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@circlepfarm
15mg prednisone didn't work for me. I was also using a cane and feeling the pain every time I moved. I'm on 25mg now and I'm noticing a declining effect after 4 days. It's manageable for now but I don't want to be in pain every day if there's another option. My rheumatologist seems to think that everyone with PMR will respond positively to prednisone, and if they don't then they don't have PMR.

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Replies to "@circlepfarm 15mg prednisone didn't work for me. I was also using a cane and feeling the..."

@kjoed53 my rheumatologist said the same thing that if you have pmr you will respond to prednisone

@kjoed53
You are your own best advocate. Sometimes you have to inc prednisone before you can go down. I am a big advocate of “self taper at times”. Another option is try splitting pred between morning and night so I wake up less painful.
Last.y….GO KEVZARA…it was my savior. If I was you….. I am a bull in a china shop…. Copy off the internet the Kevzara info and FDA approval and take it to your dr, if hard to get into the Rehumy, go to your primary care.
Your comfort/relief is KEY.
Good luck.

@kjoed53 Hi. I think that you may need more mgs. of Prednisone per day, at least to begin with. My PCP diagnosed me and started me on 40 mgs. per day. (I’m a male, age 68, 177 lbs.) 20mg in the morning and 20mg 12 hours later.
In two days, I felt like Superman. PMR and all other arthritis pains magically vanished.

My PCP wanted me to begin taper down to 20mg per day, (that’s by half) which I was able to do within 3 weeks.

Note: I developed a side effect which I blame on Prednisone, a blood clot, and had to be hospitalized on 1/1/2026. Now I’m told that I must be on a blood thinner twice a day for the rest of my life.

That reaction hastened approval for Kevzara and I’m down to 7.5mg Prednisone and using Kevzara.

You might talk with your doctor about increasing a bit more Prednisone to see if it calms your PMR. If it does, after a week do your best to taper back down to the dosage that you are currently taking now. From there, consult with your doctor again about a plan for tapering down further.

I’m not a doctor so take my advice with a grain of salt. I’m saying what I would do if I were experiencing what you are experiencing, based on my experience.

PMR will respond to Prednisone. The amount of Prednisone required is different for everybody. I’ve seen here that some respond and start at 10 mg/day and others need 60 mg/day.

Best of wishes.