Does one stop Methotrexate when you reach one or zero of prednisone?

[Celebrant]

or do you continue with the metho for some time --or for life

[DorsetLady PMRGCAuk volunteer]

Think that’s a question for your medical team and your specific circumstances.

[PMRpro Ambassador]

The consultant who put you on it is the person to ask. I think a lot wait until you are entirely off pred and then taper off the mtx too - but not immediately. But they all have their little ways

[Hidden]

Hi Celebrant

I’m actually at Clinic tomorrow, so if l’ve time l’ll ask but my personal understanding is, we are only prescribed it as a ‘Steroid Sparer’ ie to get our Prednisolone down, once we have reached Zero (l can only dream) there would infact be no reason to take it.

It’s a drug not without its side effects, so my educated guess would be we’d stop it as l said above for us it is for us ‘A Steroid Sparer.’

Kind Regards

MrsN

[Celebrant]

unfortunately, I think that is part of the problem--3 superegos working to try and be the brilliant one!

[PMRpro Ambassador in reply to Celebrant]

You don't see the same person each time I take it then!

[Hidden in reply to Celebrant]

Sorry, Celebrant l don’t understand your reply?

[Celebrant in reply to Hidden]

seeing 3 Doctors all with different opinions.

[granny-b]

Hi. I have a pred taper plan at which point I will taper the methotrexate over the following months.

At least this is what I was told at the start....

[PenelopeVita-Finzi]

Two weeks ago I was taken off Methotrexate, no need to taper, having been off pred for 2 months. I no longer have to take Alendronic Acid either. So far no ill effects at all. Good luck!

[Hidden in reply to PenelopeVita-Finzi]

Hope you are doing well Penelope 🌷🌷🌷

[Retailmonkey]

I started a methotrexate reduction programme when I got down to 3mg of pred in the spring. The first reduction was from 25 mg to 20 mg and after 12 weeks I started to reduce at 2.5mg every 10 weeks. I'm also on 10mg of leflunomide daily that has been maintained. I've also had 2 reductions of pred and am now down to 2mg. So far so good