Shielding

[Maggie69]

Hi there sorry haven't been on lately 🙈but as from the 11/1/21 I gave had to shield. possibly until 5/3/21 but it's just I used to take my 6mgs of prednisone at 6pm then 2mgs at 3-30am ( I'm on 8mgs at min and I'm a nurse who works Nite duty hence taking it at 6pm when I woke up (just wondering how to change my times as I'm not at work at the min hope you can understand my post and TIA 😘😘😘

[DorsetLady PMRGCAuk volunteer]

Hi, Sorry for delay, there’s seems to be an issue with notifications - again.

You could try moving the 2mg to late evening - ie. before your ‘new’ bedtime - and the 6mg to mornings.

It might be a bit of trial and error, and a few days of body adjusting to new dose.

[Maggie69 in reply to DorsetLady]

Hi there do you think I shouldn't have any at 3.30am then xxx thank you for getting back to me xx

[DorsetLady PMRGCAuk volunteer in reply to Maggie69]

Well if you’re going to be off work for next few weeks I would try and get into new daily routine, so you feel better in daytime.

A small amount before you go to bed will help first thing in morning...and the bulk will see you through the day.

Under normal circumstances when splitting dose it’s 1/3rd bedtime, 2/3rd breakfast....so I was suggesting you follow that type of regime.

But as I said ...maybe a bit of trial & error. Never been in your situation, so it’s best guess really,

[Maggie69 in reply to DorsetLady]

Thank you 🙏 really appreciate your help xx

[PMRpro Ambassador]

If you are adjusting the dose don't worry about having two doses a bit closer together to shift - you'll just have an extra good day! I might try the 6pm dose followed by a bit before bed and then the bigger dose in the morning - if you see what I mean

[Maggie69 in reply to PMRpro]

Thank you xxx

[Maggie69 in reply to PMRpro]

Oops, sorry a bit stupid do you mean when I go back to work I work from 8pm -8am Nite duty should.i take 6mgs when I waken at 6pm and then other 2mgs maybe at midnight instead of 3.30am sorry for all the questions xxxx

[Gellybabie]

Hi, im no expert ! But i was taking 10mil daily usually when i got up around 7am. I decided to take 5mil @7am and 5mil at 7pm so it covered the 24 hours. Everything changed for the better , i was 95% pain free 😊 ive been doing this since June and haven't looked back. I was waking up in pain stiff and taking a while to get going , thats why i i thought the second dose would take me through the night and a better start in the morning . Im sure you'll get the correct advice on this great site 😊 Good luck

[Maggie69 in reply to Gellybabie]

Thank you xxx

[Gellybabie in reply to Maggie69]

Hi Maggie, I had no idea if this was the thing to do , i just had a “lightbulb moment,” i hadn't read it anywhere and hadn't run it past the professional’s , it was a desperate move to try to get back to the old me !! 😉

[PMRpro Ambassador in reply to Gellybabie]

We often suggest it when it appears the effect isn't lasting the full 24 hours. There are a few doctors who approve too, especially at doses above the adrenal threshold. But even then, splitting won;t hurt the return f adrenal functuon provided you take the second dose as early in the day as you can. A very low steroid level in the blood at midnight is what triggers the next morning's cortisol.

[Maggie69 in reply to PMRpro]

Thank you xxxx