Your advice is always valued..

[Herman99]

Dear forum, I have been sitting on 3mg of prednisilone since December 2020 after a slow taper. Everything was fine until my second AZ jab in May. Since then pain has been creeping in to the point I cant raise my arms and when turning in bed I wake up with the pain. After taking my 3mg dose in the morning I get some respite but still not enough to allow me to move freely. Should I add 5 mg to my current dose for 3 days and then drop straight down to 3.5mg on the fourth day and continue with this as my daily dose. I am very disheartened as I was doing great untill my second vaccination. Your help is greatly appreciated..

[DorsetLady PMRGCAuk volunteer]

Hi, Sorry to hear this, but you are not alone in having a flare after a vaccine.

Personally I would be inclined to stay on the higher dose for longer than 3 days, that may not be quite long enough especially as it has been building up for a while……stay there at least a week. Then you should be able to drop back down as you suggest.

[Herman99 in reply to DorsetLady]

As always thank you so much I will up the dose for a week.. Dont know where I would be without your help ....

[PMRpro Ambassador]

I had a flare after the second jab - not AZ, Moderna.

Like DL I'm not sure this is a flare that will cooperate with the "overshooting the dose" regime. You may need more than even the previous good dose. But the only way to find out is to try.

[Herman99]

Thank you so much I do value your advice and support, I will try the increased dose and drop to 3.5 and if no joy I will have to resign to a higher dose with another slow taper. Thank you ladies