Hi Patrick,
As Nicky just wrote, there is no fixed rule on how to start Pred except one: the maximum daily intake is 1 mg per kilogram of weight.
With that limit in mind and the severity of your sympoms, they may start
either high (about mid max dose, generally as an in-patient) to get rapid results and increase slowly (10 to 20 mg/d each month) until some results are obtained,
or low (10 mg/d) and increase rapidly (10 mg/d every 3 to 5 days) if no adverse effects is observed.
During the increase, my neuro monited me with a quantified series of simple tests see:
http://neurotalk.psychcentral.com/sh...825#post406825
and based on the results, the increase goes on or is stopped.
Later on, after about two months, the taper is started, 10 mg/d every two months to start, then every month, then 5 mg/d every month and ultimately 1 mg/d below 10 mg until 0 . Of course, any reoccurence of symptoms during the taper stops the process.
I went from 75 mg to 5 mg/d in 18 months with such a scheme…
Maurice.
PS: this is based on my experience and on the french way of handling MG, for instance, we don't use alternate day dosage…