Question

A 70-year-old man on high-dose Prednisolone for polymyalgia rheumatica is reviewed. He has been taking 20 mg daily for 9 months. Which is the most appropriate strategy regarding his steroid therapy?

Accepted Answer

Taper Prednisolone gradually according to symptoms and ESR/CRP

Answer

Continue indefinitely at the same dose without review

Answer

Abruptly stop Prednisolone now

Answer

Switch immediately to long-term NSAIDs

Answer

Double the dose to prevent relapse

Practice question

A 70-year-old man on high-dose Prednisolone for polymyalgia rheumatica is reviewed. He has been taking 20 mg daily for 9 months. Which is the most appropriate strategy regarding his steroid therapy?