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By James Goodwin MD. The classic recommendation for initial treatment of temporal arteritis has been to commence with prednisone at a dosage of 40 to 80 mg/day, though 60 mg/day or above has been more commonly described than lower doses.f headache or other signs of temporal arteritis emerge during the course of polymyalgia rheumatica, however, it is important to increase the prednisone dosage to the levels recommended for initial treatment of temporal arteritis.
Patients with polymyalgia rheumatica but no symptoms of giant cell arteritis above the neck (such as jaw claudication, headache and visual symptoms) do not need temporal artery biopsy and respond to lowâdose prednisone (10 to 20 mg/d orally).reatment and Course of Giant Cell Arteritis. GCA requires treatment with prednisone, a type of corticosteroid. Typically, treatment begins with 40â60 mg of prednisone, taken by mouth each day. Most patients improve rapidly and dramatically on this dose, with improvement of most symptoms in 1â3 days.