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can anyone tell me. ive been on pred for about a week and a half, but i'm still in a lot of pain i have a difficult time sleeping and i have a lot of shoulder and back pains. Can anyone tell me how long is this pain going to last or does it ever go away.
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maureen_33509 tonivc77
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jean50664 tonivc77
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Daniel1143 tonivc77
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That's the question: what dose are you on? If you are at 15mg, I would advise that you go to 20mg. Some might suggest 25mg. Highly suspect you are under-dosed at the present time.
Anhaga tonivc77
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Hope you get some relief soon.
linda17563 Anhaga
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I am having a battle and ongoing (5 years!) problems with pain/pred etc....but it seems I`ve hit a brick wall with the rheumie about what else it could be with these symptoms....he has now sent me a letter saying he dosen`t think I ever had PMR and dosen`t know what it is!...what other tests are there, I suggested could it be RA...answer no....so he is starting me at the beginning again at 15mg.....with all the side affects that they give me!.........to say I am frustrated is an understatemant!
?All suggestions welcome!
Anhaga linda17563
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Oh my goodness. I didn't realize you've already been through the PMR mill. There is an article I found where they discuss differential diagnosis. Not sure I'll be able to find it again but if I do I'll private message the link. Although you'd think a medical specialist would be aware of the various possibilities. Or even if you should be referred to a different type of specialist?
diana21296 tonivc77
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Daniel1143 tonivc77
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I would agree with others that if 30mg didn't do the trick, you may well have other complications. Perhaps Eileen as some insights for you.
ptolemy tonivc77
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EileenH tonivc77
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What dose are you on? It may be that you haven't started on high enough dose to manage YOUR inflammation. The latest recommendations say the lowest effective dose in the range 12.5 to 25mg - never above 30mg. You may just need more. Some people don't respond quickly with too low a dose.
On the other hand - is the doctor SURE (or as sure as they can be) that this is PMR? If a patient doesn't respond typically (which is with a marked response, albeit not becessarily 100%) within a short time, then an other dx should be considered. PMR is just the name given to the set of symptoms caused by an underlying problem, and in the case fo what we discuss here it is an autoimmune vaculitis, but there are other cause.
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