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Experience with Methotrexate?

Polymyalgia Rheumatica (PMR) | Last Active: Jan 31, 2023 | Replies (91)
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@avidhiker

I am on the same dosage of Methotrexate and folic acid, and have been reducing prednisone by 1 mg each month. I am now down to 1 mg Prednisone (woohoo), from at least 10 mg daily for 18 months. Exercise is very important, but overdoing it is not advised, but my symptoms were very well controlled. I hiked and walked dogs 6 miles on Sunday and again on Monday, then spent 3 hours on Tuesday removing invasive species at forest preserve workday - bending, squatting, using loppers, etc. I joined this forum about an hour ago, because I am suffering today, LOL . Trying to find out appropriate level of activities.

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Replies to "I am on the same dosage of Methotrexate and folic acid, and have been reducing prednisone..."
John, Volunteer Mentor | @johnbishop | Nov 9, 2022

Welcome @avidhiker, It sounds like you are on your way to remission from PMR. Daily activity is certainly a key factor but I think you may be feeling what a lot of us have learned about overdoing it - it can cause an increase of pain the next day. My rheumy told me I need to listen to my body when it comes to pain and activity.

You might find the following discussion helpful:
— PMR Dosages and Managing Symptoms
https://connect.mayoclinic.org/discussion/pmr-dosages/
I always keep a daily pain log along with the amount of prednisone I took that day. I hadn't thought about also recording activity for the day but in retrospect it might have been helpful. Do you keep a daily log of your pain level and dosage?

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