Immediate tapering after 7 day increase of Pred

[MrsPractical]

would just like to know how quick I can get back down to 1.5 mg of Pred after being on 6.5 for 7 days.

Thanks

[DorsetLady PMRGCAuk volunteer]

If you have been treating a flare you can drop back down with no issue -have a look at this link -

healthunlocked.com/pmrgcauk...

- but sometimes it’s sensible to try just above the dose that caused the issue - so in your case 2mg rather than 1,5mg.

However if increase was the sick days rules protocol , then dropping to 1.5mg should be okay.

[MrsPractical in reply to DorsetLady]

Thank you. It was just a trial to see if problem with knees would be improved. No improvement whatsoever. I have now been referred to rheumatologist, but will no doubt have long wait. Thank you again.

[DorsetLady PMRGCAuk volunteer in reply to MrsPractical]

Okay - that should be fine then… knees could be osteoarthritis- have you tried usual topical gels on them… although you wouldn’t always expect both to be affected at same time in the same way .. but sometimes we have to do our own trials… as you have😊.

What about hips and lower back? Sometimes can have knock on effect on knees…

[MrsPractical in reply to DorsetLady]

Back and hips ok and shoulder girdle apart from odd twinges I can expect with age. Last physio I saw thought it was referred pain from hip arthritis but no suggestion of X-ray ./scan. Just exercises which I do every day to keep as mobile as possible. Thank you

[DorsetLady PMRGCAuk volunteer in reply to MrsPractical]

Might be worth requesting X-ray

[PMRpro Ambassador]

As DL says - you can go straight back if it did nothing to help.

[MrsPractical in reply to PMRpro]

Thanks