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How to go from a 7 day 50 mg prednisone to the previous 14 mg

Polymyalgia Rheumatica (PMR) | Last Active: Mar 17 7:12pm | Replies (7)
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@dadcue

I did a "prednisone burst" many times for other conditions unrelated to PMR.

You are wise to be concerned about your adrenal function. However, going back to 14 mg of prednisone is enough to manage your need for cortisol.

Approximate Prednisone Dose Ranges:
Physiologic: 5 mg (usual average adrenal output)
Supra-physiologic: 10-20 mg
High supra-physiologic: 50-250 mg (max adrenal output)

Your need for cortisol varies considerably depending on the day. However, 14 mg of Prednisone is an adequate replacement dose for most days.

According to my endocrinologist, problems with adrenal insufficiency begin to surface when your prednisone dose is tapered down to less than 10 mg. Not everyone will have a problem. It depends on dose and duration of time you have been on Prednisone.

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Replies to "I did a "prednisone burst" many times for other conditions unrelated to PMR. You are wise..."
myrlyn3b | @myrlyn3b | Mar 17 3:41pm

Thank you!
I’d read just last night about the physiologic outputs etc but I’m presently quite unwell so hadn’t delved into it any further.
I appreciate your post. This is exactly what I need right now to give me a little confidence in going right back to 14 mg.
I’m almost 77 yrs old but must work a lot still so I can’t afford downtime.

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