I may be wrong, but I think larger drops in prednisone are ok when it's a larger dose to start with. There is also a time factor -- how long you have been taking a large dose.
I know we're supposed to take it down slower once we get to the < 15-20 mg range.
Cellcept worked great for me, but Imuran did nothing -- funny how different we all are. Drs do want to give it quite a chance before changing course. I have no idea why he wouldn't want to use Imuran again for you -- it does seem like it'd be worth a try. But maybe he sees some evidence of damage the Imuran did and doesn't want that to get worse?
I do think a second opinion is in order -- is this a rheumy guy or a kidney person? I think I'd check in with both.
Hope you get some better answers soon,
Lynnwood, Co-Moderator: Lupus Forum
Dx Lupus since '00, new Dr wants to Dx Fibro instead....
SLE(’00), Sjogren's Syndrome, Raynaud's Syndrome, SAD, Depression, Herpes Simplex 1
Piroxicam, Plaquenil, Prednisone, Xanax, Trazodone, Boniva(3mth shot), Wellbrutrin SR, Valtrex
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