No steriods for 3 weeks
Posted , 13 users are following.
Hi all is it true that I can be on Prednisone for a long time without any ill effects on my body if only on 5mg. I have pains again after tapering of the steroids for 18ths. and am thinking of going back to 5mg. I am 78yrs old. Perhaps .
I should have a blood test to see if that is the problem
0 likes, 29 replies
EileenH patricia38799
Posted
According to this research you would probably be fine on 5mg for the rest of your life! The so-called pred side effects would occur at a similar rate in an age-matched population who were not on pred - except for cataracts but they are easilly dealt with these days.
https://www.practicalpainmanagement.com/resources/news-and-research/polymyalgia-rheumatica-steroid-side-effects-new-findings
If you have PMR and have tapered off pred in 18 months it is very likely the cause of the PMR is still active - on average it lasts 5.9 years. As long as it is active - you will need some pred to manage the symptoms. Many people remain on such low doses for other conditions for many years - and their problems are minimal. Your body makes more than 5mg of its own natural corticosteroid, cortisol, which is essential to life and it doesn't make too much, it just tops up to the level it needs.
If you are already on Prolia then there is no cause for worrying about loss of bone density - more to the point is that you will stay on Prolia or a substitute for the rest of your life. If you need 5mg of pred to be able to function then take it - because immobility is one of the primary risk factors for osteoporosis.
patricia38799 EileenH
Posted
Hi Eileen, you always give good advice .It's very reassuring to no 5mg is ok long term. What dosage (if any) are you on, and how long have you had Myalgia for Eileen?
EileenH patricia38799
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About 9mg after yet another flare. I have had PMR for 14 years and been on pred for 9 of them. It wasn't diagnosed for the first 5 years - and it was me who worked out what it probably was!
patricia38799 EileenH
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I too wasn't diagnosed for 1st 8months. Also had to tell doctor what I thought is was. Amazing isn't it! Looks like its a long road ahead for me too.
Michdonn patricia38799
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Anhaga patricia38799
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I was working in a library when I developed all the classic symptoms. The doctor I was seeing at the time didn't look further than my pre-existing osteoarthritis and prescribed heavy duty painkillers I refused to take. I plugged all the symptoms into a search engine and came up with polymyalgia, which of course I'd never heard of. When I saw it was treated with steroids I dismissed the idea, believing that I, health nut, could never have anything so serious, and promptly forgot all about it. About a year later, fourteen months after onset of symptoms, a new doctor spotted the problem right away.
margaret01981 Anhaga
Posted
I am 65 and have been interested for many years in good health.. I had been cutting out several bad foods and working on my diet with supplements when my Pmr symptoms appeared. I had been pretty active as well. However,I was under stress and had been around some people who were sick and had a flu shot the month before. I wonder if my body was trying to detox and an introduction of a virus, was just too much and Pmr set in.
My chiropractor suggested it could be some form of arthritis as I was not improving but getting worse by Feb... After major inflammation set in, I knew I had something related to major inflammation, hips, shoulders, and found Pmr in my research in conjunction with arthritis .. my first symptoms of fatigue and limping started in late Nov. I had to convince my pc that it could be Pmr. She was hesitant, and I had to convince her to do the inflammation blood tests in Early March.. By mid April she finally let me try Prednisone.. only a trial. I Never thought I would be asking a doctor for Seroids😀 she finally put me on starting dose of 15 while getting me into Rheumatologist late May. Now on 12.5, and explaining to doc. I can’t reduce further at this time.
BettyE Anhaga
Posted
Mine, too, was first diagnosed as OA ( which I've had for years ) but the clincher for me was when I said, as I was leaving, that I had lost weight. ESR and CRP results backed up this different doctor's suspicion.
patricia38799 EileenH
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EileenH patricia38799
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"He said its better than the steroid tablets"
That is a rather silly statement. It depends what you need the medication for. If it is PMR that you have then pred is the right drug - and Celebrex or other ordinary antiinflammatories rarely do any good for PMR symptoms as most people on the forum will tell you. Even heavy-duty opiod medications don't cut the mustard with PMR.
When NSAIDs make such a dramatic difference to pain it really is a signal that the PMR diagnosis may not be correct. There are other underlying conditions which can present looking exactly the same as PMR - including some forms of inflammatory arthritis which would respond well to NSAIDs.
Not sure why you say your ESR/CRP levels are "strange". ESR will respond to all sorts of things, not just PMR. And maybe it isn't PMR - it must be considered.
Michdonn patricia38799
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Anhaga patricia38799
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Celebrex took away 95% of the pain? Then it's not PMR causing that part of your pain. I was prescribed Celebrex several times over the years. One time, long before PMR, my doctor handed me packets of samples because I was complaining about something, probably my back. I forgot about them and never took them. Years later when the doctor who missed my PMR tried to get me to take it for my debilitating pain I looked it up on the internet and wondered why it was still on the market. I am much more afraid of Celebrex than I am of low dose pred, and that's saying something! However if the pred isn't doing the job and Celebrex is, then it's important to make sure you get an accurate diagnosis.
There's more to be concerned about with Celebrex than blood pressure. Like many other meds, pred included, it can be very hard on the stomach. There are other side effects, too. Worth noting that all other drugs in the class (cox-2 inhibitors) have been removed from the market, this was the least damaging of a bad lot, I guess. It was deemed the risk of heart attacks and other side effects outweighed the benefits. Even so I believe Celebrex is implicated in increased risk of heart attack and anyone with heart issues should not be prescribed it. It's also, according to a consumers reports article, no more effective at relieving pain than other NSAIDs, although more risky.
patricia38799 Anhaga
Posted