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PMR - Decreased prednisone and pain returned
Polymyalgia Rheumatica (PMR) | Last Active: May 28 1:36pm | Replies (157)Comment receiving replies
I have found that dropping by a 0.25mg every 2-4 weeks is better for me than 0.5 or 1mg per month. Adding further complication, i am taking an am and pm dose which requires me to drop the same amount from both doses to try to maintain the 2:1 ratio. The problem is that Prednisone doesnt come in pills less than 1mg and it is very difficult to divide a tiny pill into accurate quarters. Seems like nothing about this condition is straightforward or easy!!!! If anyone has any solutions to help, i would appreciate it.
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I liked the 2:1 ratio for a long time but at some point it didn't seem necessary. I mostly split my dose because of waking up in pain at 3 a.m. almost like clockwork. The pain was bad enough but waking up so early wasn't good either. Splitting my dose in a 2:1 ratio with a morning dose and an evening dose alleviated both the pain and I didn't wake up so early.
At some point I went back to taking my entire dose in the morning. It must have been when I got below 10 mg for my total daily dose. I don't recall ever dividing any pill into 4 quarters. I would split them in half sometimes. The 2.5 mg tablet came in handy whenever I needed a .25 mg portion. Half of a 2.5 mg tablet is 1.25 mg and then I added 1 mg tablets as needed to get the dose I wanted.
My rheumaologist was always willing to prescribe any denomination of prednisone I wanted. All I needed to do was say which size of pill I needed. I kept a good supply of every size of prednisone tablet.