Steroid Equivalence Converter
Convert between corticosteroid doses using the standard glucocorticoid-equivalence table - hydrocortisone, cortisone, prednisone, prednisolone, methylprednisolone, triamcinolone, dexamethasone, and betamethasone.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Dose
- 5 mg
- From steroid
- prednisone
- To steroid
- methylprednisolone
Result: 5 mg prednisone ~ 4 mg methylprednisolone
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Dose
- From steroid
- To steroid
What this is
Sophie Well takes the source steroid, the source dose, and the target steroid and returns the equivalent dose along with the relative anti-inflammatory and mineralocorticoid potencies and the approximate duration class (short, intermediate, long) so the converted dose is not just numerically right but pharmacodynamically sensible.
When to use it
Use this when transitioning a patient between IV and oral steroids on admission or discharge, when calculating a taper that starts on one agent and finishes on another, or when reviewing whether a stress-dose hydrocortisone regimen matches an outpatient prednisone equivalent. The equivalence values are anti-inflammatory potency, not full pharmacokinetics - duration, mineralocorticoid activity, and HPA-axis suppression vary by agent - so the converted dose is the starting point for clinical judgment, not a substitute for it.
How this is calculated
Glucocorticoid equipotent-dose ratios per standard pharmacology references (e.g., Goodman & Gilman; Brunton, Hilal-Dandan, Knollmann eds., 13e). Mineralocorticoid activity noted separately; verify against your formulary.
Source: Standard pharmacology references (project-author table)
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.
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