PMR Steroid Regimen

If at any of these stages your symptoms return, please increase oral prednisone to the pre-relapse dose and decrease it gradually (within 4–8 weeks) to the dose at which the relapse occurred.

Bone protection while taking prednisolone: To prevent osteoporosis you will be prescribed a medication to protect your bones alongside a daily vitamin D supplement. You can check if you need a calcium supplement too by completing an online assessment of calcium intake:

https://www.osteoporosis.foundation/educational-hub/topic/calcium-calculator

Monitoring: please arrange these appointments while you are taking prednisolone:

  • A diabetic blood test every 3 months.
  • A blood test to check your kidneys and cholesterol levels every 6-12 months
  • An eye examination with the optician every 6-12 months 
  • Monitor your blood pressure and weight. Review with GP if increasing

 

Seek medical advice:

- URGENTLY if you develop any headaches next to your eyes, tenderness to your scalp, pain in your jaw on chewing, loss of vision

-if you develop any heart burn or indigestion symptoms

 

Please ensure you carry your Steroid Emergency Card with you

https://www.endocrinology.org/media/3873/steroid-card.pdf

Week Date Dose of Prednisolone
1   15mg (3 x 5mg tabs) 
2   15mg 
3   15mg 
4   12.5mg (2 x 5mg tabs, 1 x 2.5mg tabs) 
5   12.5mg  
6   12.5mg 
7   10mg (2 x 5mg tabs) 
8   10mg 
9   10mg
10   10mg
11   10mg
12   10mg
After this reduce by 1mg every 4-8 weeks    (dependent on symptoms see below) 
Week 13 onwards    9mg (1 x 5mg tab, 4 x 1mg tab) 
After 4-8 weeks    8mg (1 x 5mg tab, 3 x 1mg tab)