Hello I’m back. After 10 years of PMR with GCA the last 4, I had done very well on Actemra. Was able to taper off Pred, then in Sept off Actemra. 4 glorious months off meds and it’s back! Classic PMR symptoms, along with niggles of GCA (hoarseness, ear aches) and elevated markers. Dang!
I am lucky enough to have started right back on Actemra however it seems not enough. Any thoughts on dose of Pred to supplement Actemra until it kicks in? Do you think this means I’m a “lifer” and will have to be on treatment indefinitely?
As ever thanks for your support, thoughts and wisdom!