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If you have this condition, you should have a treatment plan tailored to you, that includes:

You may be given a contact phone number or helpline number for access to your doctor or nurses, if you have concerns about any changes in your condition such as flares or side effects to drugs.

Steroid treatment is usually very effective to treat polymyalgia rheumatica.

Steroids work by reducing inflammation. They can’t cure your condition, but the symptoms will improve significantly within two weeks once steroid treatment is started. Normally, steroid treatment for polymyalgia rheumatica will be taken as tablets.

Your symptoms may almost disappear after four weeks of steroid treatment. However, treatment usually needs to continue for up to two years, or occasionally longer, to stop the symptoms returning.

The steroid tablet most often prescribed is called prednisolone.

Potential side effects can include weight gain and the condition osteoporosis, which can cause people’s bones to become thinner and more fragile, and therefore may fracture more easily.

There are groups of people who could be at an increased risk of side effects, including those who have:

If you’re in one of these groups, your doctor will talk to you about drugs that may be prescribed alongside steroids to reduce any risks.

After two to four weeks, your doctor will gradually reduce the dose of steroids.

The reduction will be made in stages depending mainly on your symptoms but helped by carrying out repeated blood tests to look for inflammation.

If symptoms return when the dose is reduced, your doctor may have to increase the dose for a short time, possibly several weeks, and then try to reduce it again.

You shouldn’t stop taking your steroid tablets suddenly or alter the dose unless advised by your doctor, even if your symptoms have completely cleared up. This is because your body stops producing its own steroids, called cortisol, while you’re taking steroid tablets. Your body will need some time to resume normal production of natural steroids when the medicine is reduced or stopped.

Even when you feel well, your doctor may wish to see you regularly so that you can be assessed for signs of the condition coming back, or side effects from the drugs. Your doctor may want to check your general health and check your blood pressure, blood sugar and cholesterol. You may also be asked to have a bone density (DEXA) scan to check the strength of your bones.

It’s recommended you carry a steroid card that shows what dose of tablets you’re on and how long you’ve been taking them.

This will help if you need to see another doctor, for example while you’re away from home, or another healthcare professional, for example a dentist. Please show them the card – depending on what additional treatment you need, the steroid dose may need to be adjusted.

Steroid cards are available from most pharmacies.

Like all medicines, steroids can have side effects. One of the side effects of steroids is osteoporosis, which can cause bones to become thinner and then fracture.

The nationally recommended treatment for this is medicine called bisphosphonates (biss-foss-fo-nates). These are a group of drugs that can slow down or prevent bone loss. You can ask your doctor about treatment with bisphosphonates. Examples include alendronate and risedronate.

Painkillers, such as paracetamol, or short courses of non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help ease pain and stiffness. They can be taken at the same time as steroid tablets.

There may be some situations where your doctor will want to prescribe a type of drug called a disease-modifying anti-rheumatic drug (DMARD), alongside steroids.

These drugs work by reducing inflammation that is causing symptoms such as pain and stiffness.

DMARDs allow a lower dose of steroid to be used.

These drugs could be prescribed if:

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