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Experience with Methotrexate?

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

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@johnbishop

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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Replies to "Welcome @avidhiker, It sounds like you are on your way to remission from PMR. Daily activity..."

Hello John. Thanks for your reply. 1. I have tried a diary, to try to figure out role of foods, exercise, etc. on symptoms, but it always seemed to be so random so did not continue. 2. I do not adjust the amount of prednisone, and did not know it was an option. I have been steadily reducing prednisone by 1 mg every month, and hoping to be finished with it in a few weeks. My activity level is 'active' but this is the first time in a while that I did so much on three successive days. Lesson learned. Thanks for the link to the discussion. I will check it out.

What about pain? My pain-reliever of choice was Ibuprofen, but apparently that should not be taken with Methotrexate. The information recommends Tylenol, which I would rather not use for a variety of reasons. I just bundle up warm and try to stay comfortable.