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Newly diagnosed and confused about the goal
Polymyalgia Rheumatica (PMR) | Last Active: May 4 1:39pm | Replies (51)Comment receiving replies
@cj762 No worries, ask any and all. This group is my savior.
Yes, pain and discomfort does move around, my team suggested Migratory Arthralgia.
As for splitting…I read abt it here which coordinates with my dr. Can’t say a good split……maybe try 15 in morn and 10 at bedtime…..trial and error. Me thinks how much pain in the morning? If you have pretty good days on a full dose, then cutting back am and increasing pm makes sense. It will take a day or two to find out. Good luck
Replies to "@cj762 No worries, ask any and all. This group is my savior. Yes, pain and discomfort..."
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@tweetypie13 In the majority of cases prednisone should all be taken first thing in the morning and not split. This best mimics the adrenal gland's natural release. Once you have taken steroids straight for two to three weeks the adrenal glands are no longer participating. They have gone "to sleep". Tapering is about slowly waking them up.
If a split is being considered then the lowest needed dose to keep pain free should be the goal of the evening dose. The next goal when tapering is to eliminate the evening dose as soon as possible.
Remember the goal is to mimic the natural rhythm of morning release.