Connect
← Return to Has anyone with PMR been able to get off prednisolone?
Discussion
Has anyone with PMR been able to get off prednisolone?
Polymyalgia Rheumatica (PMR) | Last Active: Mar 24 11:39am | Replies (51)Comment receiving replies
Good advice from your doctor on tapering. The issue when you taper 1 mg at a time when you get down to the lower doses the percentage decrease starts to go up.
5mg- 4mg is a 20% reduction then 4-3mg is a 25% reduction. 3-2mg is a 33% reduction, etc.
Your adrenals don’t know it’s easy to drop 1 mg at a time but you’re inadvertently increasing the taper percentage wise. At the lower doses it may be important to split the 1mg tablets as needed and/ or pulse with 2mg then 3mg then back to 2 mg etc.
I’m down to 1/2 mg every other day and then will drop to 1/2 every three days etc.
Good luck
Replies to "Good advice from your doctor on tapering. The issue when you taper 1 mg at a..."
Connect
@rhb80 … thanks for the focus on percent reductions for tapering. My new GP verified / diagnosed PMR at the end of January. Classic symptoms and then labs. I started immediately with 15 mg of prednisone and within a few hours felt so much better. A couple weeks ago I felt like a new man. Last week I dropped to 12.5 mg, a 17% reduction. After a couple of days, a little bit of dull ache returned to my shoulders and neck. It seemed like I was 83% of that new man. Linear relationship? Anyway, everyday seems to be incrementally (slight) better with the lower dose. I see my GP next week so I’m … excited … curious to discuss this with her. Peace to all and bless your path.