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Titration down in steroids

Polymyalgia Rheumatica (PMR) | Last Active: 3 hours ago | Replies (13)

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@jeff97

It raises some questions though if you start taking prednisone again once you've stopped, or even if you haven't stopped but you're having symptoms of adrenal insufficiency. Like, how much prednisone should you take, and for how long, and then how do you reduce again? I've read that you can increase the prednisone dose for as much as 2 weeks and can then safely return to the original dosage level without having to taper. These are questions you can ask your doctor before tapering or when you run into problems.

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Replies to "It raises some questions though if you start taking prednisone again once you've stopped, or even..."

"It raises some questions though if you start taking prednisone again once you've stopped, or even if you haven't stopped but you're having symptoms of adrenal insufficiency...."
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I found out that I could live with adrenal insufficiency symptoms although I didn't feel very peppy. I also had some pain that I could tolerate. It was an adrenal crisis that was concerning but that likely wouldn't have happened unless something catastrophic occurred.

It does raise more questions than answers. There is no best way to taper off prednisone. There isn't any proven way that will work for everyone. It was a miracle I got off Prednisone after so many years. My endocrinologist wasn't overly optimistic that I could.

Taking Prednisone was an easy thing to do. I didn't need any encouragement to do that. I needed tons of encouragement to taper off Prednisone. Fortunately, my doctors were a big help to me in that regard. The hard part was finding an alternative to Prednisone.