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Morning misery: Is prednisone effective 24 hrs? PMR and hands

Polymyalgia Rheumatica (PMR) | Last Active: Dec 15, 2023 | Replies (58)
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@art43

My experience has been that the appropriate dose has kept me pain-free for 24/7. I started on 20 five weeks ago. After 4 days, still in a lot of pain, so doc bumped me up to 30. No more pain, ever. After 2 weeks, tapered to 25. No pain. After two more weeks, tapered to 20. Still no pain. The key to no pain seems to be availability of your dosage doc to review and adjust dose timely as might be needed, and not based on some arbitrary appointment date (e.g., 4 weeks) in the future.

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Replies to "My experience has been that the appropriate dose has kept me pain-free for 24/7. I started..."
megz | @megz | Nov 1, 2023

I totally agree that we need our doctor available to review medication dose and symptoms in a timely way. My newly qualified doctor suggested a rheumatologist referral, saying she may not have enough experience to manage PMR, but the nearest rheumatologist is over an hour's drive away and appointments are too far apart, when it suits them, not me.

So I stayed with her because she's available and flexible in her treatment. We have monthly appointments to review the previous month and work out the following month's plan together, with me contributing ideas and experiences from this forum. (Thank you everyone here!)

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