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Weaning off of prednisone & pain management

Polymyalgia Rheumatica (PMR) | Last Active: Oct 25 10:23am | Replies (156)

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@emaureen

That drop is too steep. Try not to go more than 10% at a time. At 10mg, I was okay dropping by .5mg every 10-11 days (changeover is on Sunday or Wednesday). However, that didn't work for me after I hit 5mg, Arm pain reappeared and was increasing - after ten days at 4.5 I was noticeably uncomfortable. When I started 4mg, the pain worsened. Although I have osteoporosis and would REALLY like to get off prednisone as soon as possible, after three days at 4mg. I decided to backtrack. Took one 5mg tablet, then restarted at 4.75. Pain stopped, although I wouldn't go so far as to say that my arms feel exactly as they did before PMR... but then, I'm 80. Caveat is that I'm at 4mg now, so I can't report on how the whole distance will go. With each drop of .25mg, there has been no pain other than barely noticeable discomfort getting dressed in the morning. I don't think about PMR very often.

Also, I was told to avoid Advil and aspirin (NSAIDs). Tylenol is okay.

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Replies to "That drop is too steep. Try not to go more than 10% at a time. At..."

I agree…slow, slow, slow, seems safest. If it goes well, we can always drop even more, but triggering a flare usually means at least another weak or more of discomfort.

My dad was at 5 mg, but started 6 mg today because he’s been having extreme fatigue and ESR is elevated.

Sounds like you’re doing great and have found a way to listen to your body.

Thank you soooo much for your feedback. It is very helpful. I never ever thought of lowering my dose of Prednisone by .5 or .25 etc. That may be the way I go. Did your doctor recommend this or was this just what worked for you? I always try to stick with what the doctors says, but have also found out in the past that what doctors have recommended haven't always worked for me. I'm willing to try anything just so I don't have another bout of the pain i just had. Thanks again for the info!