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Prednisone tapering is challenging. What does remission feel like?
Polymyalgia Rheumatica (PMR) | Last Active: Sep 3, 2023 | Replies (209)Comment receiving replies
I recently brought up the idea of "biologics" to him and he didn't want to vary from the path of steroids. He doesn't even think that methotrexate works. (It wouldn't work on me anyway, it a genetic thing.) I get the impression that he isn't very experimental. I may end having to shop around for another rheumy if I can't get what I need from him.
Replies to "I recently brought up the idea of "biologics" to him and he didn't want to vary..."
I have to agree with your rheumy re. methotrexate. It may work for a few, but studies show very limited success and many have side effects from methotrexate. All in all the study results are not good and my rheumy agreed with my reluctance to try it out. For most people with PMR there is one path that has proven effectiveness: prednisone.
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It sounds like you know what you need to do. My rheumy is only 3 years out of training which makes me wonder sometimes if he has seen enough PMR patients. He is smart, thorough, and apparently up on the latest treatments so I'll stick with him.