I have an overlap of RA, psoriatic and spondylitis - I started methotrexate with folic acid and take 8mg of Medrol with it (that’s about 10 mg of Prednisone). I just started Remicade infusions yesterday (my 7th or 8th bioligic). My rheumatologist added 6mg of low-dose Naltrexone, and I think it does help. We’ve tried repeatedly to taper from the steroid each time before I start a new biologic drug but my symptoms return, so she thinks I just need more immune suppression which we hope the Remicade can provide.

The goal is usually to try tapering the steroid once you’ve had some time on the MTX, but I think it’s a different regimen for PMR. Hopefully it’s a smooth transition for you. Best of luck 🙂