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Table 3 Suggested glucocorticoids tapering regimen

From: Step forward towards treat-to-target management of giant cell arteritis: patients stratification aiming to targeted remission – updated guidelines

Phase

Glucocorticoids dose

Tapering regimen

Induction:

40–60 mg

until symptoms and lab results are normal (2–4 weeks)

Tapering Phase 1

60–40 mg

Reduce dose by 10 mg every 2 weeks to 40 mg

Tapering Phase 2

40–20 mg

Reduce dose by 5 mg every 2 weeks to 20 mg

Tapering Phase 3

20–10 mg

Reduce dose by 2.5 mg every 2–4 weeks to 10 mg

Tapering Phase 4

10mg—stop

Reduce dose by 1 mg every 1–2 months if there is no relapse