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PMR Taper and pain

Polymyalgia Rheumatica (PMR) | Last Active: May 30 12:19pm | Replies (63)

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@nancy53

How often do you take the 4 mg?

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Replies to "How often do you take the 4 mg?"

When I was at the 4 mg level I was taking it once a day before bedtime. The same applies now that I have been solidly at 1 mg and am very slowly moving towards a 1/2 mg dose. Actually, ever since I got below the 10 mg level I have taken my dose in the evening around 11:00 when I'm heading to bed. I do that because I learned years ago that inflammation peaks in the middle of the night around 3-4:00. Taking it before bed for me is most effective. although at times it really messed me up for sleeping. Now that I'm at such a low dose it isn't an issue any longer. When I was at higher doses I had to split my dose, 1/2 in the morning and 1/2 at night, because it seemed like my metabolism was burning up the dose too fast for it to last 24 hours.

I totally agree, trying to find a right lower pace and go from there. Sometimes I go up 1mg and I’m good until I’m not. Started at 14 mgs @ for 14 months now at 3.5 but going up a half mg and down as needed. Pain is my biggest deciding factor. Hang n there!