How does Kevzara help with PMR symptoms and pain? I am being weaned

Posted by tsharkey01 @tsharkey01, Sep 8, 2023

I have had Pmr for 15 months now. It took forever to get diagnosed. I have been on 20 - 5 - 1 mg prednisone. My rheumatologist wants me to try kevzara. Is it worth it? I have been this way so long now I have forgotten what normal feels like.

Interested in more discussions like this? Go to the Polymyalgia Rheumatica (PMR) Support Group.

Profile picture for stonewheel @stonewheel

@kjoed53 I’m retired and my wife still works so I’m accustomed to the gig. She’s finally retiring in June.

I told my PCP about Prednisone not allowing me to sleep so he prescribed me Temazapam 30mg for sleep. He said they were less addictive that alternatives.
I take one every night. I’ll worry about that addiction if it happens. Right now I’m addicted to Prednisone, (4 months) and am slowly working (tapering safely and as rapidly as I can) at ending the addiction to it (started at 40mg and now 7.5mg. Like you, I weigh benefits to risks and lol, I’m stopping one addiction at a time. I’ll worry about sleeping pills after I’m off Prednisone, if I’m addicted to them.
Sleep is a must with this. Tell your doctor you need something to assure to get sleep.

One thing I did early on, was tell my PCP that I need him to be my “Chief” doctor. I let him know what the specialists recommend, but he’s in charge. He understands my situation and he has already helped me change a dosage and frequency prescribed by a specialist. I told the specialist and she was real good with his recommendation.
All of my doctors are in the same”group” or “system.” I’ve made that happen so they can see everything all that is going on and don’t have to ask me.

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@stonewheel great plan and outlook

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Profile picture for stonewheel @stonewheel

@kjoed53 I’m retired and my wife still works so I’m accustomed to the gig. She’s finally retiring in June.

I told my PCP about Prednisone not allowing me to sleep so he prescribed me Temazapam 30mg for sleep. He said they were less addictive that alternatives.
I take one every night. I’ll worry about that addiction if it happens. Right now I’m addicted to Prednisone, (4 months) and am slowly working (tapering safely and as rapidly as I can) at ending the addiction to it (started at 40mg and now 7.5mg. Like you, I weigh benefits to risks and lol, I’m stopping one addiction at a time. I’ll worry about sleeping pills after I’m off Prednisone, if I’m addicted to them.
Sleep is a must with this. Tell your doctor you need something to assure to get sleep.

One thing I did early on, was tell my PCP that I need him to be my “Chief” doctor. I let him know what the specialists recommend, but he’s in charge. He understands my situation and he has already helped me change a dosage and frequency prescribed by a specialist. I told the specialist and she was real good with his recommendation.
All of my doctors are in the same”group” or “system.” I’ve made that happen so they can see everything all that is going on and don’t have to ask me.

Jump to this post

@stonewheel
My primary thought I was dealing with a pinched nerve in my neck because I was diagnosed with severe arthritis, spondylosis and stenosis in my cervical spine several years ago. She sent me to a spinal specialist for pain management. I had cortisone shots for the pain and PT for 5 weeks before Cigna would approve an MRI. By this time it was not just my neck and shoulders, it was my hips and thighs. I had an MRI for my cervical spine and when the spine specialist saw the results, he referred me to a neurosurgeon. The first neurosurgeon I saw was leaning toward surgery but had the lead neurosurgeon see me because he thought there was more going on. The second neurosurgeon determined that the pain I had was not due to any of my spinal issues. His opinion was that I had an undiagnosed autoimmune disease. He referred me to a rheumatologist. By now I was out of my primary's network but it was a trade-off because I was able to see four doctors in a seven week span because each used their influence. I keep my primary up to date on everything and will tighten this up as soon as my rheumatologist is fully comfortable with the PMR diagnosis. Hopefully that happens next week.

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Profile picture for kjoed53 @kjoed53

@stonewheel
My primary thought I was dealing with a pinched nerve in my neck because I was diagnosed with severe arthritis, spondylosis and stenosis in my cervical spine several years ago. She sent me to a spinal specialist for pain management. I had cortisone shots for the pain and PT for 5 weeks before Cigna would approve an MRI. By this time it was not just my neck and shoulders, it was my hips and thighs. I had an MRI for my cervical spine and when the spine specialist saw the results, he referred me to a neurosurgeon. The first neurosurgeon I saw was leaning toward surgery but had the lead neurosurgeon see me because he thought there was more going on. The second neurosurgeon determined that the pain I had was not due to any of my spinal issues. His opinion was that I had an undiagnosed autoimmune disease. He referred me to a rheumatologist. By now I was out of my primary's network but it was a trade-off because I was able to see four doctors in a seven week span because each used their influence. I keep my primary up to date on everything and will tighten this up as soon as my rheumatologist is fully comfortable with the PMR diagnosis. Hopefully that happens next week.

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@kjoed53 Sounds like you’re doing everything as right as you can.

It’s easier to deal with, when you have a solid diagnosis.

“Easy” is not the right word, ‘cause this not easy, but you know what I mean.

I’ll add that I got approved, by my ins. co., so soon after my diagnosis, was because Prednisone put me in the ER with a blood clot. My rheumatologist pushed for it. The ER and hospital stay (4+ days was the deal maker, I’m sure.)
Not the ideal way to get approval.

Right now it’s too early for me to comment on my results using Kevzara other than “so far so good.”
With it, I’ve gone from 25mg/day to 7,5mg /day, in 9 weeks.

Do get sleep.
8 hours each 24 hours.
You need it with PMR.

Best wishes.
I’m off to bed for my 8.

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Profile picture for stonewheel @stonewheel

@kjoed53 Sounds like you’re doing everything as right as you can.

It’s easier to deal with, when you have a solid diagnosis.

“Easy” is not the right word, ‘cause this not easy, but you know what I mean.

I’ll add that I got approved, by my ins. co., so soon after my diagnosis, was because Prednisone put me in the ER with a blood clot. My rheumatologist pushed for it. The ER and hospital stay (4+ days was the deal maker, I’m sure.)
Not the ideal way to get approval.

Right now it’s too early for me to comment on my results using Kevzara other than “so far so good.”
With it, I’ve gone from 25mg/day to 7,5mg /day, in 9 weeks.

Do get sleep.
8 hours each 24 hours.
You need it with PMR.

Best wishes.
I’m off to bed for my 8.

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@stonewheel
I'm on eliquis because of my AFib and the risk of stroke that comes with it.

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I have had PMR for 14 months. Weaned down on the prednisone to 5 mg still with lots of morning pain. Also taking 2000 mg of Tylenol daily. Finally gave up on my dream of totally weaning off prednisone and decided to try Kevzara. I have had two injections and all of my pain is nearly gone. You get so used to the pain you forget what it is like to be nearly pain free. I am curious about what my blood is going to think of Kevzara...but it is great to be nearly pain free.

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Profile picture for linnead @linnead

I have had PMR for 14 months. Weaned down on the prednisone to 5 mg still with lots of morning pain. Also taking 2000 mg of Tylenol daily. Finally gave up on my dream of totally weaning off prednisone and decided to try Kevzara. I have had two injections and all of my pain is nearly gone. You get so used to the pain you forget what it is like to be nearly pain free. I am curious about what my blood is going to think of Kevzara...but it is great to be nearly pain free.

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@linnead
Great news, loved it too.
Am now off it 🤞

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Profile picture for kjoed53 @kjoed53

@stonewheel
I'm on eliquis because of my AFib and the risk of stroke that comes with it.

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@kjoed53 Prednisone makes my skin thin,
that makes minor scratches become bleeders;
Eliquis makes my blood not able to clot as swiftly.
Together, it’s a perfect storm waiting to happen. In the mornings, I refer to it as my “bloody cocktail.” I have to pay more attention to my movement, so I don’t cut myself. It takes so long to stop bleeding. I’ve been fortunate, it eventually clots. I haven’t had to resort to corn starch.

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Profile picture for tweetypie13 @tweetypie13

@linnead
Great news, loved it too.
Am now off it 🤞

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@tweetypie13 What was your process to get off of Kevzara? How long were you on it?

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Profile picture for linnead @linnead

@tweetypie13 What was your process to get off of Kevzara? How long were you on it?

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@linnead We are all different. This was over seen by my Rehumy
On Kevzara, at 3 1/2 months off all prednisone. Slow taper Pain free for a long time. Shots biweekly.
At 7 months total blood work off, so went to shots at 3 wk intervals.
At 11 months stop Kevzara.
Keep in mind my story, is my story….pain free thru journey.
Healthy active and 79yo female way ahead of the average person at my age.

No other medical issues.
Hope that helps.

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Thank you for responding. After one shot my blood was off a bit and my rheumy said he would check again in a couple of months, then I imagine adjust if necessary. Again, thank you for offering some hope there is an end.

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