I was at 5 a few weeks go, but too hastily dropped and went to 2.5, and on the 3rd day at 2.5 felt terrible. Jumped back to 10 and then 7.5. And since I have gone back to 5, after maybe a week at 5, I am again feeling great, better than I did the last time I was at 5. There are some differences now, I am on methotrexate and hydroxychloroquine. And the other diff, I stopped taking any metformin. I used to be at 1500 mg metformin and right before developing this PMR, had been jumped up to 2000 mg. I was reading metformin can cause arthralgias and even develop it after years of being ok on it. So I thought just try and drop that and see what happens. Actually it does not seem to effect my glucose too much taking vs not taking metformin, since I take Novolin insulin 70/30 30-35 units 3 times a day. I used to be able to take less insulin, but the prednisone made my insulin usage go up by about 50%. And now with less prednisone, and no metformin, same amount of insulin is working better to hold down my glucose levels.
My hands were seriously painful and swollen, now they are also better. I can slide my hands into each other, interlocking my fingers easily, that used to feel so tight. I still have middle finger movement issues and those fingers used to trigger lock, so my tendon is stuck - sticking the doctors say. And likely tenosynovitis too. But hands much better now than even a week ago.
So metoprolol did and maybe metformin also caused me joint pains. Who knows but maybe those drugs triggered me into PMR. Been off metformin for almost a week. And Methotrexate takes couple weeks to do anything