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Tapering off of Prednisone

Polymyalgia Rheumatica (PMR) | Last Active: Feb 28 5:49am | Replies (313)

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@maddman

I was diagnosed with PMR in March of 2020. I started out on 50mg of prednisone and reduced the dosage by 5mg every 2 weeks.
I am now at 10 mg per day, but have pain developing in my right shoulder. Anyone here that can relate to this? And if so what advise do you have.

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Replies to "I was diagnosed with PMR in March of 2020. I started out on 50mg of prednisone..."

Typical start dose is 15-20 mgs. for PMR. Much higher for GCA. Your objective should be to reduce to the point where you feel good. We all want to get to zero, but the disease lets us know how fast and far we can go. Speaking of fast, at this point, slow is better...dropping by no more than 10% and then only when you are stabilized in terms of pain. If I were you I'd stay at 10 if the pain isn't too bad. If it's bad, you may need to go to 12.5 and see how you do. If that's better, stay awhile and then reduce very slowly. By the way, I'm sure most of us can relate. I felt great at 15 mgs., but struggled below 10. I'm back up to 10 now and will try again reducing to 9.5. Slow and easy.