pmr flare

[Skier321]

Hi I just got down to 4.5/mg of prednisone and started to get stiffness in a number of areas. As I flared once before I am more careful now. I went up to 9 mg 3 days ago. I will stay there for about 8 days. Is that long enough? I will then go down to 5 mg can I do that in one drop or stage it. I was previously reducing .5 mg per month when I got to 10 mg before. Your wise advise is appreciated

[PMRpro Ambassador]

Sounds about right to me. You don't need to stay there that long if you already feel OK - you caught it very quickly.

How long had you been at 5mg before dropping to 4,5mg?

[Skier321 in reply to PMRpro]

I was at 5 mg for a month

[PMRpro Ambassador in reply to Skier321]

I'd stay at each new dose a bit longer now - just to be sure it is still enough

[Skier321 in reply to PMRpro]

thank you to PMRPro and Lady Dorset from Victoria BC Canada all the best

[DorsetLady PMRGCAuk volunteer]

Sounds sensible, this link contains usual advice for dealing with a flare -

healthunlocked.com/pmrgcauk...

..if you’re not sure, then maybe step down in 2 - say to 7mg for 5-7 days, and then to 5mg, and stay there for a good while -at least a month…[just seen your reply to PMRpro] - so perhaps a little longer this time around

[Skier321 in reply to DorsetLady]

thank for that info. I was not in any pain this time but I could tell I was stiffening up gradually and getting sore in the groin area where my PMR started. I was filling the bucket. I track daily my health from a stiffness stand point and I don’t reduce if my pain/stiffness is above 0-1