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@tls4

It hit me a year ago July. (2022) 10 mg Prednisone was like magic! But as I tried to taper, once all the way down to 2.5, I would sometimes get flares due to physical or emotional stress and have to go back up. I was at 10 again this past October when GCA hit! 😭 So then had to go up to 60; now on 40. When tapering, you need to slow down the rate at which you taper when you get to about seven or 8 mg. And then once you go down to five and under, you need to do a “dead slow taper” for the best chance of not causing a flare. (Also to let your adrenals wake up.)

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Replies to "It hit me a year ago July. (2022) 10 mg Prednisone was like magic! But as..."

Thank-you for reminding people about the need for the adrenals to get up to speed. Adrenal function and PMR flares likely go hand in hand. At least this doctor from the UK thinks so.

https://drmyhill.co.uk/wiki/Polymyalgia_rheumatica_-_a_common_cause_of_shoulder_and_hip_problems

People tend to forget that the adrenals are the reason why a slow taper off prednisone is needed. How slow of a taper depends on how quickly the adrenals recover ...and if the adrenals recover. If the adrenals don't recover, some people need to take prednisone for the rest of their life.