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How to address PMR pain while decreasing prednisone

Polymyalgia Rheumatica (PMR) | Last Active: Nov 6, 2023 | Replies (747)
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@rogernj67

John, I guess my question is this. On the right dose of pred should I be in pain in the morning. I wake up in pain and stiffness, then take the pred and after a while I get fair relief for the rest of the day right up until bedtime. Then I wake up the next day in pain and repeat. Shouldn’t the right dose be giving me round the clock relief from the pain and stiffness? If so then I need a higher dose than 8-10mg. Thanks. Roger

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Replies to "John, I guess my question is this. On the right dose of pred should I be..."
John, Volunteer Mentor | @johnbishop | Oct 21, 2018

Hi Roger, that's a great question. My thinking is that the dose should give you relief from pain until the next dose. I know everyone is different but it just seems logical to my non-medically trained mind☺ I've heard of some folks splitting the dosage and taking some in the morning and some at bedtime but I would discuss it with the doctor. I don't think there are any cut and dried rules when tapering down on prednisone. If it were me and I was taking 10 mg daily each morning and felt good until bedtime, I might try taking 8 or 9 mg in the morning and 1 or 2 mg at bedtime. I would still ask the doc though.

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