Abstract
Forty-one patients with rheumatoid arthritis (RA) maintained on low dose prednisolone (mean 5.8 mg) participated in a double-blind cross-over study to determine the effect of timing (morning or night) of prednisolone dosage on morning stiffness. Prednisolone given at night resulted in a significantly shorter duration of morning stiffness (p = 0.0001) than did an equivalent dose given in the morning.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- DEANDRADE J. R., MCCORMICK J. N., HILL A. G. SMALL DOSES OF PREDNISOLONE IN THE MANAGEMENT OF RHEUMATOID ARTHRITIS. Ann Rheum Dis. 1964 Mar;23:158–162. doi: 10.1136/ard.23.2.158. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DI RAIMONDO V. C., FORSHAM P. H. Some clinical implications of the spontaneous diurnal variation in adrenal cortical secretory activity. Am J Med. 1956 Sep;21(3):321–323. doi: 10.1016/0002-9343(56)90033-x. [DOI] [PubMed] [Google Scholar]
- Jasani M. K., Diver M. J., Bell A. M., Dalakos T. G., Buchanan W. W. Some clinical observations on the diurnal rhythm of plasma cortisol (11-OHCS) in patients with rheumatoid arthritis treated with oral corticosteroid drugs. Curr Med Res Opin. 1974;2(7):373–386. doi: 10.1185/03007997409112653. [DOI] [PubMed] [Google Scholar]
- Klinefelter H. F., Winkenwerder W. L., Bledsoe T. Single daily dose prednisone therapy. JAMA. 1979 Jun 22;241(25):2721–2723. [PubMed] [Google Scholar]
- NUGENT C. A., WARD J., MACDIARMID W. D., MCCALL J. C., BAUKOL J., TYLER F. H. GLUCOCORTICOID TOXICITY: SINGLE CONTRASTED WITH DIVIDED DAILY DOSES OF PREDNISOLONE. J Chronic Dis. 1965 Apr;18:323–332. doi: 10.1016/0021-9681(65)90037-8. [DOI] [PubMed] [Google Scholar]