Thanks very much for the advice. I'm 76 years old, and I live on the west side of Puget Sound in Washington State. I increased my dosage from 20 mg to 30 mg a few days ago, and I feel better, but I haven't experienced the miraculous benefit many people report.

My left shoulder and elbow have been effectively useless since last spring, but now I can move my left arm around a little bit, and I can use my left hand. I do split my dosage and take 20 mg in the morning and 10 in the evening. I'm actively looking for a new doctor and rheumatologist.