Short video form US Doc: youtu.be/xcHPH3y8-A4 - PMRGCAuk
Short video form US Doc
![kimsaunsc profile image](https://images.hu-production.be/avatars/e5c309ccaa0749f188a5c89e9a75ba2e_small@2x_100x100.jpg)
![kimsaunsc profile image](https://images.hu-production.be/avatars/e5c309ccaa0749f188a5c89e9a75ba2e_small@2x_100x100.jpg)
![DorsetLady profile image](https://images.hu-production.be/avatars/37bb6f16-7f5c-4826-80b7-4eb51bca8c53_small@2x_100x100.jpg)
Has been posted before - but some may not have seen it.
![PMRpro profile image](https://images.hu-production.be/avatars/0552c0a893f8293c57ee1b3703b6cef8_small@2x_100x100.jpg)
Shame we can't force all doctors to watch this!!!! Well most of them!
But he said you can only be on pred for 2-5 years, after that, it’s methotrexate because the pred symptoms are too severe?
Whatever he thinks - methotrexate doesn't replace pred if you have PMR. If methotrexate works on its own, it was probably misdiagnosed in the first place.
It's also a sweeping generality. Most people get down to a physiological dose (about 7.5mg and below ) for longer term use and that isn't going to cause much trouble for most people:
practicalpainmanagement.com...
medpagetoday.org/rheumatolo...
At low doses the so-called pred effects are also found in an age-matched patient population who aren't on pred and don't have PMR. I've been on pred for well over 11 years with no identifiable problems - and had a lot of so-called pred adverse effects with PMR and no pred in the first 5 years. And when I tried mtx I developed so-called pred effects that I had never had with pred on its own - mtx not only supposedly increases the pred antiinflammatory effect, it also enhances adverse effects.