I have suffered from depression for most of my life, and am on long-term antidepressants, plus spells of short-term counselling.
Since atypical PMR reared its ugly head about three months ago I've been on steroids - starting at prednisolone 15mg daily, down to 10mg and back to 12.5mg. As with three years ago, the steroids worsened my depression and most antidepressants don't work well. I respond better to the older tricyclic medications, and am on nortriptyline now for both pain and depression. I will be trying to drop to 11mg next week, but am having some pain.
I've had one visit to a rheumatologist, and see her again on the 25th. My GP says that methotrexate might help me reduce my steroid requirements. I agree, but do not really want to use this or azathioprine.
I do envy those who become euphoric on steroids - so long as it isn't too severe.
Have other people had to use methotrexate to avoid having enough steroids to exacerbate depression? At what level of steroids do you find that steroids cease to make you depressed?