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Polymyalgia Rheumatica (PMR) | Last Active: Nov 1, 2021 | Replies (219)

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@jmcc

I’m intrigued by the morning & evening split dosage. Have others found success with that strategy? I was having trouble sleeping and my rheumatologist recommended I take my 5 mg dose as early as I can in the morning. I’m sleeping better but willing to try anything to mitigate the persistent pain in my shoulders.

For background… I’m a super active 62 yr old and after reading this blog I’m a textbook case! I’ve had PMR for over a year and tried most of the tapering strategies you’ve all done. I’ve gotten as low as 3.5mg before needing to re-up my dosages and try tapering again. I’m now at 5mg with tolerable shoulder and hip pain… brutal cycle.

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Replies to "I’m intrigued by the morning & evening split dosage. Have others found success with that strategy?..."

John, Volunteer Mentor | @johnbishop | Sep 16, 2021

Hi @jmcc, Welcome to Connect. Reading your post brought back some memories of my first occurrence of PMR when it took me 3-1/2 years to taper off of a starting dosage of 20 mg prednisone. I never had to split my dosage but there are several members that found it helpful and hopefully can share their experience with you. I took all of my doses in the morning. When I first got up I had some minor aches and pains that normally went away shortly after taking the prednisone in the morning and I didn't notice any pains or aches until the next morning.

You mentioned being a super active 62 year old. I know when my PMR was active if I overdid any type of exercise or activities I would pay for it the next day with a higher level of pain. As a test you might want to try lessening the activity for a day or two just to see if it makes a difference.

Have you made any diet or eating related changes to help with the PMR inflammation?

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