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PMR Dosages and Managing Symptoms

Polymyalgia Rheumatica (PMR) | Last Active: Jul 27 8:00am | Replies (468)

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@floridabonnie

I was diagnosed around the end of April of 2021. I was put on 15 mgs of Prednisone and within 2 days my body felt 99% better. I could walk, get up out of a chair unaided and other things that had gotten so hard to do, I could now do again. I was told to try to decrease my prednisone gradually. Not knowing exactly what was meant by that, I decided on my own to go down by 1/2 a pill, once a month. That was a 2 1/2 mg per month decrease. Well, I got down to 5 mg. and my pain was back. Not as bad as when I started, but it was painful. I called my doctor and he said go back up to 7. He called in 1 mg tablets for me. I went back to 7 but still had pain. On my own, I went to 9 mgs.
What I want to know is with the prednisone, are you supposed to be pain free, or just good enough to manage . I still have pain and feel sluggish. I am not myself. When I was at 15 I felt much better. Now I can still feel aching if I don't move around regularly. After sitting for a while, when I walk, my legs feel heavy. Not really painful, and getting up doesn't hurt, but I don't feel right. Any ideas??

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Replies to "I was diagnosed around the end of April of 2021. I was put on 15 mgs..."

@floridabonnie, My rheumatologist suggested I keep a daily log of how I feel on a pain/ache scale of 1 to 10 with 10 being the worst and also what dosage I was on for that day. Then he also gave me scripts for 5, 2.5 and 1 mg prednisone tablets so I could easily go up or down by 1 mg. Everybody's pain scale is different but I only went down a level on the prednisone when my pain was a 1 or a 2 level and if the pain crept up I would stay on the level for a few days to see if it got better or I would bump it up by 1 or by 1/2 mg by splitting the 1 mg tablets. You also need to incorporate some level of exercise or movement/stretching to help along with eating healthy which can help a lot when you are tapering off of prednisone.

You might find the following discussion helpful:
– Tapering off of Prednisone https://connect.mayoclinic.org/discussion/prednisone/

Also, here is a good article on Medical News Today that offers some suggestions.
-- What to eat if you have polymyalgia rheumatica: https://www.medicalnewstoday.com/articles/321683