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PMR Dosages and Managing Symptoms

Polymyalgia Rheumatica (PMR) | Last Active: Jul 27, 2024 | Replies (468)
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@brooklyn1947

Hi all- I has just been diagnosed a few weeks ago with PMR. I was on Prednisone & it didn't' seem to be working. My PA changed my meds to MethylPrednisolone - 4mg). I started at 4 tabs for 1 week & gradually lessened the dose by !/2 tab after one week. Now I am on 3 tabs. I felt great in the beginning, but now my mornings are not so great. I have pain in my arms & legs & very tired.
I go back to the Rheumatologist next week.
Any suggestions?
Thanks,
Debbie

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Replies to "Hi all- I has just been diagnosed a few weeks ago with PMR. I was on..."
John, Volunteer Mentor | @johnbishop | Jul 17, 2024

Welcome Debbie @brooklyn1947. I'm wondering if a few weeks is a little too soon to begin tapering. You mentioned the prednisone didn't work so the doctor switched you to methylprednisolone which is stronger than prednisone from what I've read. It sounds like you started with 16 mg methylprednisolone (four 4 mg tabs) and then went down to 3.5 tabs and now at 3 tabs you are at 12 mg after 2 weeks if I read correctly. You might consider bumping it back up to 3 and 1/2 tabs to see if you pain goes away in the morning.

Do you keep a daily log of your symptoms (level of pain when you first get up) and dosage each day?

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