Table 7

Sick-day rules steroid adjustment75

Steroid medicationNormal doseUnwell with feverCOVID-19 (suspected or confirmed)
Prednisolone3–10 mg/day5 mg two times per day10 mg two times per day
Prednisolone10 mg or more per daySplit dose to two times per daySplit daily dose to two times per day
Hydrocortisone>10 mg daily20 mg immediately, then 10 mg 6-hourly20 mg 6-hourly
Other steroid preparationN/A20 mg hydrocortisone immediately, then 10 mg 6-hourlyHydrocortisone
20 mg 6-hourly