Steroid question

[Debbie1]

It's been a long time since I posted on this board. My 2 pandas kids are doing well, but I'll leave the update for another post at a later time.

 

Today I am posting for a friend whose 17 year old son recently developed a tic. He has a history of OCD type behaviors and his mom recently began looking into whether her son may have pandas. The child was put on over a month of antibiotics with no change in tics or behaviors and is now on a two week course of prednisone. He was put on 40mg and is approximately 180 lbs. The family saw noticeable improvement in his mood and demeanor (but not in OCD or tics) on days 3, 4 and the beginning of day 5 on the prednisone. Later on day 5, they saw a backslide which has continued for the last few days. They have not yet finished the two week course. Has anyone had a similar experience with prednisone where there was improvement early on but then a worsening of symptoms? If so, what ultimately helped your child?

 

Thanks for you help.