What is the recommended approach for tapering the dosage of cortisone?

Tapering the dosage of cortisone is crucial because abrupt cessation can lead to acute adrenal insufficiency, which is a serious condition where the body is unable to produce adequate amounts of cortisol. This occurs because the body has become dependent on the external supply of cortisone after prolonged use. Gradually reducing the dosage enables the adrenal glands to start functioning properly again and to produce cortisol on their own. This process minimizes the risk of withdrawal symptoms and helps ensure a safer transition off the medication.

The other approaches mentioned, such as stopping immediately or increasing the dose before stopping, do not address the risks associated with sudden withdrawal and can lead to serious health complications. Switching to an oral dosage form may not effectively manage the tapering process as the underlying issue of adrenal insufficiency still needs to be considered. Thus, a slow taper is essential for safe and effective medication discontinuation.