Doing my best to taper but…..: I’m just beginning... - PMRGCAuk

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Doing my best to taper but…..

singingloud profile image
21 Replies

I’m just beginning the slow taper schedule from 9-8.5mg of prednisone. I’m now experiencing more pain in my shoulders, my right hip which wraps around to the front, stiff fingers and swelling in my middle finger on my right hand, more fatigue.

The weather has been quite damp so I’m not sure if the symptoms are due to that also. I have vertigo off and on now also.

Any recommendations are welcome.

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singingloud profile image
singingloud
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21 Replies
PMRpro profile image
PMRproAmbassador

If you were good at 9mg, stopping reducing and stick at 9mg for another month. You say more pain - did you already have pain at 9mg?

singingloud profile image
singingloud in reply to PMRpro

Some return of pain but it’s grown more as I’ve had two weeks of this taper which takes about 45 days to complete. I was going to be fully on 8.5 the middle of March.But I’m more emotional today because of my mom’s dementia too.

PMRpro profile image
PMRproAmbassador in reply to singingloud

And that stress alone is enough to make the reduction too much. I had to go up quite a lot before OH died - the stress made me flare. It isn't worth the risk forcing it

singingloud profile image
singingloud in reply to PMRpro

Today I’m supposed to go from 14mg to 10mg since it’s been five days. I’m not sure if I should because the four of the days have been mixed with some flaring and extreme exhaustion or fatigue.The first day on 14mg was glorious but it didn’t continue. Do you think I should give it another five days because I’m not recovered from my flare?

I’ve tried my best to pace myself on my activities but still feels like I’m pushing myself through each day. My vertigo yesterday certainly didn’t help.

Thanks for your advice.

PMRpro profile image
PMRproAmbassador in reply to singingloud

I would - but it may be "ask the doctor" time. What did you do on that first day? Other than probably too much ...

singingloud profile image
singingloud in reply to PMRpro

Friday I took grandchildren to school and sat with one who was home sick with our masks on till dad could get back home from work. Then off to hair salon and back home.

Saturday Messiah rehearsal for two hours and fixed a roast dinner. No more energy so rested.

Sunday went to church with husband and mom then out to eat. Rested

Monday decided to dust, wash floors with my bissel cleaner and wash throw rugs. Went to the pool for half an hour. Fixed dinner In Crock pot and went to an evening meeting.

Tuesday did four loads of laundry, went to two stores to shop for some items, went out to meeting for an hour an half.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to singingloud

Definitely too much!

PMRpro profile image
PMRproAmbassador in reply to singingloud

Far far far far too much. You MIGHT manage one day of each - but then you need a rest day next day which is very important.

If I were being horrid - I'd say it serves you right. but since I'm not really that horrid, I'll say that is why you suddenly got bad again. It is entirely up to you - pred is not a get out of jail card to do everything else. YOU have to do your bit too,

singingloud profile image
singingloud in reply to PMRpro

I certainly hear you. I hadn't cleaned my house in two plus weeks and with the weather outside going from snow to mud puddles it wasn't easy ignoring my floors for so long. How do I get more help? How do I get at least 5000 steps in a day so to not lose more muscle? I hear you about resting a day in between so I will give it a try. My husband has slowed down some at 71 and takes an afternoon nap several days a week, but he has always mad me feel like I don't do enough. Not in words but just in actions, but he is all about doing. He has been understanding about the limits PMR has put on my life most of the time. The mental challenge of getting over doing less in life is the hardest part of it all. We moved closer to family six years ago to be of help. It's been a rough winter for us all.Thanks I appreciate all the comments. Even the ones that say "I told you so, slow down!" I'll try to be a better student.😂

PMRpro profile image
PMRproAmbassador in reply to singingloud

Hadn't cleaned in TWO WEEKS???? Dear me - what a dreadful person ;) I hadn't cleaned in 2 YEARS.

Put a sign at the door - NO OUTDOOR SHOES past this point. If someone else makes a mess - hand them the mop. You moved to near them to be a help - now it is their turn to have it explained YOU need the help. OH takes an afternoon nap even without PMR - but manages to make you feel guilty? No - we are NOT unpaid servants.

Constance13 profile image
Constance13 in reply to PMRpro

You forgot to mention, however, that you have a cleaner once a week!!🤪

PMRpro profile image
PMRproAmbassador in reply to Constance13

Not for the previous 2 years I didn't, no-one crossed the threshold. And she comes for a whole hour!

singingloud profile image
singingloud in reply to PMRpro

The little ones are trained at home to take off their shoes and boots. It's my big one, OH as you call him, that will not, nor my mom who has Dementia. I give up sometimes. Now my mom's dementia is worse the floor under the table has scattered bits of food. They both see the mess on the floor and rugs at the doors but that's it. My mom was so clean years ago but now daily i have to wipe up dirty finger prints on my cupboards and appliances in the kitchen. It's just my life so I do my best and try to pace myself. My only respite is when we go to our little cottage up north and it takes me 2 hours all together to clean before we leave. I'm ready for a week away!

PMRpro profile image
PMRproAmbassador in reply to singingloud

Mine was like that - I wanted all outdoor shoes removed at the door. He wouldn't either. So I shrugged and if he complained about grubby floors I told him to sort it himself. (He didn't.) And my floors are polished wood - I wanted ceramic tiles in the hall and the kitchen area - he and the builder didn't agree. I lost - so if he wanted polished wood floors, his problem.

singingloud profile image
singingloud

Thanks so much.

123mossie profile image
123mossie

This happens, several times to me too. Very disappointing but pmr is definitely in charge and will let you know if it’s not happy. When you say more pain on the taper, you had pain at 9mgm? If so you need to get back to the dose you were on without pain and stay on that for a few weeks. Also think about your activity levels, if you’ve been doing a bit too much that could explain the pain coming back.

singingloud profile image
singingloud in reply to 123mossie

Did fine at 9mg.

singingloud profile image
singingloud

I’m sure I’ve been doing too much. We’ve had five funerals in six months and Covid for all my family and some twice.

HeronNS profile image
HeronNS in reply to singingloud

I'm so sorry to hear this. I don't know where you live, but if it's in the northern hemisphere you might consider waiting to do this taper in the spring. Might make all the difference in ease of taper. Rule of thumb - when you taper, you should always feel as well at the end as you did at the beginning, or possibly even better. Don't try to push on to the next stage, and especially not if you've been experiencing extra stress.

singingloud profile image
singingloud

Sounds good.

MrsNails profile image
MrsNails

Having just read Pro’s replies - l’d stay at 9mg & hold up off tapering for now. I was going from 10-9mg after Christmas but l got that horrible chest infection - so that meant stopping my MTX - so not a good time - St Davids Day (1stMarch) for me and l’m going to start a very slowwwwww taper & only going to 9.5mg

Take it steady & sorry to hear about your Mum 💐

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