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Prednisone and Autism

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Prednisone Effectiveness

Anecdotal evidence from some neurologists indicates that between 50%-80% of autistic children treated with prednisone show a distinct improvement in speech / language capability. Some children will improve, then show a partial regression during the later phases of treatment or afterwards (i.e., not all the way back), though a second treatment often helps.

There is not enough statistical data to determine a "profile" of the best candidates. Children with Autistic Spectrum Disorders can be divided as follows:

Delayed development from birth Regression in development after birth
Abnormal
EEG
Normal EEG

The darker the shading, the more experience to date in treatment with prednisone.

Prednisone was initially used within the autistic spectrum for children diagnosed with LKS or variant accompanied by regression in development, so the most experience is with them. Only in the past 5-6 years has prednisone been used on autistic children with normal EEGs.

New EEGs (e.g., MEEGs) and other techniques further refining the definition of "normal" EEG. In fact, the difference between autistic children with "normal" and "abnormal" EEGs is narrowing and may ultimately be nonexistent.

Age: There is some indication that the earlier the treatment, the more effective; however, many positive experiences have been reported in older children. A child's brain development is a succession of time-dependent processes that provides "windows of opportunity" for correction or amelioration of abnormalities that may become less responsive with time. You must also remember that the earlier you start treatment after diagnosis, the sooner the speech and language can improve, so the more time you have to bring the child closer to normal development through speech / behavioral therapies.

  • High-functioning versus lower-functioning: statistical data inconclusive
  • There is no indication that gender, race, or other factors influence its effectiveness.
  • There is no data to indicate whether one protocol is more effective than another
  • Much more research is needed to answer these questions.

Questions or comments about Prednisone and Autism? Email us at prednisone@aheadwithautism.com.

Prednisone Menu and Links

  1. Prednisone and Autism
  2. The Diamond of Hope
  3. What Prednisone Does
  4. What is Prednisone?
  5. How Does Prednisone Work?
  6. Other Therapy Options
  7. Prednisone Effectiveness
  8. Worries and Side Effects
  9. Why Haven't I Heard More?
  10. Prescription, Procedure, Results
  11. Real Life Experiences
  12. Doctors
  13. Research
  14. Questionnaires
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