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Prednisone Taper

Polymyalgia Rheumatica (PMR) | Last Active: 16 hours ago | Replies (15)

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@jeff97

I have several comments about your post. 10 mg is a low starting dose for PMR. My understanding is that the normal starting dose is between 15 and 25 mg, but some websites say the dose can start as low as 8 mg. Is the 10 mg dose controlling your PMR? Are you pain free?

If you do a web search on how long people with PMR stay on prednisone, the results indicate 1-2 years is the normal course. Some people take longer, and some people never get off of prednisone. 2 weeks seems like a really short period of time before starting to taper. I have PMR and GCA, and I was on the starting dose of 60 mg a day of prednisone for 6 weeks before starting to taper.

To me it seems pretty risky to start tapering so soon.

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Replies to "I have several comments about your post. 10 mg is a low starting dose for PMR...."

First of all, I weigh only 102 lbs. so that may be part of the reason my dose seems on the lower side. Secondly, the pain I had after initial dx was 8-9, but has subsided greatly since beginning the prednisone. By mid day I feel much better, minor pain only. Hope this helps.

I totally agree with the above, two weeks is nothing and 10 mg is not an accurate starting dose. Maybe the diagnosis is incorrect, but certainly the treatment is not correct. I can guarantee you. I would definitely seek out a second opinion most people have PMR for at last one to two years and much higher dose to start to really control the symptoms. I was diagnosed when I was 54. I’m now 66 and have juststarted KevZara. And I’ve been on 20 mg of prednisone for years tried to taper. The lowest I’ve ever gotten is 15 mg and now with the Kev Zara I’m trying to taper again been on KevZara for two months and a 17.5 mg and will only taper 1 mg at a time. Tapering faster than that can be very dangerous.