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Tapering off of Prednisone

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

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@elt

I’m new to this site and so glad I found it. I’m also fairly new to PMR. Mine started about 5 months ago with pain in my neck and upper legs. Celebrex helped me a lot but I saw an endocrinologist and got an accurate diagnosis and then started prednisone the middle of July. I started with 1 mg and ratcheted it up by 1 mg every two or three days until I reached 8 mg. After a few days I felt good with no pain and a lot of energy. I was on 8 mg for about six weeks. My doctor wanted me to try tapering down a little bit so I have now been on 7 mg for a little over a week. I felt spacey and low energy for four or five days but now feel OK and have minor pain.
My big question, that I can’t seem to find an answer to, is…
To achieve long-term remission is it necessary to stay on prednisone until you can taper slowly without the pain returning? I understand that it is important to be on a dosage that deals with the pain completely. Then, when tapering down, do you have to stop tapering or go back up if the pain continues?
I have the beginning of osteoporosis so that is one of my major concerns regarding staying on prednisone too long.
PS. I have also found that curcumin and ginger pills help with minor pain.

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Replies to "I’m new to this site and so glad I found it. I’m also fairly new to..."

Welcome @elt, I think you hit the nail on the head. Prednisone keeps the pain and inflammation at bay until you can stop taking the prednisone and only have what I like to think of as my new normal morning minor aches until I get out of bed and start moving a little.

My rheumatologist had me only taper when the pain was acceptable. I kept a daily pain and dosage log and for me acceptable was a 1 or 2 on a scale to 10. If it was higher, I either stayed on the current dose or upped it a little. I also take turmeric curcumin everyday along with some supplements for my neuropathy.

Have you made any lifestyle changes with diet or exercise?