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. 2024 Aug 9;38(5):2571–2577. doi: 10.1111/jvim.17163

TABLE 1.

Standardized rapid‐tapering oral prednisone protocol for dogs undergoing brain irradiation.

During RT At completion of RT 1 week after RT 2 weeks after RT
Group 1: Dogs not on prednisone before RT (5 fractions or fewer); n = 7 dogs. Prednisone (approximately 0.5 mg/kg PO) before each day's RT No prednisone No prednisone
Group 2: Dogs not on prednisone before RT (6 fractions or greater); n = 0 dogs Prednisone (approximately 0.5 mg/kg) before each day's RT Decrease dose by 50% (ie, give approximately 0.25 mg/kg/d) for 1 week If neurologically stable or improved, give prednisone (approximately 0.25 mg/kg) q48h for 3 doses, then stop
Group 3: Dogs on prednisone for ≤1 month before starting RT; n = 9 dogs Continue prednisone during RT (by end of RT, try to be at approximately 0.5 mg/kg/d) Decrease prednisone dose by 50% (to approximately 0.25 mg/kg/d) If neurologically stable/improved, give prednisone (approximately 0.25 mg/kg) q48h for 3 doses, then stop
Group 4: Dogs on prednisone for >1 month before starting RT; n = 3 dogs Continue prednisone during RT (by end of RT, try to be at approximately 0.5 mg/kg/d) Decrease prednisone dose by 50% (to approximately 0.25 mg/kg/d) Decrease prednisone dose by another 50% (approximately 0.125 mg/kg/d) If neurologically stable/improved, give prednisone (approximately 0.125 mg/kg) q48h for 3 doses, then stop