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PMR and fatigue

Polymyalgia Rheumatica (PMR) | Last Active: Aug 17 5:27pm | Replies (12)

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Hello @mjontour. I'm now at 2.5 years with PMR.
@73 now, down to 1mg (starting today) for next two months. Just last week fatigue and brain fog kicked in for about three days. It seems to happen after I do a little too much yard work. But not always. Lately when I think I've figured things out trying to separate PMR from Prednisone withdrawal, my symptoms get confusing. I only get about 5 to 6 hours of interrupted sleep because of the bathroom trips. Usually get another hour and a half of uninterrupted sleep mid morning. I'm currently not experiencing specific PMR pain for at least the last 7 months. Only sporadic, mild to moderate joint pain and lower back pain from hx of l-4 l-5 B. disc. My energy levels have been slowly increasing since the time I noticed the absence of the classic shoulder and hip pain. My doctor did mention the possibility of staying on a low dose of prednisone if I couldn't wean completely without complications. We're both glad I've made it this far with only one flare up in the first year (Sept. 2023). Unfortunately I also have to deal with a flare up of my diverticulitis about 2 weeks into the drop of Prednisone dose. When I got down to 6mg. (been tapering by .5mg since I got down to 5mg) I did notice my body having more side effects by tapering each month. Went to two months with better results. Don't think I'm out of the woods yet. Pressing forward. Might permanently need that 1mg bandaid for my lower back?
Best wishes to you on your journey.
Ernie

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Replies to "Hello @mjontour. I'm now at 2.5 years with PMR. @73 now, down to 1mg (starting today)..."

Thank you for your message! It’s so interesting to read about tapering and fatigue! It’s such a journey for something that just appears out of the blue! I am trying to build up endurance but pay the price! Every day is a science experiment as I try to live life as normal as I can. Thanks again for sharing.

My situation is not too dissimilar from yours, but I slowed my decreases down to .25 mg lower each time once I got to 5 mg. (I quartering a 1 mg tablet.) I have noticed an increase in lower back pain especially whenever I decrease a dose that goes away after a few days. After a period of being at .25 I am adding back into my vitamins Turmeric-Curcumin, having understood they interfere with prednisone’s effectiveness. My tact is to run prednisone out of commission so it is simply not a factor anymore. But…
I am impatient and probably should slow this process down. But I guess I don’t mind the gamble. I hope if I do flare it is a step up in pain rather than a whole body response so that I would backtrack to no Turmeric-Curcumin or even back up to .5 mg and then descend more slowly. I just want to get off all drugs ASAP!