Five weeks into 5 mg prednisolone,after a very slow taper, I was in a happy place, but 4 weeks into 6 mg, after 2 weeks on 10 mg, flare protocol, and the horrid flare seems to be returning. Though not quite to the same intensity as last time, I feel I need to top up again to get through the day. Should I repeat the flare protocol? I am so grateful to have this forum to turn to and would appreciate any advice, guidance in how to handle these flares, which cause pain in most joints, also stiffness and a kind of tingling all over.
Thankyou for being there for us all.
Written by
waltztherapy
To view profiles and participate in discussions please or .
It suggests it wasn't "just" overshooting the dose you need which is what the flare protocol is designed to manage. Flares can also happen as a result of an increase in disease activity, particularly if you have been under stress of any kind. And then you need a bit more pred than you thought,
Ah, how wise you are. I have had a couple of stressy issues in the last few weeks, so that could explain increased disease activity. It's high time I learned how to handle stress.Thank you so much. X
How right you are! Thank you for your reassuring guidance. It's easy to feel lost in bad times, but you and your colleagues seem to manage to clarify the problems.
Bad flare on 6mg sent me to the Flare protocol for the second time in a few weeks. So upped dose to 10mg pred again.Now on day 4 with 10 mg and I feel awful.
Pain and stiffness from head to toe.
Did I not increase the prednisolone enough? Should I go up more, if so by how much and for how how long please.
Sorry to be a pain, pain is the problem of course 😔. Will try phoning the GP and Rheumatology nurse tomorrow. I haven't bothered them much. Thanks do much for any advice etc. Kind wishes to all.
Sounds as if you probably didn’t get the first flare fully under control - and only 4 days into 10mg is not really giving it time . Maybe add another 2 mg and stay for a total of 14days. If all okay then down to 7mg
I guess I should test for covid, though previously, covid has suppressed my PMR symptoms quite nicely. Your suggestion sounds good to me, thankyou dear DL.Will report feedback. So grateful not to be struggling alone, thankyou! Xx
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.
how does overactivity impact on PMR & GCA?
flare concern
ESR and CRP slightly raised, neck, shoulder and legs a little stiff, back too. How much should I increase Pred by? 
Still have symptoms after two weeks of increasing pred
Flares trying to get from 9 mg to 8 mg
