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Replies to "What is your tapering plan when you get down to a very low Predisone dose? My..."
Polymyalgia Rheumatica (PMR) | Last Active: Jun 26 4:18pm | Replies (69)
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What is your tapering plan when you get down to a very low Predisone dose? My two-year PMR journey so far includes tapering from 25 down to 4 mg daily, where I had a relapse and went back to five, then down to 2.5 mg a few months later to the present, where I had just another relapse and am now back up to 3 daily. My plan is now to stabilize at 3 and then make the taper even more gradual, perhaps dropping by 1/2 mg just one day out of a seven-day week for a while, alternating between 2.5 and 3. Or, should a guy drop by 1/4 mg per month now? I'm 76 and in reasonable health, but would rather not be on Pred forever!
Replies to "What is your tapering plan when you get down to a very low Predisone dose? My..."
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It sounds like you're in the home run on that low dose. I'm currently reducing from 4mg to 3.5mg and have had the same reduction schedule since 7mg, reducing by .5mg each time, which takes 7-8wks for each mg.
This reduction:
Week 1:
4 / 3.5 / 4 / 4 / 3.5 / 4 / 4
Week 2 (this week):
3.5 / 4 / 3.5 / 4 / 3.5 / 4 / 3.5
Week 3:
4 / 3.5 / 3.5 / 4 / 3.5 / 3.5 / 4
Week 4: stay on 3.5mg to stabilise and monitor for aches. If it's been smooth sailing right through the reduction I sometimes start the next reduction a few days early.