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Flare onset: Is this truly a flare?

Polymyalgia Rheumatica (PMR) | Last Active: Jul 25 1:08pm | Replies (10)
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@pdxmac

Thank you both. Your responses reinforce my inclination to trust myself instead of my new rheumatologist. I was able to email her and she wants me to decrease the preds but take Meloxicam with dinner every night. She says Tylenol is not anti-inflammatory and will not help me. Even the pharmacist recommended against taking Meloxicam with Prednisone. I think I'll trust my gut and stay at the 10.5 dosage another week or so. A couple of hours of aches in the morning seem like a worthwhile trade for avoiding GI issues.

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Replies to "Thank you both. Your responses reinforce my inclination to trust myself instead of my new rheumatologist...."
megz | @megz | Jul 24 11:43pm

I don't know all your circumstances or why your rheumatologist is pushing the reductions hard, but I wonder why she thinks the new pain is inflammation rather than steroid withdrawal pain from reducing too quickly, or the usual low grade pain that many of us have for a week or more after each reduction. I occasionally take the Tylenol equivalent in Australia (OsteoPanadol, 600mg slow release) to knock back reduction aches, not to reduce inflammation - that's the job of prednisone.

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wilmingtonemperor | @wilmingtonemperor | Jul 25 7:33am

I have been on Meloxacam for the past month and nothing else. So far, so good.
I am able to make a fist with both hands and no need for Tylenol or Volteran. Off prednisone entirely since January and not going back.

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