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PMR Dosages and Managing Symptoms

Polymyalgia Rheumatica (PMR) | Last Active: Jan 6 12:05pm | Replies (442)

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@richardab

I'm tapering from 15 to 7.5 mg daily. The bodily aches have greatky increased as I do so. This a.m., I started taking a Gabepentin and will do so at night also. I also took aspirin and the aches have subsided. I'm seeing a new rheumatologist but not until March so I'm lacking that support now. I also think I might have other autoimmune issues. I do have Atypical (Smoldering) Myeloma, not sure how that affects the PMR.

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Replies to "I'm tapering from 15 to 7.5 mg daily. The bodily aches have greatky increased as I..."

Do you mean you went from 15 mg down to 7.5 in one taper? That might be too much too fast? For both of my occurrences, once I got down to the 15 to 10 range, I used smaller tapers and kept a daily pain log. If my pain level was higher than 2, I increased the dose to half of what I previously tapered to see if I still had the pain the next day.

An increase in pain is a cause for concern. Your reduction from 15mg to 7,5mg does sound precipitate and may be much too sudden. In my own experience the pain of PMR has remained reasonably constant, over a ‘taper’ from 15mg daily a year ago to the current 3mg daily. Bearable pain but not disabling, once things get moving in the morning. No spectacular cure, no major relapses. Though you do have other problems, a return to a more effective level of Pred, with a slower reduction may be advisable.