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Taking prednisone before sleep.

Polymyalgia Rheumatica (PMR) | Last Active: Apr 16 7:39pm | Replies (8)
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@jeff97

It sounds like your dose of prednisone might be too low to control your symptoms. I know from previous posts that you're also taking Actemra, but maybe the Actemra hasn't taken full effect yet. I can't speak to the effectiveness of taking prednisone before bedtime.

Your description of vision problems is concerning. I have GCA that included vision problems, so I know how dangerous that can be. Have you checked with an ophthalmologist about your vision problems? Those symptoms sound like they could be GCA or cataracts.

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Replies to "It sounds like your dose of prednisone might be too low to control your symptoms. I..."
frenchfrank51 | @frenchfrank51 | Apr 16 10:14am

Thanks Jeff.

You're probably right and 8mg is not enough to see me through a 24 hour period. I suppose I'll have to increase it a little again and see if that helps.

I definitely think I felt better today at times by taking one dose last night but I do keep crashing intermittently which feels awful.

I started on Actemra last week and injected again yesterday. So way too soon to make a difference of course.

I've had the tests for GCA after my PMR diagnosis and been told I definitely don't have it. I've had early signs of cateracts for a while but not bad enough yet to do anything about it. Apparently, prednisone can cause cateracts according to what I've read so, I imagine it will likely make existing cateract problems worse. It's not only blurred vision at the moment. It's sort of dizzy, spaced-out vision that makes things swim about in front of me. I've no idea what that is!

Many thanks for your help.

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