I'm currently doing Actema infusions for "refractory PMR." I was on prednisone for more than 12 years for PMR alone without ever being diagnosed with GCA. There might have been the suspicion of GCA but it was never diagnosed.
Since Actemra isn't FDA approved for PMR, my rheumatologist had to get Actemra approved for use in my case. Actemra was approved by a medical panel with the recommendation to treat me with Actemra "as you would treat a patient with GCA."
I am a hybrid of several autoimmune disorders. I was able to get off prednisone completely after Actemra was tried. My first attempt to taper off Prednisone was complicated while I did Actemra injections. My second attempt to taper off Prednisone was successful. I have been prednisone free for 3 years while doing monthly Actemra infusions.
I wouldn't say I'm healed because I still do Actemra infusions. I can say my quality of life has improved immensely since discontinuing prednisone. Being off prednisone makes Actemra worth it to me. However, my out of pocket expense doing Actemra infusions is $0 at the VA.
I was able to get off Prednisone and five other medications that were treating Prednisone side effects.
I recently stopped warfarin too. I was taking warfarin for life because of a massive, multiple and bilateral pulmonary embolism that was called "unprovoked." The pulmonary embolism was called idiopathic when I was on a high dose of prednisone during a severe infection. It took some convincing but I talked someone into discontinuing warfarin because I have been off Prednisone for the last 3 years without having any severe infections in a long time. My overall risk of another pulmonary embolism has decreased.
@dadcue
I had no idea you've been through so much!! And for so long. I'm so sorry.
I am very happy to hear you were finally able to be free of prednisone That stuff, while lifesaving, also wreaks havoc. So far so good with tapering, though I am insisting on slowing down tapering now that he just went down to 20 mg. She wanted to go to 15, I said 18, she said 17.5 and we settled on that (since we can split 5 mg pills.) Do you know if they make 1 mg of prednisone? So far we've had 20 mg, 10 mg and 5 mg pills. As we taper lower I'd like to have 1 mg if they have it. I'd rather it take just a little longer than having a relapse. She is assuring me he's able to taper more quickly with Actemra. Last time we tapered on PMR to 12.5 he developed GCA. I mentioned that and she said not to worry, he's got the thing and there's nothing more to get. My point is I don't want him to start having symptoms and have to start increasing prednisone again. That is my hope anyway.
I'm so glad you were able to get off the drugs for prednisone side-effects and the warfarin. It sounds like you are headed in the right direction. I'm so glad to hear Actemra is a good choice.