Tons o tablets.: I am on 4mg pred but my pharmacy... - PMRGCAuk

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Tons o tablets.

teesher profile image
32 Replies

I am on 4mg pred but my pharmacy only ever has 1mg tablets so I have to take 4 tablets a day, meaning that one box only lasts a week. I have asked for 2mg but they never have them. Anyone else had this slightly silly problem?

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teesher profile image
teesher
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32 Replies
Soraya_PMR profile image
Soraya_PMR

There is no 2mg tablet.

1mg, 2.5mg, 5mg, 10mg, 20mg and I think there may be a 25mg.

They’re cheap as chips, so providing your prescription is easily obtained, no worries. You’re stuck with 4 tablets I’m afraid.....until you reduce to 3.5, then you’ll need a pill cutter (assuming they’re plain pred and not E.C.)

Soraya_PMR profile image
Soraya_PMR in reply toSoraya_PMR

I’ll correct myself slightly.....

Modified release may come as a 2mg (Lodotra) but you did say ‘pred’ so assume you’re not referring to that.

teesher profile image
teesher in reply toSoraya_PMR

Yep, plain pred. Never heard of a pill cutter but will ask when needed. Thank you.

Chrob profile image
Chrob in reply toteesher

I plan on splitting a 5 = 2.5 plus a 1 when I get to 3.5 I use a sharp knife and a quick bash .

in reply toChrob

A pill cutter a couple of quid and catcges bith halves. If i could hold pill and knife to cut it it would undoubtedly fly off! At least i know it wouldnt hurt the dog if she ate a wayward half. 🐕

Chrob profile image
Chrob in reply to

The pill cutter I bought didn’t work to good for me , a neighbour covers his in cling film before bashing them ,not tried that but neither of us has 🐶🐱to think about at the moment . Just thinking about my old cat ,he had me fully trained on offering him the choicest cuts .

in reply toChrob

My dog was on pred a few years ago. Presume the same but could have filler thats poison.

Got to say that the cutter i got is great. A littlr oval box that has V shaped rubber grip that holds pill you close the box and it cuts perfectly in half and collects the two halves. Simples.

Chrob profile image
Chrob in reply to

I think the pill cutter I bought I was red and round and no rubber so maybe that’s why I didn’t get on with it . Now I just put on small wooden board put knife across middle bash with left hand . Will probably look for oval box .

in reply toChrob

I got mine off amazon i think. Its made by apex care inc. I am in uk.

borednow profile image
borednow in reply to

Well that was interesting. Powered on by your message, I went on to Amazon, put in pill cutters and was met with lots of adverts for Viagra!!! Going for a lie down now .......

in reply toborednow

😂😂😂👍💤💤💤

in reply to

That's a thumb by the way 😂

Hollyseden profile image
Hollyseden in reply to

Sounds like my pillcutter. £2 for 2 online, free p+p too haha. Works a treat

tgca profile image
tgca in reply to

I tend to cut mine carefully with a knife as my pill cutter is less accurate!

fren profile image
fren in reply to

Have been cutting the 5mg into 2 1/2mg but find my pill cutter makes uneven halves. Was going with using larger bits for seven days; then the smaller halves, seven days. Following this flare I intend to reduce more slowly so will take large then small alternate days for much longer.

I tried cutting 1mg tabs but ended up with dust.

Plan to pursue PMRpro's idea of asking pharmacist to make 1/2mg capsules if I ever get down to 2mg again.

in reply tofren

I think I must have made a lucky purchase... cuts great

fren profile image
fren in reply to

My cutter was given to me by Pharmacist which could explain things. I think I should try Amazon!

My 1mg tabs do not have a half line - do yours?

in reply tofren

No just flat surface. It's looks like the blade is super sharp and has a plastic sheet over it so it doesn't shatter the pill.

fren profile image
fren in reply to

Found and ordered, should arrive Thursday.

Thanks Poopadoop.

Seabyrd profile image
Seabyrd in reply toSoraya_PMR

Yep.. my rheumy gives me 100 X 1mg that way I have plenty and they are cheap I also had her give me 100 X 2.5 to make it easy.. haven't had to cut any yet... they are so small. I wonder if when I get down to 1.5mg if it would be the same to take 1mg one day and 2mg the next and so on.. I normally reduce that way but wonder if that would work being such a low dose..I am currently on 2.5 mg and will be here for awhile its been 2 weeks and so far so good...but I know it gets tougher... this has been a very very long slow trip but going slow is the answer for me I don't want to have to go way back up if things get rough by reducing too quickly...my goal is to be off this stuff by the end of the year. I have had huge success reducing very slowly and changing dose to old dose every other day for the first 2 weeks of reduction and of course the lower dose on the other day and I have never had to increase. I find it a great solution for reducing painlessly.

PMRpro profile image
PMRproAmbassador

Where are you? In the USA Medrol comes in a 2mg tablet. Lodotra/Rayos also comes as a 2mg tablet but it isn't available in the UK as it is very expensive compared to plain pred.

So 1mg tablets it has to be for below 5mg if you are on plain white uncoated pred.

teesher profile image
teesher in reply toPMRpro

Hi, I'm in UK. Plain white uncoated it is.. Many thanks.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

Hi,

What do you have written on prescription? Dr should write 4mg per day or similar then pharmacy should dispense enough, I.e. 4 boxes of 28 tabs @1mg. Having to get a prescription every week is nonsense!

Pill cutters from Boots, (other chemists are available) only a couple of £s, and if you line up tablet correctly with a firm push - voila - 2 (almost) perfect halves!

Telian profile image
Telian

Me too, not heard of 2mg so keep with the boxes and boxes of 1mgs, I'm currently on 3mg daily, there is a 2.5mg if you get to that stage!

Joydeck profile image
Joydeck

Here is a cheap alternative using scales and a weekly pill box.

I have just ordered from eBay, for A$11.69, scales that weigh to the nearest 1 mg. Since a 5 mg prednisolone tablet weighs a little over 50 mg, I will soon be able weigh fragments of these tablets to a precision of almost 0.1 mg of prednisolone: precise enough to taper down to zero by 0.5 mg intervals.

NWFiona profile image
NWFiona

Hi Teesher,

Yes, it is annoying that there are no 2mg tabs! I have just bought a pill cutter from eBay - works really well & keeps it in the box!

ebay.co.uk/itm/152829478895

Hope this is the link?!

All the best 😊

NWFiona profile image
NWFiona

Teesher - That isn't quite the link I meant, but it is the Aculife pill splitter with storage compartment 😊

GCA1947 profile image
GCA1947

Hi teesher

I similarly have the problem with 1 mg tablets not getting enough on the prescription so I asked the Pharmacy attached to my Surgery to increase the numbers 1 mg tablets and gave the following detail of my doses and reductions

My table below shows the doses affected by the phenomena

9.5 mg 1 x 5 mg, 2 x 1 mg & 1 x 2.5 mg lasts for 28 days

9.0 mg 1 x 5 mg + 4 x 1 mg 14.0 days

8.5 mg 1 x 5 mg, 1 x 1 mg & 1 x 2.5 mg 56 days

8.0 mg 1 x 5 mg + 3 x 1 mg 18.6 days

7.5 mg 1 x 5 mg + 1 x 2.5 mg Not applicable

7 mg 1 x 5 mg + 2 x 1 mg 28.0 days

6.5 mg 4 x 1 mg + 1 x 2.5 mg 14 days

6 mg 1 x 5 mg + 1 x 1 mg 56.0 days

5.5 mg 1 x 2.5 mg + 3 x 1 mg 18.6 days

5 mg 1 x 5 mg Not applicable

The 2.5 mg tablet is very usefull

I have not managed to get down to .5 mg so haven't had the problem of cutting a 1 mg in two. I have several pill cutters inherited from my wife and when I've tried even with a larger pill I've ended with a reasonable sized half and fingerfull of crumbs. Last flare happened at 3.5 mg and I'm on the way down again from 15 mg and started 7.5 mg on 04/02/18 when C R P was at 8. There is a 25 mg tablet. I started on them in 2014 when I was on 60 mg tabs a day (2 x 25 & 1 x 10) which went on for a month.

Regards

Colin

Joydeck profile image
Joydeck in reply toGCA1947

Seeing your tablet listing, I'm inclined to think weighing the fragments - and swallowing a single fragment - is easier.

Incidentally, my tablets rarely disintegrate on splitting by hand.

GCA1947 profile image
GCA1947

Hi teesher

Previous post to you cut off by unknown so when I finally managed to get back into it to finish it off I lost the reply button. so I'll stop this one and try to edit the one that's been posted. Don't want you miss my glorious prose.

Regards

Colin

Nannie-C profile image
Nannie-C

My Dr happily gives me 100 x 5, 2.5and 1mgs tabs. That way always have plenty to lower dose easily by 0.5mgs. Also have a pill cutter which is great

PMRpro profile image
PMRproAmbassador in reply toNannie-C

They aren't enteric coated tablets are they? Or is it a mixture? I didn't know you can get 2.5mg ordinary pred.

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