Dead Slow Nearly Stop chart.

[Mstiles]

Hello all,

Quite awhile ago someone sent me a great chart showing this method that I could print out.

I can’t seem to wrap my head around just a verbal version, I.e., “one day new dose, 2 days old dose” etc.

what happens the rest of the days of the week? Is the new dose spaced out during the week?

Sorry if I’m being dense.

[DorsetLady PMRGCAuk volunteer]

I sent you my slow taper some time ago - will send PDF document which might be easier for you to understand.

[PMRpro Ambassador]

It has nothing to do with weeks. It works on days. You don't have to think about spacing the old and new days, it is done for you.

As an example: Get a calendar and a highlighter pen. On the 1st of the month take the new, lower dose and colour that day. For the next 5 days (2nd, 3rd, 4th, 5th, 6th) take the old dose. On the 7th take the new, lower dose - and colour that day. For the next 4 days take the old dose. Continue like that, one day new dose, one day less of the old dose until you get to alternate days old and new. Then increase the number of days with the new dose in the reverse action.

If you get to every day the new lower dose before the end of the month - just mark time. And start with the next reduction on the 1st of the following month.

[Hidden]

It is not a weekly thing. The whole premise of dsns is to ease your body into accepting a lower dose across a number of days. The reduction recommended by drs from say 10mg to 9mg is expected to occur overnight. The body sometimes rejects that and you get severe withdrawal and a potential flare. By easing your body into a lower dose over 28 days....it doesn't get the same shock. It's a bit like you diving into a pool of ice cold water, versus dipping your toe, ankle, knee etc in getting used to the cold. A sudden submersion hurts and has your body gasping. Putting your toe in the water gets you used to the cold and lessens the gasp.

This was my taper plan....

So at 10mg, the new dose is 9mg. The actual days if the week don't matter.

Day1 9mg (new)

Day2 10mg (old)

Day3 10mg

Day4 10mg

Day5 10mg

Day6 10mg

Day7 10mg

Day8 9mg

Day9 10mg

Day10 10mg

Day11 10mg

Day12 10mg

Day13 10mg

Day14 9mg

Day15 10mg

Day16 10mg

Day17 10mg

Day18 10mg

Day19 9mg

Day20 10mg

Day21 10mg

Day22 10mg

Day23 9mg

Day24 10mg

Day25 10mg

Day26 9mg

Day27 10mg

Day28 9mg

Day29 9mg

Day30 9mg

Day31 9mg

Then I would stay a week or two at the 9mg to make sure it was sticking.

[DorsetLady PMRGCAuk volunteer in reply to Hidden]

Mine is based on weeks on because I found that easier to set out on the computer - but the end result is the same - hopefully a successful taper.

[Paulamac77]

Using the DSNS method I reduced my steroid doses down to zero. That was a year ago. It worked and - fingers crossed of course - no relapses. I could not have done it without this method. I had a simple spreadsheet, which I updated monthly, so I knew what to take on any particular date but do whatever you find easiest. Go for it, the support from the wonderfully helpful members of this group is invaluable.

[Mstiles in reply to Paulamac77]

Congratulations on your success.

[Paulamac77 in reply to Mstiles]

Thank you. I wish you every success too.