Hello- I was diagnosed with PMR 12/2021 by my Primary care provider. She started me on 15mg of Predisone daily and after 6 month reduced to 10mg. Sometime summer of 2022 taper to 7mg and stayed there until I was referred to a Rheumatologist, Sept 2022. He started me on Hydroxychloroquine 200 mg twice a day. Then in November 2022 he added Methotrexiate 20mg weekly, continued with 7mg of prednisone. Feb 2023 began to reduce Predisone by 1mg a week and now I’m off Pred and still on the other two. My ESR is high normal and CRP still elevated. The rheumatologist is not convinced I have PMR but Inflammatory Polyarthritis. I can tell you that I am not convinced that the other two meds are helping but I can say my pain score on the predensone (2mg) and the other two drugs was about a .5 out of 10. Now w/o Predisone for about 5 days it is at a 3. I do take extra strength Tylenol which helps.

I will continue with the hydroxycloraquine and methrotrexate but I’m not sure why I need both. If someone can shed some light on that subject, I would appreciate it.

Thanks!
Maj