← Return to Fast Prednisone taper?
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Replies to "I’m wondering, has anyone successfully tapered by 1mg instead of .5 , specifically when your dose..."
Assuming that your PMR is in remission and the level of inflammation you experience from the PMR is lower than the dose of pred needed, then the remaining issue is how well your adrenal glands are performing. If they are slow to "wake up" from the steroid sleep they have been in, then a faster taper is likey not a good idea and can lead to all sorts of problems as others have suggested on this thread.
I suspect many people can taper by 1 mg per month. That is what the guidelines say to do. Approximately half of the people diagnosed with PMR are able to taper off Prednisone within 1-2 years by following the guidelines.
It is interesting that you mention a dose of 7 mg specifically. That dose is problematic for many people. I suspect people start feeling the effects of adrenal insufficiency at that dose.
The endocrinologist who treated my adrenal insufficiency said I had to maintain a dose of 3 mg for an extended period of time for my cortisol to improve. At 7 mg of prednisone, there is little need for my adrenals to produce more cortisol. A Prednisone dose of 7 mg is said to be roughly the physiological dose of cortisol produced by the body daily. The need for the adrenals to start producing cortisol begins when a person is taking 7 mg of Prednisone.
In my case, 6 months at 3 mg without tapering was the extended period of time it took for my adrenals to produce more cortisol. How long it takes for the adrenals to recover depends on the person and how long they have been on Prednisone. For people who have taken prednisone for a very long time, their adrenals might never recover. In that case, a 5 mg dose of Prednisone for the rest of their life is called a maintenance dose.
I have been tapering from 5mg, 1mg at a time. I went down to 4mg for 5 weeks and now I am on 3mg and I started 3 two weeks ago. I am getting some pain but nothing severe, only had to take Advil once. I am planning on staying at 3 for 6 weeks and then try going down to 2mg.