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I wonder what constitutes a 'flare' and how symptom free one should be? I was recently diagnosed with PMR, responded very well indeed to my initial dose (15mg for 4 weeks). My GP then put the dose down to 10mg which I thought was a big jump considering the NICE guidelines recommend 12.5mg. However, I went along with it. I have noticed that I am now much stiffer in my shoulders and upper arms in the mornings (hips lesser so) but that this gradually improves over the day until I am virtually symptom free from early afternoon onwards. I asked the clinical pharmacist at the GP surgery if I could split the dose but he didn't recommend it. Since then I have read a clinical paper which reinforces that advice. My question is whether I am expecting too much by way of symptom relief or whether I should go back to my GP and ask for 12.5mg. I am not in pain, it is discomfort. It is not stopping me from doing anything I want to but if I go to Pilates in the morning my ability to move is much impaired in the mornings compared to evenings when I wouldn't really even know I had PMR.
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