Basal cortisol test result

[Billswife]

Following my previous post, I had blood taken on 10 June and have just phoned my GP surgery for the result, which was given as 396nmol/l. The GP had noted “no further suppression required”. I would now like to start reducing Prednisolone 1mg to 0.75mg using Dorset Lady’s 7-week reduction plan and see how that goes before continuing to 0.5mg over the next 7 weeks. I would really appreciate the opinion of this forum before making this decision. My instinct after following a very slow reduction over the past five years is not to rush the final stages. I look forward to your thoughts and, once again, thank you for your guidance and support.

[PMRpro Ambassador]

What a strange comment to make! Why would you take pred to suppress cortisol production!!! But yes - your adrenal suppression is returning to normal and for day to day living that is a good level - but it doesn't mean that they will respond fully in an emergency situation so be aware, it is thought to take up to a year for that even after being off pred altogether.

And absolutely right - slow and steady is still the watchword even at this really low dose. There is still the PMR to consider - it may be at a very very low level of activity but we say again and again - even 1/2mg can be plenty to keep inflammation under control so keep on the way you have been - just in case. I really hope it will be a precaution you didn't need!

[Billswife in reply to PMRpro]

Thank you PMRPro for your prompt response. I will continue cautiously, exercising the patience I have had to learn - patience not being an attribute that comes naturally to me! I will also try to avoid that particular GP!

[PMRpro Ambassador in reply to Billswife]

I suspect most of us are in the same boat when it comes to patience!!!

[Pink_and_Black in reply to Billswife]

I was emailed to respond to your question but PMR and Dorset Lady are the experts and I would always take their advice. I’m happy for you that you’re on the final stages of reduction. Take it steady and you’ll get there. x

[Billswife in reply to Pink_and_Black]

Thank you, I will.

[DorsetLady PMRGCAuk volunteer]

Agree with PMRpro - odd comment.

..and yes continue with slow taper, and small steps... certainly no rushing to the [hopefully] finish line!

[Billswife in reply to DorsetLady]

Thanks Dorset Lady, there will be no rushing here!

[DorsetLady PMRGCAuk volunteer in reply to Billswife]

Pleased to hear it!😊