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Steroid Conversion Calculator

Steroid Conversion Calculator

Converts equivalent doses of corticosteroids for therapy adjustments

Steroid Conversion Calculator

Steroid Conversion Calculator

Converts equivalent doses of corticosteroids for therapy adjustments

Steroid Conversion Calculator
Converts steroid dosages using dosing equivalencies.
Select steroid
Dose
mg
Steroid Conversion Calculator
Select steroid and enter dose to update

Instructions

The steroid conversion calculator helps determine equivalent doses when switching between different corticosteroids. Users enter the current drug, dose and the target steroid for conversion. The tool applies standard equivalence factors to give the adjusted dose.

Overview
When to use
Why use
Evidences

Interpretation

Steroid

Dosage

Action duration

Hydrocortisone

20 mg

Short acting

Prednisone/Prednisolone

5 mg

Intermediate

Methylprednisolone

4 mg

Intermediate

Dexamethasone

0.75 mg

Long acting

Betamethasone

0.6 mg

Long acting

Equivalency framework (StatPearls – Glucocorticoid therapy): Common oral/parenteral anti-inflammatory equivalences center on prednisone 5mg ≈ prednisolone 5mg ≈ methylprednisolone 4mg ≈ triamcinolone 4mg ≈ hydrocortisone 20mg ≈ dexamethasone 0.75mg ≈ betamethasone 0.6mg; mineralocorticoid activity varies substantially (hydrocortisone and fludrocortisone highest; dexamethasone/betamethasone negligible).

https://www.ncbi.nlm.nih.gov/books/NBK596734/

Study focus and design: Classic comparative human study evaluating the relative potency and duration of action of systemic glucocorticoids namely hydrocortisone, prednisone and dexamethasone, by measuring suppression and recovery of the hypothalamic–pituitary–adrenal (HPA) axis after dosing
https://pubmed.ncbi.nlm.nih.gov/888843/

Overview
When to use
Why use
Evidences

Corticosteroids are widely used in medicine for their anti-inflammatory and immunosuppressive effects. They are prescribed for conditions such as asthma, chronic obstructive pulmonary disease (COPD), autoimmune disorders, allergic reactions, and after organ transplantation. Since multiple corticosteroids exist, each with different potencies, half-lives, and mineralocorticoid activities, converting between them accurately is essential to ensure therapeutic consistency and minimize side effects.

Steroid conversion calculators standardize this process by applying established equivalence tables. For example, prednisone, hydrocortisone, dexamethasone, and methylprednisolone all have different potencies. Administering an incorrect equivalent dose may lead to under-treatment, resulting in persistent disease activity, or over-treatment, increasing risks such as hyperglycemia, hypertension, osteoporosis, adrenal suppression, and infection.

These calculators are particularly valuable in clinical scenarios such as tapering therapy, switching from oral to IV routes, or adjusting for drug availability. While they guide equivalent dosing, clinical judgment remains critical, as factors like patient response, comorbidities, and treatment duration influence outcomes.

Overview
When to use
Why use
Evidences

Interpretation

Steroid

Dosage

Action duration

Hydrocortisone

20 mg

Short acting

Prednisone/Prednisolone

5 mg

Intermediate

Methylprednisolone

4 mg

Intermediate

Dexamethasone

0.75 mg

Long acting

Betamethasone

0.6 mg

Long acting

Equivalency framework (StatPearls – Glucocorticoid therapy): Common oral/parenteral anti-inflammatory equivalences center on prednisone 5mg ≈ prednisolone 5mg ≈ methylprednisolone 4mg ≈ triamcinolone 4mg ≈ hydrocortisone 20mg ≈ dexamethasone 0.75mg ≈ betamethasone 0.6mg; mineralocorticoid activity varies substantially (hydrocortisone and fludrocortisone highest; dexamethasone/betamethasone negligible).

https://www.ncbi.nlm.nih.gov/books/NBK596734/

Study focus and design: Classic comparative human study evaluating the relative potency and duration of action of systemic glucocorticoids namely hydrocortisone, prednisone and dexamethasone, by measuring suppression and recovery of the hypothalamic–pituitary–adrenal (HPA) axis after dosing
https://pubmed.ncbi.nlm.nih.gov/888843/

Frequently Asked Questions

Features and Services FAQs

Discover the full range of features and services we offer and how to use them.

Do all corticosteroids have the same potency?+
Can this calculator be used for both oral and IV steroids?+
Does mineralocorticoid activity matter in conversion?+
Is tapering included in conversions?+
Can I use the same conversion for short- and long-term therapy?+
Are inhaled steroids included?+

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