Hi kathy i have had PMR for 4 years am now on 5mg pred -and still got pain but not as bad -and have been bad as you but i used to take paracetamol in bed about 7 am and it did hepl a bit with the morning pain and then i would take pred with my breakfast BUT then EILEEN gave me some good advice and she said to try to not take the paracetamol but instead take my pred very early in bed .SO I DID and i take my pred in bed at 5 am with a slice of brown bread and margarine washed down with warm drink from flask-then try to get back to sleep -and it hasmade a big difference to the amount of pain i am in on getting up ,not pain free of course but i hope you try it and find it helps you and any others reading tnis -good luck and let us know if it helps you .
Continuing with the acute bronchitis case, this patient would usually be given a short term steroid “burst” of high dose prednisone. Those high daily dose is usually tapered off over the course of a few days to avoid adrenal exhaustion and withdrawal effects. You see, when you introduce prednisone (which the body recognizes as cortisol) to the body, the adrenals stop making their own supply. The theory behind tapering off of steroids like prednisone is that by slowly removing the external steroid source, the body can adapt and begin making its own again with less stress placed on the system. The practice of tapering in short term therapy, even in higher doses is debated by many clinicians. Some doctors and clinicians claim that not only is a taper not necessary in short term therapy (14 days or less) but it is better to stop this therapy earlier, the adrenals and body adjust just fine. Using a taper just introduces more of the artificial source for a longer period of time, which is best to be avoided to minimize side effects and more quickly restore natural body hormone levels.
5mg a day was too much and he was having bad side effects, extreme lethargy, he stopped eating,and drinking and his diarrhea actually got worse. Half a pill ever other day was not enough his stool was normal the first day then back to diarrhea the second. Half a pill mg a day seems to be the formula that works for him. He tolerates it well,and his stool remains normal. Mischief is much more active and healthy now,and is actually gaining weight. I am very pleased. Like I said I think it saved his life. Also the drug is very inexpensive $10 bucks a month