My rheumatologist prescribed Methotrexate as an addition to the prednisone because of the achy sore hands and upper arms I have in the mornings. The tapering of the prednisone is still occurring monthly for me. Started on 20 mg 4 months ago and down to 10 mg. The Methotrexate can take up to 12 weeks to work so we shall see! My Primary Care Physician told me he could treat me if I wanted and I didn't need to see a rheumatologist. He said you just need a good Internist. So, you could seek out a second opinion from a Doctor who is experienced in treating PMR if you are short on rheumatologists in your area. You might also consider sending a message through your portal or calling the nurse to explain that, since your visit, you've been concerned about the new dosage and would like to discuss further. Sometimes I think they have so much on their plate that we have to drive our point hard so they understand what we are actually trying to say. Good luck to you and everyone here!