I was diagnosed in April this year with PMR and prescribed 15mg Pred. which had very little effect. I went up to 20 and symptoms practically disappeared within a day or two. After a month I was put back on 15 and almost immediately the pain and stiffness returned. Then I started to have soreness in my temples. My rheumatologist did an ultrasound on my temples and said there was evidence of slight temporal arteritis. I reduced to 17.5 pred and was doing ok for a few weeks but had a flare and am now back to 20. I m also now on Methotrexate to try to suppress my immune system and reduce inflammation . I'm due to reduce to 17.5 pred next week and increase the Methotrexate. I'm having monthly blood tests to check if it is having an adverse effect on white cell count. Rhuemy wants to get me off pred but is Metho not as bad or worse?
I'd be grateful for any input.