Kevzara or Methotrexate

Posted by kass8174 @kass8174, Oct 17, 2025

Hi folks I have been on Kevzara since March and after 12 shots I started feeling better (not ever 100%) but better was short lived so Md suggested I try Methotrexate Sept 15 and I see no difference maybe worse. I read someone got a covid shot snd had a relapse. I just got both flu and covid shots two weeks apart. Wondering if it affected me??! I am able to get out of bed and get dressed so I guess I shouldn’t bellyache but I am 2years into this and tired of it!! Thanks for listening❤️

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Profile picture for Justin McClanahan, Moderator @JustinMcClanahan

Hello @76ttop,

I combined your discussion with another discussion of the same title:

"Kevzara or Methotrexate"
- https://connect.mayoclinic.org/discussion/kevzara-methotrexate/

Here, you can meet @kass8174, @tweetypie13, and @tuckerp as well.

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@JustinMcClanahan
Awesome, thank you.

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Profile picture for mech @mech

I'm in the same boat. Diagnosed october 2025, started on 15mg, went up to 25mg. Tapering 1mg every 7-10 days. I was doing well, but went to 14mg the other day and I'm having pain, can't walk my 2.5 miles now without it feeling like I have 20 pound weights on my legs and someone is pushing me back with every step forward. I was going to ask about kevzara, but I read you should be under 10mg before starting that. I'll be following you to see how it goes! Good luck to you.

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@mech
When I went on Kevzara l nothing was said abt prednisone levels. It was all based upon that I could not taper off prednisone without help.
Check with your doctor .
Also prednisone taper might be too fast. My Dr had me ……
Never taper more than 10%, stay at dose until pain free…..tapering while in pain is not helpful to me. You can try the alternating method…..
I.e., 25 going to 24…..alternate days of 25 and 24 until pain free minimum of 2 weeks. That equals a dose of 24.5……then repeat then alternate again try and repeat. Some drops are too big.

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Profile picture for kjoed53 @kjoed53

@76ttop
I'm fairly new to this PMR life but I've noticed a few things. Few of us present with the so called classic symptoms which makes diagnosis difficult. Our PMR seems to react to different doses of prednisone. It can be difficult to describe the pain we're feeling. Doctors don't understand all the symptoms. Whether that's because some of us have more than one thing going on or because it affects each of us different, who knows. Doctors don't understand why 10mg prednisone works for some but it takes 40mg for others. Doctors definitely do not understand the pain levels we feel. I can't explain why at times it's difficult to even lift my cup of coffee or why I can't hold my phone long enough to finish reading a news article. I don't blame my doctor because my symptoms, pain and prednisone reaction are difficult to understand. I'm grateful that he's trying and that he's concerned with the known side effects of prednisone. I feel them. PMR is not a high profile disorder. Pharmaceuticals are not looking for a magic cure that will make them a fortune. As I'm writing this I can feel the pain building up in my neck and shoulders and I don't understand it. I'm fairly certain that I have PMR plus something else. Only time will tell.

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@kjoed53 I appreciated your text as I agree, the doctors don’t always understand the level of pain we feel and how debilitating it can be. “Can’t lift a coffee cup,” can’t get dressed by yourself. And how the pain moves around. I wa diagnosed quickly 2/25 due to my brilliant primary and classic symptoms. Once into my journey, I have had odd pains show up. For a week I could not lift my coffee cup. Then that passed. Next the fingers on my left hand hurt daily along with the rest of it. So frustrating. As always, you can read about something but until you experience it, you don’t really know.

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Bellyache away. This is the place to do it. Yes, be thankful you can get out of bed and dress yourself. That is progress and we all get it. And we are all tired of it…so bellyache away. We feel your pain (literally!).

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Profile picture for mech @mech

I'm in the same boat. Diagnosed october 2025, started on 15mg, went up to 25mg. Tapering 1mg every 7-10 days. I was doing well, but went to 14mg the other day and I'm having pain, can't walk my 2.5 miles now without it feeling like I have 20 pound weights on my legs and someone is pushing me back with every step forward. I was going to ask about kevzara, but I read you should be under 10mg before starting that. I'll be following you to see how it goes! Good luck to you.

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@mech on the Kevzara website, scroll down to see the taper chart/graph. Their study group patients were taking 15 mgs/day when they began taking Kevzara.
https://www.kevzara.com/hcp/pmr/efficacy/study-design
I started Kevzara while taking Prednisone 25mg/day (12.5mg am + 12.5 mg pm)
I tapered to 20mg/day (10+10) later that week.

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I have gone back up to 15mg, in the AM for now. Pain level at 5 out of 10 at 4 AM. Shoulders, hips and thighs and now my hands. From about 8 AM to 5 PM, pain is tolerable at 2-3 out of 10. Then it starts to ramp up again.
I see Rheumy on Wednesday to talk about what’s next. I understand that Metho may take some time to do any good. I’m also not sure I can afford Kevzara. I don’t know what Medicare will cover.
Thank you all for your input and support.

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Profile picture for 76ttop @76ttop

I have gone back up to 15mg, in the AM for now. Pain level at 5 out of 10 at 4 AM. Shoulders, hips and thighs and now my hands. From about 8 AM to 5 PM, pain is tolerable at 2-3 out of 10. Then it starts to ramp up again.
I see Rheumy on Wednesday to talk about what’s next. I understand that Metho may take some time to do any good. I’m also not sure I can afford Kevzara. I don’t know what Medicare will cover.
Thank you all for your input and support.

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@76ttop For me, between Medicare and my supplement United Healthcare it covered all but my deductible which is $2000.00……that was the first month dose and all other prescriptions for the year were $00.00, as in free because the deductible was all,paid.

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Profile picture for 76ttop @76ttop

I have gone back up to 15mg, in the AM for now. Pain level at 5 out of 10 at 4 AM. Shoulders, hips and thighs and now my hands. From about 8 AM to 5 PM, pain is tolerable at 2-3 out of 10. Then it starts to ramp up again.
I see Rheumy on Wednesday to talk about what’s next. I understand that Metho may take some time to do any good. I’m also not sure I can afford Kevzara. I don’t know what Medicare will cover.
Thank you all for your input and support.

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@76ttop that’s funny (not) that you mention your hands, when I reported same to my rheumy he poo pooed it off to osteo 🤔

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