Table 2.
Relative potencies of some glucocorticoids
Glucocorticoid | Antiinflammatory potencyb | Mineralcorticoid potency | Half-life in hours |
---|---|---|---|
Cortisol | 1 | 1 | 8–12 |
Prednisonea | 4 | 0.8 | 18–36 |
methylprednisoloneb | 5 | 0.5 | 18–36 |
Betamethasone | 25 | 0.01 | > 36 |
Dexamethasone | 25 | 0.01 | > 36 |
The second and third columns of Table 2 indicate corticosteroid antiinflammatory and mineralcorticoid potency, respectively, relative to cortisol (by convention, cortisol = 1)
aPrednisone undergoes hepatic conversion to prednisolone for activation. Such a conversion is nearly 100%, even in the presence of significant hepatic dysfunction
bPrednisone is a pro-drug and is converted to the active drugs