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PMR: Are there treatment alternatives to Prednisone?
Polymyalgia Rheumatica (PMR) | Last Active: Jan 11 7:08am | Replies (175)Comment receiving replies
I just wanted to comment briefly. We have a limited number of guides in investigating an autoimmune disease. Our CRP/ESR levels are an excellent measure of inflammation, although it is essential to remember a patient can have an AI with normal CRP/ESR levels.
My rheumatologist also checks my liver enzymes since I have been on the weekly injection pen for three years...with a short break because of cellulitis.
I have had no experience with IV Actemra. I'm sure I'll be on the weekly pen for some time. IF I ever went bi-weekly, once again, my CRP/ESR would be useful.
Somehow, I don't see that in my foggy crystal ball~!💞
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I don't have a crystal ball foggy or clear. I just know what is working for me. I don't pretend to know what will work for anyone else.
That is exactly the point about CRP/ESR. Some sources say people have to be elevated inflammation markers in order to have PMR ... I don't know about GCA. Other sources say no ... people can have PMR and still have normal inflammation markers. I believe the latter but who knows for sure?
My inflammation markers sometimes squeaked into the normal range when I was taking prednisone. Most of the time they were higher than normal but what is "normal?"