisol inhibits ACTH secretion. Normally the HPA system is characterized by diurnal (circadian) rhythm.
Serum levels of ACTH rise from a low point about 10 pm to a peak level about 6 am. Increasing levels of ACTH stimulate adrenocortical activity resulting in a rise in plasma cortisol with maximal levels occurring between 2 am and 8 am. This rise in cortisol dampens ACTH production and in turn adrenocortical activity.
There is a gradual fall in plasma corticoids during the day with lowest levels occurring about midnight. The diurnal rhythm of the HPA axis is lost in Cushing’s disease, a syndrome of adrenocortical hyperfunction characterized by obesity with centripetal fat distribution, thinning of the skin with easy bruisability, muscle wasting with weakness, hypertension, latent diabetes, osteoporosis, electrolyte imbalance, etc. The same clinical findings of hyperadrenocorticism may be noted during l… [Excerpted — this section continues on DailyMed.]
⛔ Contraindications ▾
CONTRAINDICATIONS Systemic fungal infections and known hypersensitivity to components.
⚠️ Warnings ▾
WARNINGS In patients on corticosteroid therapy subjected to unusual stress, increased dosage of rapidly acting corticosteroids before, during, and after the stressful situation is indicated. Immunosuppression and Increased Risk of Infection Corticosteroids, including prednisone, suppress the immune system and increase the risk of infection with any pathogen, including viral, bacterial, fungal, protozoan, or helminthic pathogens. Corticosteroids can: • Reduce resistance to new infections • Exacerbate existing infections • Increase the risk of disseminated infections • Increase the risk of reactivation or exacerbation of latent infections • Mask some signs of infection Corticosteroid-associated infections can be mild but can be severe and at times fatal.
The rate of infectious complications increases with increasing corticosteroid dosages. Monitor for the development of infection and consider prednisone withdrawal or dosage reduction as needed. Tuberculosis If prednisone is used to treat a condition in patients with latent tuberculosis or tuberculin reactivity, reactivation of tuberculosis may occur.
Closely monitor such patients for reactivation. During prolonged prednisone therapy, patients with latent tuberculosis or tuberculin reactivity should receive chemoprophylaxis. Varicella Zoster and Measles Viral Infections Varicella and measles can have a serious or even fatal course in non-immune patients taking corticosteroids, including prednisone.
In corticosteroid-treated patients who have not had these diseases or are non-immune, particular care should be taken to avoid exposure to varicella and measles: • If a prednisone-treated patient is exposed to varicella, prophylaxis with varicella zoster immune globulin may be indicated. If varicella develops, treatment with antiviral agents may be considered. • If a prednisone-treated patient is exposed to measles, prophylaxis with immunoglobulin may be indicated. Hepatitis B Virus Reactivation Hepatitis B virus reactivation can occur in patients who are hepatitis B carriers treated with immunosuppressive dosages of corticosteroids, including prednisone.
Reactivation can also occur infrequently in corticosteroid-treated patients who appear to have resolved hepatitis B infection. Screen patients for hepatitis B infection before initiating immunosuppressive (e.g., prolonged) treatment with prednisone. For patients who show evidence of hepatitis B infection, recommend consultation with physicians with expertise in managing hepatitis B regarding monitoring and consideration for hepatitis B antiviral therapy.
Fungal Infections Corticosteroids, including prednisone, may exacerbate systemic fungal infections; therefore, avoid prednisone use in the presence of such infections unless prednisone is needed to control drug reactions. For patients on chronic prednisone therapy who develop systemic fungal infections, prednisone withdrawal or dosage reduction is recommended. Amebiasis Corticosteroids, including prednisone, may activate latent amebiasis.
Therefore, it is recommended that latent amebiasis or active amebiasis be ruled out before initiating prednisone in patients who have spent time in the tropics or patients with unexplained diarrhea. Strongyloides Infestation Corticosteroids, including prednisone, should be used with great care in patients with known or suspected Strongyloides (threadworm) infestation. In such patients, corticosteroid-induced immunosuppression may lead to Strongyloides hyperinfection and dissemination with widespread larval migration, often accompanied by severe enterocolitis and potentially fatal gram-negative septicemia.
Cerebral Malaria Avoid corticosteroids, including prednisone, in patients with cerebral malaria. Kaposi’s Sarcoma Kaposi’s sarcoma has been reported to occur in patients receiving corticosteroid therapy, most often for chronic conditions. Discontinuation of corticosteroids may result in clinical improvement of Kaposi’s sarcoma.
Usage in pregnancy Si… [Excerpted — this section continues on DailyMed.]
🤒 Adverse Reactions ▾
ADVERSE REACTIONS Fluid and Electrolyte Disturbances Sodium retention Fluid retention Congestive heart failure in susceptible patients Potassium loss Hypokalemic alkalosis Hypertension Musculoskeletal Muscle weakness Steroid myopathy Loss of muscle mass Osteoporosis Tendon rupture, particularly of the Achilles tendon Vertebral compression fractures Aseptic necrosis of femoral and humeral heads Pathologic fracture of long bones Gastrointestinal Peptic ulcer with possible perforation and hemorrhage Pancreatitis Abdominal distention Ulcerative esophagitis Dermatologic Impaired wound healing Thin fragile skin Petechiae and ecchymoses Facial erythema Increased sweating May suppress reactions to skin tests Metabolic Negative nitrogen balance due to protein catabolism Neurological Increased intracranial pressure with papilledema (pseudotumor cerebri) usually after treatment Convulsions Vertigo Headache Endocrine Menstrual irregularities Development of Cushingoid state Secondary adrenocortical and pituitary unresponsiveness, particularly in times of stress, as in trauma, surgery or illness Suppression of growth in children Decreased carbohydrate tolerance Manifestations of latent diabetes mellitus Increased requirements for insulin or oral hypoglycemic agents in diabetics Ophthalmic Posterior subcapsular cataracts Increased intraocular pressure Glaucoma Exophthalmos Additional Reactions Urticaria and other allergic, anaphylactic or hypersensitivity reactions
📦 How Supplied / Storage and Handling ▾
HOW SUPPLIED PredniSONE Tablets, USP 1 mg – White to off-white, round, biconvex tablet; scored on one side and product identification “54 [above] 092” debossed on the other side. NDC 0054-8739-25: 10x10 Unit-Dose NDC 0054-4741-25: Bottle of 100 Tablets NDC 0054-4741-31: Bottle of 1,000 Tablets 2.5 mg – White to off-white, round, biconvex tablet; scored on one side and product identification “54 [above] 339” debossed on the other side. NDC 0054-8740-25: 10x10 Unit-Dose NDC 0054-4742-25: Bottle of 100 Tablets 5 mg – White to off-white, round, biconvex tablet; scored on one side and product identification “54 [above] 612” debossed on the other side.
NDC 0054-8724-25: 10x10 Unit-Dose NDC 0054-4728-25: Bottle of 100 Tablets NDC 0054-4728-31: Bottle of 1,000 Tablets 10 mg – White to off-white, round, biconvex tablet; scored on one side and product identification “54 [above] 899” debossed on the other side. NDC 0054-0017-20: 10x10 Unit-Dose NDC 0054-0017-25: Bottle of 100 Tablets NDC 0054-0017-29: Bottle of 500 Tablets 20 mg – White to off-white, round, biconvex tablet; scored on one side and product identification “54 [above] 760” debossed on the other side. NDC 0054-0018-20: 10x10 Unit-Dose NDC 0054-0018-25: Bottle of 100 Tablets NDC 0054-0018-29: Bottle of 500 Tablets 50 mg – White to off-white, round, biconvex tablet; scored on one side and product identification “54 [above] 343” debossed on the other side.
NDC 0054-0019-20: 10x10 Unit-Dose NDC 0054-0019-25: Bottle of 100 Tablets Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature.] Dispense in a tight, child-resistant container as defined in the USP/NF. PROTECT FROM MOISTURE. PredniSONE Oral Solution USP, 5 mg per 5 mL Clear, colorless, slightly viscous solution.
NDC 0054-3722-50: Bottle of 120 mL NDC 0054-3722-63: Bottle of 500 mL Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature.] Dispense in a tight, light-resistant, child-resistant container as defined in the USP/NF. PredniSONE Intensol™ Oral Solution (Concentrate), 5 mg per mL Clear, colorless, slightly viscous solution. NDC 0054-3721-44: Bottle of 30 mL with calibrated oral syringe (graduations of 0.25 mL [1.25 mg] to 1 mL [5 mg] on the syringe) Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature.] Dispense only in the bottle and only with the calibrated oral syringe provided.
Discard opened bottle after 90 days. Distributed by: Hikma Pharmaceuticals USA Inc. Berkeley Heights, NJ 07922 C50000278/04 -k02 Revised February 2024
📋 Description ▾
DESCRIPTION Prednisone is a glucocorticoid. Glucocorticoids are adrenocortical steroids, both naturally occurring and synthetic, which are readily absorbed from the gastrointestinal tract. Prednisone, USP is a white to partially white, crystalline powder.
It is very slightly soluble in water; slightly soluble in alcohol, chloroform, dioxane, and methanol. The chemical name for prednisone is 17,21-dihydroxypregna-1,4-dienne-3,11,20-trione. The structural formula is represented below: C 21 H 26 O 5 M.W.
358.44 Each tablet, for oral administration, contains 1, 2.5, 5, 10, 20, or 50 mg of prednisone. PredniSONE Oral Solution contains 5 mg prednisone per 5 mL, and PredniSONE Intensol TM Oral Solution (Concentrate) contains 5 mg prednisone per mL. Inactive Ingredients: PredniSONE Tablets, USP contain the following inactive ingredients: lactose monohydrate, magnesium stearate, microcrystalline cellulose, pregelatinized starch, sodium starch glycolate and stearic acid (1 mg, 2.5 mg, and 5 mg only).
PredniSONE Oral Solution, USP contains alcohol 5% and the following inactive ingredients: anhydrous citric acid, edetate disodium, fructose, hydrochloric acid, maltol, peppermint oil, polysorbate 80, propylene glycol, saccharin sodium, sodium benzoate, vanilla flavor and purified water. PredniSONE Intensol™ Oral Solution (Concentrate) contains alcohol 30% and the following inactive ingredients: anhydrous citric acid, poloxamer 188, propylene glycol and purified water. Chemical Structure
⚠️ Precautions ▾
PRECAUTIONS General Precautions Drug-induced secondary adrenocortical insufficiency may be minimized by gradual reduction of dosage. This type of relative insufficiency may persist for months after discontinuation of therapy; therefore, in any situation of stress occurring during that period, hormone therapy should be reinstituted. Since mineralocorticoid secretion may be impaired, salt and/or a mineralocorticoid should be administered concurrently.
There is an enhanced effect of corticosteroids on patients with hypothyroidism and in those with cirrhosis. Corticosteroids should be used cautiously in patients with ocular herpes simplex because of possible corneal perforation. The lowest possible dose of corticosteroid should be used to control the condition under treatment, and when reduction in dosage is possible, the reduction should be gradual.
Psychic derangements may appear when corticosteroids are used, ranging from euphoria, insomnia, mood swings, personality changes, and severe depression, to frank psychotic manifestations. Also, existing emotional instability or psychotic tendencies may be aggravated by corticosteroids. Aspirin should be used cautiously in conjunction with corticosteroids in hypoprothrombinemia.
Steroids should be used with caution in nonspecific ulcerative colitis, if there is a probability of impending perforation, abscess or other pyogenic infection; diverticulitis; fresh intestinal anastomoses; active or latent peptic ulcer; renal insufficiency; hypertension; osteoporosis; and myasthenia gravis. Growth and development of infants and children on prolonged corticosteroid therapy should be carefully observed. Although controlled clinical trials have shown corticosteroids to be effective in speeding the resolution of acute exacerbations of multiple sclerosis, they do not show that corticosteroids affect the ultimate outcome or natural history of the disease.
The studies do show that relatively high doses of corticosteroids are necessary to demonstrate a significant effect (see DOSAGE AND ADMINISTRATION ). Since complications of treatment with glucocorticoids are dependent on the size of the dose and the duration of treatment, a risk/benefit decision must be made in each individual case as to dose and duration of treatment and as to whether daily or intermittent therapy should be used. Convulsions have been reported with concurrent use of methylprednisolone and cyclosporin.
Since concurrent use of these agents results in a mutual inhibition of metabolism, it is possible that adverse events associated with the individual use of either drug may be more apt to occur.
📄 Package Label / Principal Display Panel ▾
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 8739 -25 10x10 Unit-Dose Tablets PredniSONE Tablets, USP 1 mg 1 mg Unit-Dose Carton - 10x10
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 4741 -25 100 Tablets PredniSONE Tablets, USP 1 mg 1 mg Bottle Label - 100 count
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 8740 -25 10x10 Unit-Dose Tablets PredniSONE Tablets, USP 2.5 mg 2.5 mg Unit Dose Carton - 10x10
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 4742 -25 100 Tablets PredniSONE Tablets , USP 2.5 mg 2.5 mg Bottle Label - 100 count
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 8724 -25 10x10 Unit-Dose Tablets PredniSONE Tablets, USP 5 mg 5 mg Unit Dose Carton - 10x10
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 4728 -25 100 Tablets PredniSONE Tablets, USP 5 mg 5 mg Bottle Label - 100 count
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 0017 -20 10x10 Unit-Dose Tablets PredniSONE Tablets , USP 10 mg 10 mg Unit Dose Carton - 10x10
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 0017 -25 100 Tablets PredniSONE Tablets , USP 10 mg 10 mg Bottle Label - 100 count
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 0018 -20 10x10 Unit-Dose Tablets PredniSONE Tablets , USP 20 mg 20 mg Unit Dose Carton - 10x10
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 0018 -25 100 Tablets PredniSONE Tablets , USP 20 mg 20 mg Bottle Label - 100 count
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 0019 -20 10x10 Unit-Dose Tablets PredniSONE Tablets , USP 50 mg 50 mg Unit Dose Carton - 10x10
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 0019 -25 100 Tablets PredniSONE Tablets, USP 50 mg 50 mg Bottle Label - 100 count
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 3722 -50 120 mL PredniSONE Oral Solution, USP 5 mg per 5 mL Oral Solution Label - 120 mL
PACKAGE/LABEL PRINCIPAL DISPLAY PANEL NDC 0054- 3721 -44 30 mL PredniSONE Intensol™ Oral Solution (Concentrate) 5 mg per mL Intensol Oral Solution Label - 30 mL