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Polymyalgia Rheumatica (PMR) | Last Active: Sep 19, 2024 | Replies (38)

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@dadcue

Just as an addendum to splitting your dose. I didn't need to split my dose as I tapered lower because I decreased my evening dose first. By the time I tapered to 10 mg I was taking it all in the morning.

I believe it is the morning pain that is the more crucial part of pain relief. I would wake up early between 3-4 a.m because of pain. The disruption in my sleep pattern contributed to my problem. Taking too much prednisone in the evening might make it hard to fall asleep. You might need to adjust the morning portion and evening portion to find what works the best for you.

Only decrease your dose when you can get through the night and wake up in the morning with minimal pain but not necessarily no pain. This is a good indication that you can decrease the evening dose while leaving the morning dose the same. You will wind up taking your entire dose in the morning which will keep your doctor happy.

Everyone is different. Try to keep your doctor informed and they might let you "experiment" a bit to figure out what works the best for you.

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Replies to "Just as an addendum to splitting your dose. I didn't need to split my dose as..."

One final addendum ... Ask your doctor for a supply of 1 mg tablets if you don't already have them. I ended up with 20 mg -- 10 mg -- 5 mg and 1 mg tablets. It made my life simpler when I tapered.

My doctors trusted me to only take what I needed and I promised to keep them informed. My doctor wrote "taper as directed" on my prescription without any fixed tapering scheme.

My doctor offered recommendations and I kept them informed. We eliminated the need for a set of rigid rules. It is a process of adapting as needed ... Nothing was set in stone otherwise I would have been miserable most of the time.