I was tapering along quite nicely, hovering around 4.5 mgs, then the below 5mg flare curse struck. I went back to 5mg, with no avail. In desperation I went up to 10 mg where I am now.
Trouble is I still feel terrible, fatigue, headache etc, and the 10mg is not working. When I was first diagnosed in 2014 I was put on 20mg of Pred, and it worked immediatly.
Should I bite the bullet go up to 20 mg? Or add another 5mg to increase my dosage? Its very frustrating, as I'm at a loss. I would like not to have to go back to square one after all these years.
As always thank you..
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Southmead
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You would be well advised to check with your primary care physician rather than go adjusting dosage on your own. You could cause more problems than you are already experiencing.
Hi there, I think the standard flare advice is to add 5mg to what you were on, which you have now done, but you may need to give it a few days to work.
How long have you been at 10mg? As you were advised in previous post you can stay at that dose for up to 14 days without jeopardising your following reduction (assuming it is a usual flare).
If you haven’t got the flare under control within that period, you do need to discuss with your own doctor rather than increase the Pred yourself -especially as you seem to have issues every time you get to around/below 5mg.
Perhaps you have to accept that 5mg is YOUR lowest achievable dose -but you do need medical input.
Now I feel stupid, I double checked the med bottles, only to discover I had gotten the lids mixed up. I mark the 1mg and 5mg, etc. For the past few days I have been taking 2mg, instead of 10mg, no wonder I felt awful. Hopefully redressing the balance willl correct the more severe symptoms, silly me..
Ahh…oh dear. Not the first to mistake tablets, and certainly won’t be the last that’s for sure…😊 but hopefully you can get it sorted now [so just ignore the last few days] and fingers crossed the increased dose works.…
Now I feel stupid, I double checked the med bottles, only to discover I had gotten the lids mixed up. I mark the 1mg and 5mg, etc. For the past few days I have been taking 2mg, instead of 10mg, no wonder I felt awful. Hopefully redressing the balance willl correct the more severe symptoms, silly me..
You need to speak to your doctor - but you do need to give the plus 5mg at least a week and possibly more even if it is just a flare from overshooting the dose you need, And if it keeps on - you need
Now I feel stupid, I double checked the med bottles, only to discover I had gotten the lids mixed up. I mark the 1mg and 5mg, etc. For the past few days I have been taking 2mg, instead of 10mg, no wonder I felt awful. Hopefully redressing the balance willl correct the more severe symptoms, silly me..
It happens - you aren't the first nor will you be the last. It is one of those situations where the use of a dosette box helps even if you only use it for the pred if you take other things, Take out the 5mg bottle, fill the days with the requisite 5mg tablets, close the bottle and put it away. Then do the same with the 1mg bottle. That will reduce the risk of putting the wrong tops back on! And put numbers on both top and bottle ...
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Reducing
too much going on - how much to taper after last flare?
Nobody gets it until they “Get it”
Was doing so well now back/hip problem 
What a dope! Mucked up my pred and I feel awful
