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Jak Inhibitors for PMr

Polymyalgia Rheumatica (PMR) | Last Active: Aug 31, 2025 | Replies (20)

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My PMR is atypical ,treatment resistant to steroids so have endured months of agony and extremely high inflammatory markers .Diagnosed Dec 24 . Almost immobilised at times with pain .Have been hospitalised for pain mgt , pneumonia ,severe dehydration with gastro as well as at first diagnosis … all since Dec 24 and narcotic analgesics no help just made me sleepy and I don’t like taking meds ! Stopped after 3weeks took Panadol regularly.
High dose steroids initially with Methotrexate Panadol No GCA on PET just bone marrow inflammation. Have tried Humira injections every 2weeks .. no relief. Finally rheumatologist suggested RINVOQ and it has given me relief from the pain and stiffness I’m still weak and my dexterity in hands not as it used to be . In saying that Ive started weights with exercise physiologist walking 5-7kms most days or pool if not walking . Prior to all this I was on no meds and very strong going to gym 3-4 times week only ever in hospital for appendix and babies ! . This has changed my life in so many ways but could be worse things .
The RINVOQ is definitely working as the two weeks I couldn’t get the drug the pain started to return … plus my markers have decreased ! At one point they were as high as 300 but think that was a few months ago when I had pneumonia . So now I’m on 3mgs Prednisone and hope to be off it soon. No methotrexate and only RINVOQ daily. The side effect for me is high cholesterol just found out it’s 9 !! Looking like statins at this point. Hope you get relief soon. It’s an awful disease .

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Replies to "My PMR is atypical ,treatment resistant to steroids so have endured months of agony and extremely..."

I have genetic cholesterol issues. prednisone increased my cholesterol significantly. Be careful of the statins as treatment. They have their own issues with side effects. I think those of us lucky enough to be in this group all have some reactions to different medications. Zetia worked about the best with few side effects but the low dose of 10mg was not effective at reducing my total numbers. I switched to a rather expensive epi pen drug called Repatha. shot twice a month. It has dropped my total numbers and LDL in half. No side effects in 3 years. good luck with RINVOQ

Glad You are doing better….be selective with the statins. I had been on rosuvastatin (Crestor) 5 mg 3x /week for years with some muscle pain ( looking back). I went to a new cardiologist and she increased my statin to 10 mg daily and within 20 days I could barely walk from bilateral muscle pain. I told my pcp and the cardiologist I am not taking this anymore. I thought the pain would dissipate in a week or so. After 6 months and still in pain I was told I probably developed PMR from the statin. Put on 15 mg prednisone and in 3-4 days I was pain free. Now I am slowly tapering ( down to 3 mg) and hoping to get off for good.