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Can you split Prednisone dose for GCA?

Polymyalgia Rheumatica (PMR) | Last Active: Apr 17 3:59pm | Replies (41)

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@brightwood

I’m going in tomorrow morning to have a Color Doppler vascular ultrasound of my temples, hopefully in lieu of the usual biopsy needed to officially call whatever has caused an unrelenting headache in both temples for going on three weeks. My bulging temple and forehead veins/arteries and jaw pain enabled me to reach a tentative diagnosis last weekend but a 7 hour visit to ER Sunday night, including bloodwork and a CT scan with contrast yielded a Rx for lidocaine patches and advice to try to relax so my tension headache will subside. I had elevated C-reactive protein and high sedimentation, but the ER dr. consulted a hospital neurologist who said it wasn’t GCA because that never occurs on both sides. Thank goodness my PCP found the markers to be convincing enough to order the vascular ultrasound and an initial Rx of prednisone. This conversation is such an eye opener. I was able to pick up the first week’s supply this afternoon and took one with food tonight, but the pharmacist said to really “start it” at tomorrow’s breakfast. The label only says take 3 (20m) a day, with food, and I have been puzzling tonight trying to see if that could mean all at once. You all are a blessing. Thank you, and good luck to all of this on our journey.

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Replies to "I’m going in tomorrow morning to have a Color Doppler vascular ultrasound of my temples, hopefully..."

Sorry to hear about your GCA diagnosis, but glad that your PCP recognized it. I started on 60 mg. of Prednisone last July 2024. I initially took all 3, 20 mg. pills in the a.m., but it gave me the worst case if jitters. I was so wired and shaking. I decided to take one first thing in the a.m. with breakfast, one mid morning and one right after lunch. That relieved those jitters. I still had insomnia, but I think I would have had it no matter when I took the pills. Best of luck to you.