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@rsfcowgirl

I use the Medrol dose pak too. But I cut it in half and take half the descending dose. Works like a charm for me. Prednisone is sl different from methylprednisolone (Medrol Dosepack). They result in different side effects, if any are going to occur. I can't tolerate Prednisone but can tolerate Decadron and methylprednisolone well at low doses. And I get the same desired effect at half doses. One size does not fit all pharmacologically.
Sorry you didn't tolerate methylprednisolone. If you ever need it again, you might mention to your prescriber that you'd like to try a half dose. They should be agreeable based on your experience.

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Replies to "I use the Medrol dose pak too. But I cut it in half and take half..."

Can you please explain " half the depending dose" ? Do you mean you just cut each 4 mg pill in half and discard rest? Or do you extend the taper as well -- half doses, twice as long ?