Had PMR for approx 6 years. Advice on dose of p... - PMRGCAuk

PMRGCAuk

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Had PMR for approx 6 years. Advice on dose of pred for acute flare up: was on 15mg for flare up but as soon as I reduced symptoms back

sheffie21 profile image
8 Replies

on Pred for 6 years: got down to 4mg but symptoms come back. Recently( 2 months ago) was put on 15 mg as bad flare up. Dr didnt see me but phone consultation( due to Covid) so no bloods done. Did improve alot but as soon as I started to decrease as recommended problem returns quite badly.

Any suggestions: so fed up

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sheffie21 profile image
sheffie21
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8 Replies
DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

Hi,

A few questions please -

What reducing plan were you given?

At what dose did the symptoms come back?

What dose are you on now?

Did you become more active because you felt better at 15mg?

ChinaWuntoo profile image
ChinaWuntoo

Why no bloods? In UK. My GP is sending the request forms through the post (spoke yesterday) and I expect to get them done as I have several times in last 8 months.

sheffie21 profile image
sheffie21

thanks for replies. reducing plan was reduce by 3mg after 3 weeks, then repeat every 3 weks by reducing by 3mg. Symptoms returned as soon as I went onto 12mg after the 3 weeks of 15mg. So tempted to go back up to 15mg. More active? Yes I guess a little more when I felt better but on the whole I am pretty inactive due to bad knees and Osteoarthritis.

I thought it was daft not calling me in for bloods: reason was unsafe/covid etc! Joke is I had been in that week for a flu jab! I am sure if i follow protocol with mask etc it should be fine!

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply tosheffie21

My GP isn't doing run of the mill blood tests apparently- unless you are diabetic or similar!

I guess the issue is the possibility/actuality of path lab being overwhelmed - so maybe it has come down from hospital rather than GP's decision.

What dose at moment? Maybe a couple of weeks at 15mg, then reduce more slowly - 1mg a time, not 3!

PMRpro profile image
PMRproAmbassador

Ditto to DorsetLady's questions - need to know to make a sensible answer.

Plus - did you flare while reducing? Or had you been at the dose for a while?

piglette profile image
piglette

I have been able to get bloods dine, but last Friday the nurse tried to get blood out of me and failed. She came back on Tuesday and failed again. Trying again next Friday.

sheffie21 profile image
sheffie21

Ys flared up while reducing, but before 15 mg prescription was on 8mg for ages

PMRpro profile image
PMRproAmbassador in reply tosheffie21

Then it sounds like an increase in the disease activity - and that probably means you have to reduce from 15mg as if it were a new diagnosis. Have you been under extra stress recently or had an infection/accident? I think you probably need to reduce just 1mg at a time and be patient, waiting for the disease activity to wane a bit.

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