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PMR and Methotrexate

Polymyalgia Rheumatica (PMR) | Last Active: 2 days ago | Replies (202)

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@jcaffrey47

I am also at the same point. I had started at 20 mg of prednisone and was self tapering at the urging of my primary who seemed absolutely paranoid about prednisone. I was going down 1 mg a week until I hit 14 mg and then tried to swim which caused my shoulders to howl and bark and forced me back up to 18 mg; so a waste of 6 weeks of hard work. Then I finally had an appointment with a good rheumy who knows her stuff. She assured me that 20 mg was fine, added methotrexate and told me that the labs would dictate when I taper. Two weeks at 20 with the MTX and I feel great. The point of all of this is to let the science (SED and CRP) control the tapering; not some artificial and arbitrary schedule where "one size fits all". Good luck and lets compare notes as we continue this journey!

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Replies to "I am also at the same point. I had started at 20 mg of prednisone and..."

Will do. Medicare kicked back my rheumatologist’s first Rx order for mtx. Did you have any issue with your insurance carrier covering the cost of the drug?