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Initial Reduction from40mg pd Pred (PMR+GCA)

Posted , 6 users are following.

jones10939
jones10939

Seemed there could be a substantial delay re Rh Dept appoint ment for husband because of, as mentioned previously, death of Rh. Consultant.

Saw GP who prescribed drop from 40 to 35 pd for two weeks then 30pd for two weeks and if no apparent problems and feel comfortable then request bloods.

Does anyone have any comments please?

0 likes, 3 replies

3 Replies

  • Michdonn
    Michdonn jones10939

    Posted

    Jones, my comment is the taper is much too quick and too large. I think that most of us with PMR will agree. I like the 10% reduction on a modified DSNS schedule myself. https://patient.info/forums/discuss/reducing-pred-dead-slow-and-nearly-stop-method-531439 that is a 6-1 schedule, I would start on 4-1. For the first few tapers. Encourage your husband to try to stay active and listen to his body not over do it. Stay positive, try to smile, I believe it helps. ??

  • EileenH
    EileenH jones10939

    Posted

    Probably not too bad at that level - if he develops pain immediately he drops the dose then it is most likely to be steroid withdrawal pain and it should fade over the next week or so. If he DOES then do 2.5mg at a time - he may get away with it each week but 2 weeks is better on the body. If any pain takes a few days to appear - or if it gets worse stop, go back to the previous dose and tell the GP. 

    A basic rule is a reduction step in a taper should be not more than 10% of the current dose - 5mg may well be fine, but if it isn't, 2.5mg. It isn't a race and it isn't slow if it works!!! All the best

  • ptolemy
    ptolemy jones10939

    Posted

    Hope it goes well with the reductions. At higher dosages it seems people can reduce more easily, it is when you get to the lower doses you need to slow down, but I suppose it is a matter if suck it and see. 
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