← Return to New PMR patient, wondering if mornings will become pain free someday

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@jj8431

Hi, in regards to ever being pain free, it can happen. I know everyone has a different experience, but in my case, I am pain free and I swear it is due to the split dose. It only makes sense. Prednisone only stays in your system for 16-22 hours and then it wears off. So if you are taking it at 7am or 8 am, it is going to wear off in the middle of the night. In my case, that pain woke me up, some folks sleep through it I guess, but some wake up in the morning with the pain. You feel like you did on day one, (I know this because once I forgot to take my evening dose). It takes about 2 hrs for the morning dose of Prednisone to kick in, it is about midday until you feel great...and then the cycle repeats. That is why the split dose works for me.... I have Prednisone in my system around the clock, no breakthrough pain, sleep great, feel great (except the sweating side effect), lots of energy but no pain. So yes, you can be pain free, hopefully, maybe just need to find the right balance of how you are taking Prednisone.
I don't claim to know everything and I could be missing something but I don't understand why everyone is not prescribed a split dose, knowing that the half-life of prednisone is limited and it does not stay in the system a full 24 hrs, allowing it to wear off with return of the inflammatory symtoms. It seems like it is defeating the purpose. I know that the single dose does work for some people, everyone is different. Oh well, I am just glad I found something that worked for me.
Wishing you luck, hope you find comfort.
P.S. I took 20, split 10-10, then 15, split 10-5, now on 10, split 5-5, So far so good.....

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Replies to "Hi, in regards to ever being pain free, it can happen. I know everyone has a..."

Thanks for that great insight into dosage timing. I wake up too early ( but remain pain free) cuz I think the nighttime pill kicks in to the point of slight jitters which maybe causes wakefulness ( although not noticeable when laying there, just awake). I may try a 4pm move and later test a 10pm one.
Ted

Like you I did the split dose until this last flare. Getting down to 2 mg was a toss up whether to taper the morn or eve dose. At one point an on call rheumatologist I talked to immediately told me to take my entire dose in the morning, it was better to "knock out all the inflammation at once". Looking at it that way kinda made sense to me so with this last flare I am taking the entire dose in the morning. I am at 7mg and doing okay.
suzanne