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When and How to Taper Prednisone

Polymyalgia Rheumatica (PMR) | Last Active: Sep 20, 2023 | Replies (39)

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@barbsnow

If I understand correctly, Prednisone does nothing to cure PMR or make it go away. I'm 78, just starting to deal with Predisone on a continuing basis, and want to take the least amount possible due to its problematic side effects. My doctor has been very supportive of minimizing the Prednisone so I'm starting with 10 mg and tapering week by week, but taking it back up if I need to due to pain. I have also committed to following an anti-inflammatory diet and exercising. (When I was in such pain I would have committed to living the rest of my life on bread and water and running a daily marathon) I hope I can keep this commitment now that I'm feeling better. Do others find a good diet and exercise help as you taper? And what about taking daily doses of Ex-Strength Tylenol to help manage the pain (and keep Prednisone levels as low as possible).

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Replies to "If I understand correctly, Prednisone does nothing to cure PMR or make it go away. I'm..."

Hi @barbsnow, Not sure I could have made it through my 2 occurrences of PMR without prednisone but I made some major lifestyle changes when my PMR came out remission after 6 years and it really helped me to taper off of prednisone quicker, one and a half years vs three and a half years the first time. Here's some information that may help:

--- Polymyalgia Rheumatica Diet: Do's and Don'ts: https://www.healthline.com/health/polymyalgia-rheumatica-diet

Tylenol never helped me unless I had a headache but others may have a different experience.

Tylenol helps me a great deal on bad days. I try not to take too much of it. And yes exercise is important. I have to say it is hard to make my butt move some days. Fatigue and pain but I feel better overall if I do. Also changed my diet but I haven’t completely eliminated all the “bad stuff,”. Had a chocolate Sunday last night.