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Small Dose Prednisone Therapy

Polymyalgia Rheumatica (PMR) | Last Active: Apr 19 10:17am | Replies (14)

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@glinda47

Hi John and thanks for responding. I'd like to read the article but don't have a sign in and need to go out and run some errands. I will try to sign up when I return. From what I could gather from a few paragraphs, there is not set dosage for pred for pmr, but I'm sure I read that wrong. There are probably plenty of articles on how a baseline dosage was created. I'm wondering though, if I asked, if docs would at least try this on me, since I have every side effect on the list already. I do wonder if the inflammation from PMR increases without medicinal intervention. That is one thing that I do find concerning. My doc seems to think that keeping me med free for over a month is fine. I have an ultrasound scheduled for 4/30 and last time I saw her was early in March, so....
I just wonder.
I'm thinking of asking for labs next week just to see where I am. I don't want inflammation to get to dangerous levels.
Anyway, thanks again for your info and help.

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Replies to "Hi John and thanks for responding. I'd like to read the article but don't have a..."

@glinda, Sorry about the having to create an account to read the previous one. Here's another paper that you can see without having to create an account.

--- Evidence on treat to target strategies in polymyalgia rheumatica and giant cell arteritis: a systematic literature review: https://academic.oup.com/rheumatology/article/63/2/285/7261503

You should keep an eye on your blood tests. Ask the Dr for copies and where to look for ESR and CRP results and what is normal. You may have a relatively low level of inflammation and the Dr doesnt want to slam you with high dose Pred and set you up for unnecessary problems trying to get off it.
There are a number of conditions that can mimic PMR and may not require Prednisone and if your inflammation levels are increasing, there are a lot of things you can do to help control it. Lots of research needed !!! Good luck.