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Tapering off of Prednisone

Polymyalgia Rheumatica (PMR) | Last Active: Feb 28 5:49am | Replies (313)

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@johnbishop

Hello @barbararene, my first episode of PMR took almost 3 years to get off prednisone. I started with the 20 mg and started tapering after a few months. The hardest for me was the last year where for about 6 months I was going back and forth between 1 mg and 1/2 mg dosage. I would go back to the higher dosage if the pain was a little too much (probably a 4 or 5 on a scale of 10). When I finally was able to stop taking the prednisone I think I still was feeling a little pain, maybe a 1 or 2 on a scale of 10 but it's pretty subjective since I'm sure it's different for each person.

This second bout of PMR I also started at 20 mg but within a month I started tapering the dosage sometime around last April. I'm now at 7.5 mg. I met with my primary care doctor yesterday and she wants me to stay on a dosage for a month - I had been trying to go down by 1 or 1/2 each week (I'm impatient) so I'm hoping it may work better descreasing the dosage every month. I've tried tapering every 3 days, every week and now every month. I'm playing it a little loose since I think if I can tolerate a little pain I may be able to get off prednisone sooner. Not a suggestion for anyone else but I think it worked OK for me with my first episode of PMR.

Just keep taking those steps!

John

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Replies to "Hello @barbararene, my first episode of PMR took almost 3 years to get off prednisone. I..."

Hi John, your comments are always very helpful, and what I'm learning is how tapering is so personal.
Having started at 40mg, 20,15, 10 then 1 mg less per month until 6mg when I started tapering by 0.5 mg per month. My Rheumatologist is very keen on a slow rate of tapering and has suggested I now taper down to 0 by the end of June '23. I'm trying to work out a schedule and am wondering if there is any evidence at what stage in approaching 0mg is there more likelihood of a flare-up.
Thanks for all your advice,
Ferse