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The reason I'm taking it very slowly is due to also getting GCA three months after diagnosis for PMR. We all know the consequence of GCA. It can cause sight loss quickly too. I know a few that have lost sight in one eye and one lady in both. So you can understand my concern. Many with PMR have been taking it for yrs and yrs due to flares. That could be due to the fact they have tapered too quickly by too much of a decrease. I was reducing by 1mg per month but still experienced flares, so decided to try it by 0.5mg and so far so good. So by this December hopefully, I will be on 1.5mg. Just hope my adrenals have started to produce the cortisol we all need as we taper. I will request the ACTH test on my next appt with Rheumy. I also think the slow taper helps the adrenals to wake up. That will be exactly three years for me. I was told between one and two years. Those that manage that period and earlier are very lucky.
I really need to go slow as I've experienced so many ups and downs....petrified of GCA again. I already have osteoporosis and take 35mg of Risedronate weekly. Refused Alendronic Acid at 70 mg. Also refused Methotrexate to help wean me off Pred. However, on the 7 June when I see my GP I'm going to ask him about the drug LDN (Naltrexone) Hopefully, he will prescribe it. My blood glucose (HbA1C) is slightly elevated as is my cholesterol, but not enough to warrant drug intervention at the moment.