Connect
← Return to The lowest effective dose, how is it defined?
Discussion
The lowest effective dose, how is it defined?
Polymyalgia Rheumatica (PMR) | Last Active: Oct 28, 2023 | Replies (56)Comment receiving replies
There are so many strategies to tapering. Tapering by one half mg works for me but grafually. I am at 8 mg right now for two weeks. Then I'll alternate between 7.5 and 8 for a week and then drop to 7. My problem has been tapering when I get below 5 mg. I think my pmr is in remission. I have developed some sort of inflammatory arthritis in my hands, possibly OA/cppd. I was at 2 mg and went back up to 10. My rhematologist wants me to take methotrexate but I am just too nervous about taking it.
Replies to "There are so many strategies to tapering. Tapering by one half mg works for me but..."
Connect
That's interesting @pmrsuzie
It seems like 5mg may be your lowest effective dose? Would it be best to sit on that dose for a while longer to stabilise things and take things more slowly, or did you kept reducing beyond that at the same rate? I'm wondering if there is a way to reduce the necessity of keeping going up and down.
Staying on that lowest effective dose would reduce the cumulative dose, at least. I'm hoping to learn from people who have tried different things, as you seem to have done. Was it your doctor who pushed you to keep reducing beyond 5mg, or did you decide on the reduction schedule yourself?