← Return to The lowest effective dose, how is it defined?

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@megz

Yes Vellen, if I'd gone with the slow taper schedule handed to me at the start, I would have been due to drop to 9mg a few days ago rather than to 8mg a month ago as I did. The plan for me to be on prednisolone for up to 2 years, which I did not know till after I had started on it, shocked me and I wanted to do better than that. So I took the directive to reduce to the lowest effective dose in the shortest possible time literally and acted on it.

This is the taper I did and the length of time I stayed on each dose:
15mg - 8 days
12.5mg - 9 days
11.5mg - 10 days
(These first 3 reductions were done quickly because I knew there was a 2-3wk window in the beginning when fairly big reductions could be done without adverse effects)
10mg - 9 days
9mg - 10 days
8mg - been on it for 5 weeks so far

I had slight pain after each reduction which resolved within a week. Sometimes I see-sawed back and forth from the original and new doses a couple of times (in the first few days only) to soften the reduction. It seemed to work.

In hindsight, I should definitely have slowed reductions after the first few weeks of pushing it and especially after reaching 10mg. Dilemma: But how can you know what the lowest effective dose is unless you get breakthrough pain?

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Replies to "Yes Vellen, if I'd gone with the slow taper schedule handed to me at the start,..."

I think you have to set your own pain scale for when the dose is not working like it has in the past. For me, when tracking my pain level 0 to 10, if it was greater than 2 (pretty subjective on my part), I didn't taper down to my next lower level and sometimes went back up half of my previous taper so that I had still made some progress with tapering.