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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.
Giant cell arteritis and polymyalgia rheumatica are treated with corticosteroids. High dosages (40 to 60 mg per day of prednisone) are used for giant cell arteritis, and low dosages (10 to 20 mg per day of prednisone) are used for polymyalgia rheumatica. 1, 2.Therapy is primarily based on empiric experiences because few randomized clinical trials are available to guide treatment decisions.ecrease the dosage by 2.5 to 5 mg per day every two weeks to a dosage of 20 mg per day; then decrease the dosage by 10 percent every 2 weeks to a dosage of 10 mg per day; then decrease the dosage by 1 mg per day every 4 weeks.