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How to Slowly and Safely Taper Off Prednisone but ... no set rules.

Polymyalgia Rheumatica (PMR) | Last Active: 5 days ago | Replies (70)
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@heals1225

Hi @megz
I read in the recent past that either you or someone else while tapering down .5 mg per month was taking most of the daily dose in the morning and then taking maybe 1-2 mg of that day’s remaining dose at dinner time. Does that approach work for anyone or do you feel taking the entire dose in the morning is best? I’m currently on 7 mg/ day going to 6 mg on May 1st.
Thanks!

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Replies to "Hi @megz I read in the recent past that either you or someone else while tapering..."
megz | @megz | 5 days ago

G'day @heals1225
The reason I split the dose and take 1mg of it later with dinner is to keep mornings pain-free. I can't say if it works for everyone, but many others who contribute their experiences here have also said a split dose with a smaller part of the dose later in the day helps them reduce or eliminate morning pain.

Nobody can say what's best for anyone else and everyone should be guided by what has worked (or not worked) for them in the past. I'm currently on 4.5mg and on week two of a gradual reduction to 4mg over four weeks. Occasionally I have some minor morning aches or stiffness but nothing I'd call pain.

My Week2 dosages are alternating days of 4.5mg (taken as 3.5mg morning & 1mg with dinner) and 4mg (taken as 3mg morning and 1mg with dinner). I do feel that reducing by .5mg at a time instead of 1mg is helpful too.

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