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PMR Dosages and Managing Symptoms

Polymyalgia Rheumatica (PMR) | Last Active: Jul 27 8:00am | Replies (468)

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@napapos

Chzuck,
I am currently on 5mg per day taking it in the morning. I have taken it your way, am/pm, and now I am taking 7.5 mg meloxicam in the pm to ward of night pain. My prednisone seems to wear off quickly. Maybe just me.
5 mg is not doing the trick. Will discuss next Wednesday with rheumatologist. Hope you get it worked out.
I have the same thin skin issue on my arms but I don’t believe it is caused by the prednisone. I had it long before I started prednisone for my PMR.
Blessings

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Replies to "Chzuck, I am currently on 5mg per day taking it in the morning. I have taken..."

Hi @napapos, I hope you don't mind but I thought I would reply to your private message in the discussion where you posted about discussing your prednisone dosage at your upcoming appointment with the rheumatologist. I think others will be interested in your update also.

*********** Update from @napapos ***********
So now I am 4 months in since diagnosis.
On 4-27-23 doctor put me on 10 mg pred for 2 weeks, 7.5 mg for two weeks, then 5 mg for four weeks. On 6-22-23, 7.5 for two weeks, then 5 mg for four weeks. My PMR pain level was at 8 in the beginning . Within a few days pain was at 2-3/10. I am on my third taper but he want me to stay on the 5 mg for three months, no taper, side dressing with 7.5 mg meloxicam in the pm per follow up appointment on 8-30-23 . Surprisingly my pain level is stable at 1.5-2.5/10 during the day. Mornings are around 3-4/10. No more Advil. Three 650mg Tylenol three times a day. Hand stiffness is a little better but can’t hope for much with the osteoarthritis. I am using hand tension grippers daily at about 60 reps. Will let you know later if I feel they are helpful or harmful. Today, 9-1-23 was the first day of my garden activity in over two weeks. I am eating an anti inflammatory diet, lots of fish and veggies, no processed foods and little sugar. I think it helps. I just pray tomorrow is not payback time. Wishing everyone wellness and blessings.
***********************

It sounds like you are doing really good with the activity and anti-inflammatory diet. Eliminating most of my sugar intake was really helpful for me as well. Did I read correctly that you are taking nine 650mg Tylenol a day (three 650mg capsules three times a day)?
That adds up to 5850mg daily dose which is much higher than recommended unless you have discussed it with your doctor.

Here is some information on the topic:
"Tylenol is relatively safe when you take the recommended dose. In general, adults can take between 650 milligrams (mg) and 1,000 mg of acetaminophen every 4 to 6 hours. The FDA recommends that an adult shouldn't take more than 3,000 mg of acetaminophen per day unless directed otherwise by their healthcare professional."
--- Is It Dangerous to Take Too Much Tylenol?
https://www.healthline.com/health/can-tylenol-kill-you
I only took Tylenol once in awhile when my PMR was active and mostly for headaches. Have you discussed your Tylenol use with your doctor or rheumatologist?