← Return to Prednisone tapering: How did you do it pain free?

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I've been on prednisone since February 25. My rheumatologist started me on 15mg prednisone after getting the first results from my blood work. Three weeks later I was diagnosed with PMR and because 15mg was only taking the edge off the pain, I was bumped up to 25mg. For two days I felt great but then the ache in my shoulders returned but at a much lower level and I had pain in my left hip and right knee. After about two weeks I started feeling full relief again but I still woke up with shoulder and hip pain until my prednisone kicked in. My shoulders would ache by the end of the day after doing light chores around the house. It's still difficult to do even the simplest things in the evening because of my shoulders feeling achy and weak. Last week I started getting horrible acid reflux after everything I ate and was taking Tums all day. My rheumatologist was on vacation so I started splitting my prednisone to 20mg in the morning and 5mg in the evening. That worked. Yesterday, my rheumatologist cut me down to 20mg. So far I don't feel any difference. Maybe splitting my dose helped. I'm going to do the same thing later this week by doing 15mg in the morning and 5mg in the evening. I see my rheumatologist again next week. I don't feel like I've ever been totally pain free for more than a couple of days on prednisone. My shoulders always have an ache to them, but I'm starting to feel more side effects of prednisone so I'm willing to put up with a little pain and discomfort, although I feel severely limited in what I'm able to do because of my shoulders.

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Replies to "I've been on prednisone since February 25. My rheumatologist started me on 15mg prednisone after getting..."

@kjoed53 ….start a pain/meds/ activity journal.
Prednisone taper …my Dr says pain free before tapering.
If I understand, you have only been diagnosed for 6 weeks….from this blog and my own knowledge, I don’t know anyone who is/was on such a fast taper.
You are your own advocate. Splitting helped me. Also supplemented with Tylenol for arthritis.
Pain free is my motto…

@kjoed53 ....I taper to a tolerable level which is 3 or less.......if the pain goes above 3 when awaking in the morning I increase by .5 mg. for three days and start the taper again. I had some shoulder issues before PMR but use them as my barometer when to taper. I also split my dose which is now 6 mg. , 4 mg. with morning meal and 2 mg. with evening meal. Very important to have plenty of food in the stomach when taking Prednisone. Also do not take antiacids with prednisone and separate them by 2 hours or more or it will weaken the medication. A PPI will help with protecting your stomach but there is also issues with taking them long term because this will not let you properly digest all of your food due to decreased stomach acids. These are details I had to learn on my own because my Rummy did not take the time to go over important details, which by the way will be different for each person.