in reply to dadcue.

My rheumatologist and I agreed in August that I had a full relapse. We started at 20 mg and worked down. He prefers a faster taper, but it has failed three times since August. I've just moved back to 20 mg for two weeks, and then I'll move to 15 mg until our appointment in April. My last failure was at 7 mg—so close, yet so far. Hopefully, I'll reach 5 mg on the next taper.

So, what if I can't get to 5 mg? Well, in 2019-2021, I eventually got to 0 mg and was symptom-free for almost three years. I believe I can get there again. However, if I get stuck at the 6-7 mg level for a year or so, I'll probably agree to adding Actemra.