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Any Tips For Tapering Off Prednisone?

Polymyalgia Rheumatica (PMR) | Last Active: Sep 5 9:44am | Replies (79)

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@emaureen

I took the advice of never reducing by more than 10% at a time from my current dosage. For me, 5mg was the sticking point. I had been tapering at the rate of .5mg every 10-11 days, but 4.5mg was uncomfortable (sore arms) and 4mg worse (VERY sore arms). At that point I returned to 5mg for one day, then starting tapering by .25mg using a pill splitter. Relief was pretty much instant. By the time I finished, I was dividing 1mg pills into four and 5mg pills into eight - the math got interesting. I had also stopped having any reaction to tapers, and at some point changed over to a week rather than 10 days.

I've been off Prednisone for eight weeks. To be honest, I don't feel exactly as I did prior to getting PMR a year ago, but I'm fully functional and most discomfort can be shrugged off as maybe-age-related.

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Replies to "I took the advice of never reducing by more than 10% at a time from my..."

My arms and shoulders are my biggest problem since trying to taper again. The thing is that I've had several pretty bad falls within the past few months....all involving my shoulders...so I don't know how much pain and stiffness is from the falls and how much from the tapering. Tylenol does nothing for me. Zero. I don't like to take NSAIDs because I have CKD and besides that my forearms and tops of hands are literally covered in bruises since I started Pred. The slightest bump and I have either a skin tear, a big dark purple bruise, or both. NSAIDs only make it worse because of the blood thinning effect. Going to ask my doctor about an anti-inflammatory of some sort. Best of luck to you!

Did you have some pain at each taper level?