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When and How to Taper Prednisone

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

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@megz

I was exactly where you're at, having started on prednisolone in April. I felt the urgency of getting off it as quickly as possible and single-mindedly followed the directive to reduce to the lowest effective dose in the shortest possible time.

That didn't go so well. I got down to 9mg in half the time generally taken and that seemed to be going well...till 8mg. The morning pain increased noticeably, not too bad, but enough that I knew I had to stop reducing so fast or a flare was coming.

I now see the folly of pushing the ailment itself beyond it's own time course. Going faster with the taper doesn't make it go away faster. It just invites a flare which means an increase in dose to get pain and inflammation under control again. Then the reduction has to be done again, more time. In the end, rushing can mean we'll be on the 'roids longer.

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Replies to "I was exactly where you're at, having started on prednisolone in April. I felt the urgency..."

Ugh! that is what I was afraid of, making it worse, and causing a longer time on Prednisone than needed. I guess I am just not happy with my doc saying that I would be on the 10mg for the next 2 months, that seems too long, especially when the other two reductions were at one month. I feel like progress is being stalled. I don't know, maybe it is not uncommon to stay on a dosage for two months while on a taper schedule. Thanks for your insight.