Have I reduced too soon?

[Decsgran]

I have been on 15mg Pred for three weeks following PMmR diagnosis. GP has reduced dose at end of the three weeks to 12.5mg and am now on my third day at that level. I have now got some stiffness back in neck and legs today feel a bit achy and weak.

[PMRpro Ambassador]

I would say it was too soon - you really need at least 4 weeks at the starting dose. But this reducing after 3 weeks seems to be a new craze.

[Supame3 in reply to PMRpro]

I was diagnosed with PMR a couple of months ago and was put on 15mg for 3 weeks. I asked to stay on for an extra week as I have read that GPs encourage a quick reduction. I got down ok to 12.5 but on the next reduction after 3 weeks to

10 mg I have started having symptoms again and have had to go back to 12.5. Just beginning to settle again. This GP says now stay at this level for another 4 weeks. Definitely slowly seems the message. Sue

[PMRpro Ambassador in reply to Supame3]

And now try 1mg at a time - 10mg isn't enough, but 10.5 could be!

All the guidelines these days say to reduce from 15 to 10 in 4-8 weeks - trouble is, they take that as a suggestion you can do it with a short gap between drops. The other trouble is that it very rarely works! Great if it does but ...

[DorsetLady PMRGCAuk volunteer]

More than likely...and ditto to PMRpro’s comments.