Taper Speed : I am down at 3,75 mg now feeling fine... - PMRGCAuk

PMRGCAuk

21,317 members40,425 posts

Taper Speed

Pirnilla profile image
7 Replies

I am down at 3,75 mg now feeling fine concerning my PMR pain. I have some fatigue, pain in my hip which the GP believe is artheritis and mood swings.

How fast would you say I should do my taper the next couple of months. Having these problems I get a bit eager to be totally free but I know that slow tapering is the only way to succeed.

Written by
Pirnilla profile image
Pirnilla
To view profiles and participate in discussions please or .
7 Replies
DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

Hi,

Considering you had to go back up to 5mg due to problems only 2 months ago - I would say as slowly as possible.

Can’t quite work out how much you reduce each time - looks like 1.25mg - is that correct? If so, I guess that’s because you are cutting a 5mg tablet into quarters. Can you not get 1mg tablets in Sweden?

If you can obtain 1mg tablets then they can be cut in half - which is what most do at this level. If you can only do 1.25mg a time then make the taper as slow as you can - either the DSNS version or I have an ultra long one for people with real difficulties or larger tablets.

Pirnilla profile image
Pirnilla in reply toDorsetLady

We can get capsules in 1 mg, not splitable and the smallest tablets are 2.5. So my next step could be from 3.75 to 3.5 or 3. I guess you are right, slow is the only way.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply toPirnilla

Yes, slow is the only way - it’s better for your PMR and for your adrenal glands - which is maybe what is causing the fatigue rather than the illness.

Personally I would go to 3.5mg rather than 3mg - 0.5mg might not sound at lot, but at these very low doses it sometimes the difference between success and failure. Some people find that even 0.25mg makes a difference.

If you can get a mixture of 1mg capsules and 2. 5mg tablets (cut as necessary to get 1.25mg as you have been) you can juggle them to get the best solution for you.

jinasc profile image
jinasc in reply toPirnilla

Dorset Lady has said it all.................0.5mg per month.

Request a Synacthen Test from your medics.

Ragnar in who lives in Sweden and devised the first slow taper plan always said, no rush.

GerriMc profile image
GerriMc

As slow as possible! I got down to 2 but struggling a bit then had a flare and had to go back to 5. I was down to 2 again and over the last couple of days, I’ve had the most awful headache and stiffness in my neck and shoulders. I’ve now gone back to 3 and at least the headache is better but I think I’d be more comfortable on 5 again. It’s so frustrating.

Let us know how you get on, and best of luck!

HeronNS profile image
HeronNS

As slow as it takes. The lower the slower. I''m currently in the midst of taking about three months to taper from 1.5 to 1, having taken that long to get from 2 to 1.5. This after several attempts to taper in similar small steps, but faster. I'm doing each step of the Dead Slow plan twice. It's over three years since I got to 3 mg from 15, which took about a year I think, I'd have to look it up. A year after that I was at 1.5 for the first time, but tried to hurry things up, and flared, and have been hovering around 2-2.5 most of the past two years.

PMRpro profile image
PMRproAmbassador

Plenty of people have been fine down to 1mg - but not at zero. Slow is the only way - and honesty thereafter about whether it us still there really.

Not what you're looking for?

You may also like...

taper question

hi-I came on a few weeks ago and wanted to get some advice and give an update. I had my dr...
Hwle profile image

Rapid Taper

My Rheumatologist wanted me to taper in 6 days from 20mg to 0 prednisone in order to reassess me...

Taper

So my rheumy had me bump up to 15 mg of pred (I've been at 4.5 for a couple of years) due to the...
Maggieart profile image

Taper failure :(

I apologise in advance for my pity party but I'm just feeling really low today. Weekly drops of 1mg...

prednisone taper

I finally got an appointment today with the rheumatologist-May 28th. In the meantime, I would like...
Aqua47 profile image

Moderation team

SophieMB profile image
SophieMBPartner

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.