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← Return to Fast Prednisone taper?
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Polymyalgia Rheumatica (PMR) | Last Active: 1 hour ago | Replies (25)
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You may not be getting much pain if your PMR has desisted and the inflammation it causes has gone. That would be a great result, and the minor pain you are getting may be simply from withdrawal. But the issue of adrenal insufficiency and the potential for adrenal crisis always remains at the low pred doses if you have been taking the medication for a long period. How long were you taking 5 mg or higher?
Replies to "You may not be getting much pain if your PMR has desisted and the inflammation it..."
I started on 20 mg January 22nd, and was on that for about 4 weeks. I was tapering by 1/2 mg every 2 weeks until my heart and kidney diagnosis in March. March 8th I was at 15 mg. On April 28th I was at 12.5 mg. Today I’m at 4 mg, so I dropped 8.5 mg in 23 days. I was on over 5 mg for over 100 days.
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The pain started in June of 2024, I was not diagnosed until November 2024 and my rheumatologist started me on prednisone. He prescribed 5 to 10mg, said start with the 5 and increase if needed. I started with 5 the pain went away. Never went to 10mg. He wanted to put me on an injection called Kevsara, but the protocol for that is 10mg for 8 weeks or more with minimal or no relief. So to answer your question I have been on 5 mg since November 14th 2024. I started tapering down from that the beginning of April 2025.