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Polymyalgia Rheumatica (PMR) | Last Active: Sep 10 12:05pm | Replies (1906)Comment receiving replies
Replies to "I was diagnosed in beginning of Dec 2022 after having experienced a few weeks of extreme..."
I am in a similar situation in some ways, though I have been on prednisone longer, since August 2021. 8 mgs is the dose where I know I still have the disease but I can function. On my way down to that dose from 20 mg, 10 was the lowest dose where I had no symptoms but there were more side effects like insomnia and heart rhythm issues. I have tried going lower and had 4 major flare-ups (unable to raise my arms and barely able to walk due to hip pain in the morning). At this point I do not believe it is worth it to try going lower until I feel better at 8 mg. From what I have read here everyone has a different experience and my advise is listen to your body and work with your doctor to find the best dose. Since I have been "stuck" at 8 mg for quite a while my doctor recommends that I add methotrexate to the prednisone in order to get to a lower dose.
Interesting post as I also have been dealing with AS (since 1972, give or take). Over those decades I managed the pain with exercise and meds. AS has run its course and most pain gone as many joints are fused. Luckily I am not bent over but cannot paint a ceiling or catch a pop fly ball to save myself.
You did not mention your SED Rate and CRP readings. My rheumatologist uses those to help determine best Pred doses and timing of tapers. Not sure I always buy into that science as there are times i’m hurting and he is disinclined to raise my dosage. Currently at 4mg and will start 2 in day and 2 in middle of night, as mentioned in postings. Then down to 3.5 in a week or two. Wishing you and others all the best.
Try this link https://www.mayoclinic.org/prednisone-withdrawal/expert-answers/faq-20057923