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PMR Taper and pain

Polymyalgia Rheumatica (PMR) | Last Active: May 30 12:19pm | Replies (63)

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@cavalryman

Hello begonia77, I am now at 3.5 mg per day. I take 3mg in the morning with breakfast and the half mg about 9pm. I find that works well for me, I have no morning stiffness. My next step is to take 2.5 mg in the morning and half mg at 9pm. You could try 2mg in the morning and the half mg in the evening. I believe that your adrenals will start working better if you are having a lower dose at night when splitting doses. Whatever you choose, I hope it works !!

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Replies to "Hello begonia77, I am now at 3.5 mg per day. I take 3mg in the morning..."

thanks cavalryman! I recently tapered to 2 mg evenly split, but I was in pain all day. Yesterday, I tried 1.5 at night and 1 in the day and that worked very well. Maybe it would also work the other way--I will give it a try. It is hard to cut the 1 mg pills in half but even a half mg seems to make a big difference. I wonder if my cortisol circadian rhythm is atypical (I am a night owl, always sleepy in the morning until I drink coffee).