sunshine

[Bowred]

hi need sum advice Doctor at hospital to start taper from 15.mg to 12.5mg 10mg 9mg 8mg every for 4weeks as not said once I get down to 8 mg what to do from then so do I stop at 8mg or shall I contact Doctor just before I taper down to 8mg it just A bit confusing what to do

[DorsetLady PMRGCAuk volunteer]

From the recognised guidelines-

The suggested regimen is:

Daily prednisolone 15 mg for 3 weeks

Then 12.5 mg for 3 weeks

Then 10 mg for 4–6 weeks

Then reduction by 1 mg every 4–8 weeks

PLEASE NOTE FOLLOWING COMMENTS

(which unfortunately some Rheumies don’t seem to read)

However, there is no consistent evidence for an ideal steroid regimen suitable for all patients. Therefore, the approach to treatment must be flexible and tailored to the individual as there is heterogeneity in disease course. Some benefit from a more gradual steroid taper. Dose adjustment may be required for disease severity, comorbidity, side effects and patient wishes.

[Bowred in reply to DorsetLady]

Thank you for advice it just gets so Confused on taper it so lovely to message to people that understands

[Bowred in reply to Bowred]

So helpful to message on here if I don’t understand can get bit confused with this taper

[PMRpro Ambassador]

I imagine he is waiting to see how you get on with that - it is 4 months down the line and there's many a slip twixt cup and lip!! If you get any return of symptoms at any point you will need to get back to them anyway. Cross that bridge when you get to it.

[Bowred in reply to PMRpro]

Thank you so much for advice it just gets so confusing to understand taper I will be patient just see what happens

[PMRpro Ambassador in reply to Bowred]

If you don't learn anything else - it'll be patience!

[Bowred in reply to PMRpro]

👍

[piglette]

I would follow your doctor’s recommended reduction plan, but if you find any niggles or pain, STOP, don’t try and fight the PMR, you will discover it is boss!

[Bowred in reply to piglette]

👍