After two and a half years with PMR, my new GP referred me to a rheumy, to get a second opinion she said. I had the appointment last Thursday and was told by the rheumy that it was because I wasn't decreasing my pred. fast enough. I have been on 5mg since just before Christmas as I had quite a bit of pain when I tried alternate 4mg/5mg.as recommended by the GP. However I had started to reduce to 4mg using DSNS before I went to my rheumy appointment. He said my adrenals wouldn't start working if I stayed on Pred. and he wanted me to use Methotrexate to reduce faster. I asked for time to try reducing without Methotrexate for a few months. I was shown a graph for my ESR and CRP results which have been within the normal range since I started taking Pred. and from this he said I haven't had a flare so should continue reducing whether I get pain or not and if I get pain to take Ibuprofen. He agreed that I could use DSNS to do this. He has prescribed Omeprazole which he said I should have been taking all the time I was on Pred.and I'm to continue taking Alendronic Acid and Calcichew.
I don't really know whether it would have been better to have accepted taking Methotrexate, as he wanted me to do, or to stick to my idea of trying to reduce Pred. without it, taking Omeprazole to protect my stomach and also Ibuprofen for pain relief if necessary. It seems either way I'm going to be taking even more drugs than I am now.
I'd be grateful for any comments. Thanks.