Flare protocol, vs Covid sick day rules

[Predderman2020]

Hi - I had Covid in July, but still not back to normal. just after the acute Covid phase, I went to 20 mgs and stepped down after 5 days. This brought an improvement (or coincided with one). Back to 7 mgs for a few weeks. but now getting repeated nasty surges of pain, nausea, weakness. I notice two recommended regimes for dealing with a surge of symptoms -1) add 5 for a week, and 2) Sick Day Covid rules: 10 mgs in am, and 10 in evening for 5-7 days. I am assuming that 1) is for flares due to reductions that havent worked, and 2) is for concomitant illness (like Covid) that need more anti-inflammatory action. Thanks as ever! T

[DorsetLady PMRGCAuk volunteer]

Hi,

would say at 7mg you may have a combination of a flare (pain ) and adrenals struggling (nausea), and weakness could be both or even a leftover of covid.

Maybe try the standard treatment for flare again, but this maybe longer at increased dose - you can safely stay there for 2 weeks -and then drop back to just above 7mg as that’s where issues started.

This link gives more info -

healthunlocked.com/pmrgcauk...

Also have a look at this re adrenals -

healthunlocked.com/pmrgcauk...

[Predderman2020 in reply to DorsetLady]

Very good - I hadn't thought to tailor it that way. Thanks.

[PMRpro Ambassador in reply to Predderman2020]

I agree with DL ...

[Predderman2020 in reply to PMRpro]

Thank you. T