[Panorama]

Here is Stanford's Recommendations for the Prednisone Taper from daily 60 mg for last six weeks:

• 2 Weeks at 40 mg daily.
• 2 Weeks 40/30 mg alternative day dosing.
• 2 Weeks 40/20 mg alternative day dosing.
• 2 Weeks 40/10 mg alternative day dosing.
• 1 Week 40/0 mg with a follow-up meeting to evaluate progress.
• No Immunosuppressant.

If I want to go with an immunosuppressant, Stanford recommends Imuran, not Cellcept. But starting an immunosuppressant now would require a 3-year commitment to it.

The Stanford neurologist believes that there is a 50 percent chance that I will be relatively symptom free with little or no ongoing Prednisone and with no immunosuppressant.

The Stanford neurologist also wants me to cut back on the Mestinon, only using it if it is necessary. Currently I am taking one 180 mg Timespam Mestinon at bedtime, with another three 60 mg Mestinon tablets during my waking hours. The neurologist wants me to cut out the 180 mg Timespan at bedtime. Then see if zero, one, two, or three of the 60 mg tablets are needed going forward.

I'll get back on that . . .

-Mark-