← Return to Do I have polymyalgia rheumatica?

Discussion

Do I have polymyalgia rheumatica?

Polymyalgia Rheumatica (PMR) | Last Active: Aug 5, 2023 | Replies (48)

Comment receiving replies
@emo

It can take a few days, but if you're not experiencing full relief and are on a lower dose, I'd consider talking to your doctor and asking about increasing the dose. I know you mentioned your dose before, but can't remember what you started on... I think my dad started on 20 mg and ultimately had to go to 30 mg. The goal is to quash the inflammation (if you're positive for inflammatory markers) and almost all the pain, be stable for a while and then start a taper that hopefully keeps you mostly stable. If those dose isn't high enough, it may be harder for you to get to that point.

This is where my dad's rheumatologist says sorting it out can be "more of an art than a science." I think she means it's more like following what your body is saying... And then I tell her: "But that's the problem; I don't always understand what it's telling me to do..." >_<

There are a few people here in the group who've found splitting the dose helps them. That didn't work for my dad, because the prednisone really affected his sleep, so he has to take it all in the morning.

Jump to this post


Replies to "It can take a few days, but if you're not experiencing full relief and are on..."

Thanks so much, emo -- your info is helpful and reassuring! My doc has started me on only 15mg, all to be taken in the morning. I'll wait a few days and see how things progress, and then if I don't see much improvement, give him a call to see if my dose needs to be raised. I also have a muscle relaxant to take before bed, but I didn't take it last night, which is likely why I didn't sleep well and ended up with more pain this morning.

I don't think splitting the dose would work for me either. It doesn't take much to throw off my sleep cycle, and I've suffered from insomnia in the past, due to anxiety/depression issues. Not being able to sleep just makes me feel ten times worse about everything, so I will stick to a morning dose for the prednisone.

Thanks again!