What are the guidelines for tapering of standard-regimen corticosteroid therapy for giant cell arteritis (GCA) (temporal arteritis)?

Updated: Sep 03, 2020
  • Author: Mythili Seetharaman, MD; Chief Editor: Herbert S Diamond, MD  more...
  • Print
Answer

British guidelines recommend the following schedule for tapering of standard-regimen corticosteroids [56] :

  • Continue prednisolone, 40-60 mg (not < 0.75 mg/kg) for 4 weeks (or until symptoms and laboratory abnormalities resolve), then
  • Reduce dose by 10 mg every 2 weeks to 20 mg, then
  • Reduce dose by 2.5 mg every 2-4 weeks to 10 mg, then
  • Reduce dose by 1 mg every 1-2 months, provided no relapse occurs

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!