I have had RA for ~45 years (from age 5!) In general the number of flareups has decreased as I have got older. Prior to my current flare up I have been well for several years (not entirely symptom free but manageable with the odd ibuprofin.
My policy has always been to take the minimum number of pills I can get away with. Acute flareups being managed with prednisone (20mg for a few days then reducing dose)
There are quite a few new treatments available now but I have deliberately not pushed to be on them because I am concerned about side effects, and as many are taken long term - I don't want to be on something I don't need/might not be doing anything useful.
How do you tell if you are in drug induced remission as opposed to normal/natural remission. Do any of these treatments help reverse damage - i.e. in the non flared up times? Am I missing out on anything, or given the relative infrequency of my fare ups am I better off pottering on as I am? I haven't visited my Consultant for 10 years.