← Return to Prednisone and Pain
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Polymyalgia Rheumatica (PMR) | Last Active: Feb 1, 2023 | Replies (111)
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Replies to "I'm 60 years old. I was first diagnosed with PMR when I was 50. Prednisone was..."
With a severe flare you need to be on 20 mgs of prednisone in order to get relief
A larger dose of prednisone is needed. I would also make an appointment with a rheumatologist.
Hello @cramsey, Welcome to Connect. Sorry to hear you are having to deal with the PMR pain. I'm not a medical professional but I've had 2 occurrences of PMR and the treatment for both was starting at 20 mg prednisone slowly tapering off as my pain would allow. The first time it took 3-1/2 years to taper off. The second time it took me 1-1/2 years to taper off. If my PA would not prescribe the prednisone and it were me, I would seek a second opinion from a rheumatologist and not a GP with little to no experience with PMR (just my opinion). I also would recommend keeping a daily log with your level of pain when you wake up along with the dosage of prednisone for that day.
Here's some treatment information that you might find helpful.
-- Polymyalgia rheumatica: An updated review:
https://www.ccjm.org/content/87/9/549
Are you able to get a referral to see a rheumatologist?