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DiscussionAre There Guidelines for Prednisone Tapers
Polymyalgia Rheumatica (PMR) | Last Active: 2 days ago | Replies (51)Comment receiving replies
Replies to "@bettebaldwin would love to see your schedule!"
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@jcapra51
I'm doing 15mg/14mg/15mg/14mg etc alternate day dosing for 3 weeks.
Then 14/13/14/13 etc alternative day dosing for next 3 weeks.
And so on until down to around 5 or 6.
Will continue with alternative day dosing but cutting down by a factor of 1/2.
In other words 5mg/4.5mg/5mg/4.5mg/5mg alternative day dosing for 3 weeks.
Dropping 1 mg as you get lower represents a higher percentage drop in relative terms compared to going from 15 mg to 14mg which is a small percentage drop. A drop from 5 to 4 represents a 20% drop. From 4 to 3 is a 25% drop. 3 to 2 is a 33% drop etc. It is thought this increased percentage drop in steroid can possibly be the cause of flares.
But who knows? There's no doubt from all of the research I read that more research is certainly needed on tapering steroids.
My GP says "we're all individuals and have to find what works personally for us." She is hugely supportive in helping me do what I think might work for me. Lots of prescriptions for 1mg tablets and a tablet cutter required :-))
What about you @jcapra51? What's your tapering plan?