Hi Cindy - I totally understand your predicament with all those other symptoms going on adding more meds to it just makes your symptoms worse I know with the methotrexate sore so I have to take Folick acid other than that the 77 pretty minor prednisone like you right now I’m still in 10 mg unfortunately it’s such a rare situation. They were in the doctors really don’t know what to do. It’s just kind of a game of trying different things which is unfortunate for both of us. I know the hearing loss is huge. Specially, with what you do. I’m sorry you’re going through this.