Zero Prednisone Discussion

Posted , 53 users are following.

At the request of users I have started this discussion for users whose PMR/GCA has gone into remission and who are off steroids. It can also be used for users still on pred to ask questions of users who have achieved zero pred. I have added information to the pinned discussion for PMR/GCA Resources https://patient.info/forums/discuss/pmr-gca-website-addresses-and-resources-35316 linking to this discussion.

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  • Posted

    I have been suffering for 3 and a half years and am taking 4 mg. My rheumatologist wants me completely off but I cannot get out of bed and I feel so exhausted from pain lack of sleep lack of exercise. I am so depressed and dnr know what to do. How long did it take those who are in remission to get there. I am in the US and have not been able to find any support group here. No one has ever heard of PMR not eve some doctors that I have gone to.

    Lora

    • Posted

      Please would you start a new thread for your question - and I will answer it properly there and so will a lot of other people . This is an old thread and not many people will see it. 

      There is no answer to your question - other than how long is a piece of string! And you need to get in contact with the US contributors on the forum - which you won't from here. So please post again.

    • Posted

      As you are in so much pain and have been treated for PMR for more than three years you presumably have a diagnosis so it's hard to understand why you are being told you must get off steroids. What else has been offered?  With that sort of pain 4 mgs. is not going to be sufficient to keep you comfortable. What was your starting dose? How well did that control the pain? At what point was the dose at a level where the pain became a problem?. Have you been instructed to keep reducing regardless of the pain level?

       You are not alone in suffering from what looks like ignorant treatment. If you doctor really does not know anything about PMR s/he should take the trouble to find out. I think I would ask for another opinion. Is there a different doctor in your Practice whom you could see?

      I have had PMR twice; once for  three years, the second time for five. I have been "clear" now for  more than four years.

      You will receive more answers, I know. Keep asking.

  • Posted

    I have fully recovered from PMR - there is hope after all

    I just wanted to let everyone know that after five and a half years I have eventually made a full recovery from PMR.  This forum was the most helpful part of my journey - the encouragement, shared knowledge and advice (especially on reducing prednisone dosage) was a lifesaver. I even introduced my GP to this site. Thank you sincerely, fellow sufferers.

    ?I was diagnosed at age 58 and seemed to get it rather severely but now it has gone without a trace,  I haven't lost any muscle strength, and my energy levels are back to normal.

    ?My PMR began suddenly one month after my mother died of cancer ( I cared for her at home while working full time and also looking after my husband who had torn his quadriceps tendons from his kneecap and was on crutches). My mother died in January, I had a flu jab in the first week of February, and in the second week of February I found one morning that I couldn't get out of bed without help.  What caused the PMR? Take your pick!  Both stress and flu vaccination together would be  my guess, but there's no way of knowing.

    ?For those of you who are having trouble reducing prednisone, don't despair!  I always took as low a dose as I could bear - always lived with a fair amount of pain because I was conscious of the side effects of the drugs. Halfway through I got stuck on 10 mg and thought I would be on it for life, but then slowly I reduced until I got stuck on 4 mg for about 3 months.  After that I reduced slowly, slowly as advised in this forum until after 5 years I could feel the PMR starting to let go of its stranglehold. 

    ?At the end I was actually taking half a mg every second day - nibbling a bit off a 1 mg tablet and saving the remainder for two days later.  After a fortnight I thought it was too ridiculous for words, so I stopped taking any medication.  Believe it or not, the rotten PMR flared up quite severely as if it was saying 'Hey - I was using that!'  I refused to go back onto prednisone because I'd have had to take a higher dose, so I persevered with the pain until it eventually dissipated and I returned to my old self.  I still can't do a full leg squat, but maybe that's old age working against me at 65!!

    ?It's a wonderful thing to be able to do the things that I couldn't do for 5 years.  I can use my heavy cast iron casserole dish because I can actually lift it out of the cupboard now.  I can wear a t-shirt because I know I can get it off by myself.  I can try  on new outfits  and new bras without help, and I can dry myself properly after a shower because I can swing my arms above my head.  No longer do I have to fall onto the bed after work to have a nanna nap, and I can enjoy a brisk walk and even my bicycle is getting used again.

    ?The only advice I can give to anyone who is newly diagnosed is don't push yourself to do stuff that you used to do.  You need to rest, accept your limitations, and look after yourself.   After years of swimming through treacle, there is light at the end of the tunnel.Report this

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    • Posted

      Hi ?

      Yours is the story I wanted to see, have just joined this forum as I am so depressed I cannot not get off the tablets but you have given me hope.

      Good luck for the future and I hope I will follow you one day soon ?

    • Posted

      Great story and a real encouragement to others still on the journey.  My story is similar (2.5 years on pred) - there is a post above from one year ago when I got to ZERO and recently an update at one year after.
  • Posted

    I am on zero for 11 days so far and my lab results are fine.

    It took me 8 months to go from 3 mg to zero, because I listened to this fabulous group and my body and not my rheum.

    Thanks to everyone for there wonderful help and their story they had shared!! 

  • Posted

    Hi Folks - Don't get on the forum as much as I used to be.  Have just celebrated my first year off pred.biggrin  It took a few months to get the effects out of the system but we are feeling very much better.  The longest effect was muscle wastage - it's a slow process to get them back to some sort of fitness, I had to make some targets and I'm glad to say by and large I have kept to them, I walk around 5 miles a day come all weather, sometimes it has been a battle but it well worth it. Don't give up you will get there!

    • Posted

      Great to hear!!! You might remember, I went to 0 a few years ago. Got back in shape, then, last Sept, Hurricane Irma, big loss, and had the niblings of relapse 2 moths ago, started a therapeutic dose of 3 MG day, as per an article I read which says that a very low dose may PRECLUDE the full blown spiral up of PMR, from RS3PE, (Remitting Sero-negative Symmetrical Synovitis with Pitting Edema), which I had/have. So now I'm @ 3 mg and feeling good. Good to hear from you, and that you're doing well. Perhaps we will never be free from the curse, just keep the beast at bay, or in hibernation. 

    • Posted

      Great news, John.  I agree, it can be a bit of a slow process after coming off steroids - for me it was my knees and ankles which took about a year to lose their stiffness/discomfort after going into remission.  As for your 5 miles a day, that's in my dreams - half an hour to 45 minutes is about as far as I can muster these days - Anno Domini, no doubt!  Stay well.

    • Posted

      Sorry to hear about the relapse, Dan - amazing what the stress of something like a hurricane can do.  However, it sounds as though you are doing well by just getting back on as low as 3mg, so keep it up and, hopefully, you will be back in remission soon.
  • Posted

    I have after 4 years on Preds now reached zero too. 01st Jan 2018 zero preds! Now I'm working hard to lose all the excess weight gained and I'm hoping my high blood pressure will also drop once the weight drops. Still a bit stiff when I get up from sitting down too long but that goes after about 30 seconds. Over Christmas I did have to up my preds to 5mgs for 8 days due to a unbelievable pain in my right hip....that cleared up, was sent for an x-ray but it's currently fine. I knew it wasn't PMR pain so was happy to continue with my zero goal. Like you all I'm hoping that my PMR journey will have come to a permanent end although like Danrower my Rheumy quite matter of factly said that if it ever does come back and you catch it soon enough a very very low dose of preds may be all that's needed to keep it in check. I have had so much support from this group especially in relation to the dead slow and almost stop method which I truly believe is the way to keep on top of the condition. Luckily my Rhumy was happy with the method and sees preds and naughty friends that always need a close watch as opposed to enemies to avoid. Good luck everyone, regards, Tina.

    • Posted

      "Naughty friends that need a close watch"

      I love that.

      As someone who has had PMR at least twice I'm very interested in the idea that a low dose early on can preclude another full blown attack. That would help to keep the total amount of pred as low as possible. Never did total mine but I know it yo- yo'd and it was two years before I felt that the side effects which included high BP, went completely. So far so good; it's almost four and a half years now but I take nothing for granted as I had five clear years between episodes one and two.

      Loved what Tessa Jowell had to say about people supporting and learning from each other.

    • Posted

      What great news, Tina!  That's fantastic news from two members of the forum in 24 hours - hopefully, there will be the proverbial third!  Like the sound of your rheumy, too!  Take it easy for a while yet and, hopefully, the "naughty friends" will stay away! 

    • Posted

      Hi Tina,  Congratulations, so slow and steady won the day!!

      I've had PMR also as you know for 4 1/2 years and also managed to join the 'Zero' club in December.

      Unlike yourself who hopes to improve your BP and loose weight, my aim is quite different - I need to put ON some weight and try and improve the muscle wastage in my upper arms. . . .

       

      Like yourself also, I really appreciated the support and advice of all of you on this forum, notably Eileen with all her expertise and humour,  but many others also - you all know who you are. Thank you so much.

      Juno  (Thelma)   XX

       

    • Posted

      Well done Tina - welcome to the club everybody wants to join unlike the club we were all forced to join!  Not sure where you are in Cornwall but took a late weeks break not far from Port Isaac (St Kew) in September very laid back but the weather was rather on the damp side.

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