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@ingekunga

I was diagnosed two years ago have been steadily slowly reducing pred. Have had problems at the low end I.e. going down from 2mg went back to 2 and have stayed ok that for few weeks and now without changing does have got more pain again for few nights so habe gone back to 2.5 mg. I wonder if anyone has experience in what factors cause such a pain increase on the same dosage. There has been no particular change that I can identify.

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Replies to "I was diagnosed two years ago have been steadily slowly reducing pred. Have had problems at..."

Yes, it's likely a slow build up of inflammation that your low dosage can't cover. The disease is still there. If 2.5 works to contain it, you could stay there for awhile. If not, you may need to increase your dosage.