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The lowest effective dose, how is it defined?
Polymyalgia Rheumatica (PMR) | Last Active: Oct 28, 2023 | Replies (56)Comment receiving replies
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.
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I would certainly be very deflated by the idea of increasing back to the previous dose again. It would feel like a backward step, so a halfway increase may help, psychologically most of all.
The new dilemma is whether to settle for some level of morning pain from now on or to hold to the plan of being painfree as I reduce, apart from minor short term pain on each reduction which I can accept. Is ongoing morning pain (even if at tolerable levels) inevitable? At this stage, I hope not.
So many dilemmas. Thank you all for listening and offering helpful advice and experiences. I really appreciate having found this forum to help wade through the process.