Treatment-resistant MN If the patient does not achieve complete remission or incomplete remission type I after 4 weeks of corticosteroid monotherapy, additional treatment should be considered. 2) Initial treatment Oral prednisolone is administered once daily, starting at 0.8-1 mg/kg/day (maximum 60 mg/day), for 2-4 weeks as the initial treatment for primary FSGS with nephrotic syndrome. Grades of recommendations: 1 - "We recommend" 2 - "We suggest" None Definitions, underlying diseases, pathophysiology Definitions/diagnosis Nephrotic syndrome is a clinical syndrome characterized by severe proteinuria and hypoproteinemia (or hypoalbuminemia). If the patient does not achieve complete remission or incomplete remission type I after 6 months of conservative therapy, consider switching to corticosteroid monotherapy or combination treatment with corticosteroids and immunosuppressive agents.