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@priscillat

I was successfully treated for PMR with 20mg prednisone for 3 months, 15 mg for 1 month, 10 for one month; then down 1 mg per month until zero. No pain or stiffness during treatment or after. 10 weeks free from prednisone, my second Moderna vaccine caused a flare up. My doctor has started me at 15 mg prednisone, which doesn’t quite do the trick. I still have some pain in my thumbs, nearly all day. I have only been taking prednisone for 1 week at this point. My question is is it better to take less prednisone and deal with some pain, or take more and knock it out? Perhaps some of you know from experience.

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Replies to "I was successfully treated for PMR with 20mg prednisone for 3 months, 15 mg for 1..."

This is such a great question and I haven’t seen it addressed well. I can tolerate pain/stiffness, but am fearful of GCA. I don’t know if having some pain/stiffness leads to a greater risk of GCA. I am on 5 mg now, was on 4, but had to increase to 6, now 5. (Interestingly, the increase to 6 was in the month I had 2 doses Moderna, so probably some effect). This current bout of PMR started about 1 1/2 years ago about 3 weeks after a cortisone shot in my knee.

Great to see this as that is my regimen at the present time and on 9mg over 5 weeks then down to 8 for 5 weeks and so on to hopefully zero.