I have PMR and have been tapering prednisone for the past year. I amcurrently at 6mg. My rheumy is pushy and insists I decrease by 1mg each month. I am not so compliant due to pain, so I am choosing to decrease at 1/2mg per month. We butt heads often because he wants to add Methotrexate.
Today he called and said my dexa scan was normal but my inflammatory markers are once again on the rise and that my only option left is methotrexate. He said he thinks I am a crossover between PMR & RA even though I repeatedly test negative for RA. Maybe it’s just me, but I have a hard time convincing myself to take a drug with horrible side effects for something I may not even have. He says prolonged steroids are dangerous, but I’d rather take my chances at low dose steroids than create further issues with more side effects and
further immune suppression. Does anyone else have a pushy rheumy who can’t decide on a diagnosis? I think he is getting ready to kick me to the curb because I won’t take the methotrexate.