To reduce two weeks on 30 ml that was upt from too low 15 of three weeks. I’m sure far too early, what do you think.

[Ronzy]

Here we go again reducing doctor wants me reduce to 25. She says 30 is a very high

Dose 😱🤷🏽‍♂️

Thinking I might try and not tell them ,as it looks like they will insist next Wednesday 🥲 .SHOULD I TRY NOW 🥺

Thanks guys, keep well 🍀🍀🍀

[HeronNS]

Can you reduce by 2.5 mg? As long as you don't have coated pred you could cut a 5 mg tablet if you don't have smaller ones. Rule of thumb is to reduce by 10% and 2.5 is closer to 10% of 30 mg than 5 mg. You are right, it is best to taper slowly in small steps. And usually one would be on an effective starting dose for a month.

[PMRpro Ambassador]

It should be OK though 2.5 done twice would probably be better, And if you feel good now after the 2 weeks - yes, I would try,

It is a high dose, not a VERY high dose. Wonder what she'd say to a GCA patient on 60, even 80mg. If you needed 30, you needed 30mg.

[Ronzy in reply to PMRpro]

I’m ok for about 18hrs then shoulder pains etc come back waiting for another dose But fine though day .is that considered OK 🤷🏽‍♂️

[PMRpro Ambassador in reply to Ronzy]

Have you thought about splitting the dose? Two thirds in the morning as usual and the rest some time later, after lunch maybe with that timing of the pain, which should extend the antiinflammatory effect until next morning.

[Ronzy]

Sounds good but is it as effective for getting rid of inflammation?also once kicks in ,l feel fit enough to play a few games of badminton which I love ,and keeps me fit ,very good for my mojo.

[PMRpro Ambassador in reply to Ronzy]

If you haven't got symptoms there is no inflammation - a return of symptoms inside the 24 hours is because there is some inflammation

[Ronzy]

Wow got to report,today felt fantastic.could cycle to moon and back 😜

[PMRpro Ambassador in reply to Ronzy]

Long may it last!

[Ronzy]

Thanks 🥰