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Experience with Methotrexate?

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

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@linda7

This brings up an issue that I have noticed with my rheumatologist: he does very little monitoring for drug side effects ( prednisone in my case). I took the initiative to get my eyes checked for glaucoma and cataracts. I take my blood pressure and have a kit to measure my blood sugar. I feel my pulse occasionally to see if there are irregularities. I had to request a DEXA scan from him to see how my bones are holding up. I went to my primary to have blood work done. I would think that these things would be standard to see how a person is tolerating the prednisone, especially since I've been on it 15 months and have only gotten down to 7.5 mg. I least I would expect him to remind me of what to have checked and watch for. It's another reminder of how much the patient has to do if they want a good outcome.

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Replies to "This brings up an issue that I have noticed with my rheumatologist: he does very little..."

I would find another rheumatologist if I was in your situation. Mine does blood work every 90 days, pushes for dexa scan before insurance covers it, Watches my A1C and blood pressure closely. He is very involved in my overall health. He even sends me to kidney and liver docs for monitoring. I hope you can find better care.