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Weaning off of prednisone & pain management

Polymyalgia Rheumatica (PMR) | Last Active: Oct 25 10:23am | Replies (156)

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@dadcue

"Had to add a dose in the night to control pain. 3 years of prednisone and i'm at 6 mg now. This getting off is not easy!"

It took me more than 12 years to get off prednisone. Just be mindful that at 7 mg and less is when adrenal insufficiency comes into play. It might be hard to "stimulate" the adrenals when you take a Prednisone dose at night. I understand the pain at night is a problem.

You have to maintain a low enough prednisone dose for your body to sense a low cortisol level. This will help the adrenals to know that it is time to produce cortisol again.

Adrenal insufficiency is also a painful experience to contend with. At lower doses of prednisone it might be a combination of PMR and prednisone withdrawal pain.

You are absolutely correct --- getting off prednisone isn't easy. I'm not so sure adding a dose at night will help the problem of adrenal insufficiency. Cortisol levels are supposed to drop during the night. A Prednisone dose at night might suppress adrenal function even more.

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Thanks for your input.