When taking prednisone is it best to split the dosage up?

Posted by mimewell @mimewell, 3 days ago

I was diagnosed 6 months ago. I am trying to taper off prednisone. I am currently taking 9 mg, trying to taper to 8mg. I started at 20 mg.
I am having a hard time going from 9 to 8. I am wondering if it is best to take the full dosage in the morning, or take half of the dose in the morning and the second half before bedtime.
Is it better to taper off in .5mg increments?

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What does your Dr recommend?
Are you pain free before you try and taper?
History shows me not to taper until pain free, can be up to 3-4 wks or more. It is individual.
In my case, I would split the dose, because I always split dose.
The other option is alternate between 9 one day and 8 the next, which will become 8.5.
Good luck

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You don't have to split your dose. In fact, it is usually recommended that you take the whole dose in the morning when you wake up.

I only split my dose because my pain was severe at 3 a.m. I took most (about 2/3) of my dose in the morning at 8 a,m. and 1/3 in the evening at 8 p.m . The smaller evening dose allowed me to sleep all night without pain. A good night of sleep is important. Waking up in pain in the middle of the night wasn't good.

If you aren't having severe pain that wakes you up in the middle of the night, there probably isn't a good reason to spit your dose. If the pain is severe at night you might try the split dose but consult your doctor first.

Your dose can be split in any proportion---whatever is convenient. For example, 3/4 in the morning and 1/4 in the evening might work too. The smaller proportion should be in the evening. I switched back to taking my dose all in the morning when I could sleep all night without pain.

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You don't have to split your dose. In fact, it is usually recommended that you take the whole dose in the morning when you wake up.

I only split my dose because my pain was severe at 3 a.m. I took most (about 2/3) of my dose in the morning at 8 a,m. and 1/3 in the evening at 8 p.m . The smaller evening dose allowed me to sleep all night without pain. A good night of sleep is important. Waking up in pain in the middle of the night wasn't good.

If you aren't having severe pain that wakes you up in the middle of the night, there probably isn't a good reason to spit your dose. If the pain is severe at night you might try the split dose but consult your doctor first.

Your dose can be split in any proportion---whatever is convenient. For example, 3/4 in the morning and 1/4 in the evening might work too. The smaller proportion should be in the evening. I switched back to taking my dose all in the morning when I could sleep all night without pain.

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I too split my daily dose. 15-20% with dinner and the rest in the morning. I was having morning pain until I split the dose. My Rhm is OK with the split dose. I started at 22.5 mg/day and am now down to 15 mg/day. So far, no pain or insomnia.

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