Denise I hope the extra mg of pred makes you feel better by tomorrow.
Des and Lynnwood, I found the following on the web. I don't know anything about
the source, but the information sounds right, especially according to what you told me:
"Dr. Zashin's Tapering Schedule To Reduce Prednisone Withdrawal
In terms of a taper regimen, the longer one has been taking steroids, the slower the taper. I will typically taper patients:
by 5 mg increments when they are taking less than 40 mg of prednisone
by only 2.5 mg when they reach 20 mg of prednisone
by 1 mg increments once they reach 10 mg
I may elect to decrease the dose on a daily basis for patients who have not been taking steroids long, to monthly in those who have been on them a while.
It is not uncommon, when patients first decrease the dose to feel some achiness or fatigue. These symptoms often resolve over 2- 7 days. If they do not, one may elect to temporarily increase the dose and taper more slowly. Some patients may have difficulty tapering off steroids despite incremental tapers of only 1 mg.
Occasionally tapering on an every other day basis may be useful. For example, instead of tapering from 4 mg to 3 mg of prednisone, one might try taking 4 mg one day and 3 mg the next day for one week.(i.e. an alternate day taper) Then if successful, try 4 mg one day and 2 mg the next and so on until you are on only 4 mg every other day. (e.g. 4 mg one day and 0 the next day) Then, try to go down on that alternate day."
I can't believe I didn't know this. Thanks.
Lupus, Rheumatoid Arthritis, Sjogren's, osteoarthritis, fibro, ibs, renauds, restless leg, hiatal hernia, double vision, migraines.cellcept, neurontin, prednisone, plaquenil, synthroid, triamterene, tramadol, actonel, tri-est, imitrex, cymbalta, multivitamin, calcium w vit D, fish oil, aspirin