← Return to Conflict with Rheumatologist over taking Prednisone for PMR in AM/PM

Discussion
Comment receiving replies
@ag49

"Prednisone only works for the length of time it stays in the body before it is eliminated."
Exactly. Barely 24 hours. I think that's why a split dose is effective. The ratio is different for each of us.

Jump to this post


Replies to ""Prednisone only works for the length of time it stays in the body before it is..."

I'm impressed that your rheumatologist said to try different ratios to see what works for you.

I split my dose 2/3 in the morning and 1/3 in the evening when I needed to because of pain in the early morning hours. I agree that the ratio might be different for someone else.

Being unable to sleep at night was a problem for me when I started on 60 mg. When I took all of it in the morning I had to increase my dose to 100 mg. It was just a very high dose but my ophthalmologist said I needed that much. I wasn't able to decrease that dose until my dose was split. Splitting my dose allowed me to decrease my total daily dose.

My rheumatologist was more about a "stable dose" meaning I should take the same total dose every day regardless of whether I split my dose or not. She would get upset when I had to increase my dose and pleaded with me not to do that. Only when my symptoms were stable was I told to decrease my dose.

When I split my dose, I was able to take less Prednisone and I slept better!