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Tapering off of Prednisone

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

Hi John, your comments are always very helpful, and what I'm learning is how tapering is so personal.
Having started at 40mg, 20,15, 10 then 1 mg less per month until 6mg when I started tapering by 0.5 mg per month. My Rheumatologist is very keen on a slow rate of tapering and has suggested I now taper down to 0 by the end of June '23. I'm trying to work out a schedule and am wondering if there is any evidence at what stage in approaching 0mg is there more likelihood of a flare-up.
Thanks for all your advice,
Ferse

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Replies to "Hi John, your comments are always very helpful, and what I'm learning is how tapering is..."
John, Volunteer Mentor | @johnbishop | Dec 19, 2022

Hi Ferse, Wished I had an answer for you. From my experience, I had more trouble tapering off my first time around where I went back and forth between 1mg and .5mg the last six months before I could be off prednisone with no real pain. The second time around I didn't have that problem because I made some conscious lifestyle changes limiting sugar, processed foods and inflammatory foods. plus more exercise. I recently saw the following tapering plan on HealthUnlocked and think it sounds like something that would be good to try if you run into any flareups while tapering.

-- Dead slow and nearly stop reduction plan (Tapering)
https://healthunlocked.com/pmrgcauk/posts/131189593/dead-slow-and-nearly-stop-reduction-plan

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