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What is your approach to tapering treatments for patients with bullous pemphigoid?
Answer from: at Community Practice
The tapering of medications in bullous pemphigoid (BP) primarily involves systemic corticosteroids, which are the mainstay of treatment. According to European guidelines, an initial dose of 0.5 mg/kg per day of oral prednisone is recommended for BP. Once disease control is achieved and the patient n...
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Answer from: at Community Practice
Oral steroids are generally for acute management and can be tapered as other drugs like doxycycline kick in...typically over a month. Doxy controls most patients pretty well and is safe for long-term Rx. I generally try to taper doxy after a few months without symptoms. Dupilumab is also useful...