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Are There Guidelines for Prednisone Tapers
Polymyalgia Rheumatica (PMR) | Last Active: 18 hours ago | Replies (31)Comment receiving replies
I have seen nothing newer. I guess one could add the biologics but when it comes to prednisone protocols, they seem to have not changed much. In fact, that is one of the major gripes ......a drug used in the 1950s seems to still be the standard of care.
The following video is the latest I have seen in terms of the newest research into PMR. Biologicals seem to be the newest wave but they can take 2-3 months to kick in. I would hate to have suffered anymore than I did just waiting to get on pred.
Replies to "I have seen nothing newer. I guess one could add the biologics but when it comes..."
@petermccarville Is there a diagram of the hip, back and thighs on this YouTube as well?
@petermccarville thank you for sharing this video. I am struggling with the addition of Kevzara I just took my 2nd injection 3 days ago and I am aching like I have the flu. Hips, mostly but my joints in general. I also am taking Methotrexate, 17.5 mg once a week. And on 8 mg of prednisolone. My fractured sacrum is the cause of my Rheumatologist adding these drugs to try to reduce my dependence on that, I have osteopenia.
I see the improvement start to show once on the Kevzara for a few weeks.
Early days.
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@petermccarville
EULAR released newer recommendations in 2025 but nothing that is too earthshaking.
https://ard.eular.org/action/showPdf
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I don't know why there doesn't seem to be any collaboration with the ACR. In part, it might be more widespread use of IL-6 inhibitors and other biologics in the USA.
Pure speculation on my part.