increased pain, fatigue : diagnosed Oct 2022 PMR... - PMRGCAuk

PMRGCAuk

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increased pain, fatigue

Harry8388 profile image
5 Replies

diagnosed Oct 2022 PMR over 18 months have reduced from 12.5 to 2.5 seen rheumatologist for a different problem (erosive arthritis in hands ) discussed PMR because my hips and lower back was painful she advised not to increase pred

GP rang me and also said don’t increase pred

The pain is pretty constant but not in shoulders should I increase Pred

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Harry8388 profile image
Harry8388
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5 Replies
PMRpro profile image
PMRproAmbassador

If you have erosive arthritis I assume that is some form of inflammatory arthritis? Are they considering adding a DMARD?

It is all very well them saying "don't increase the pred" - but they need to do something about your pain. I have to admit - if it were me I would try a bit more to see if it helped, just to collect evidence.

Harry8388 profile image
Harry8388 in reply toPMRpro

Thank you for your reply

What is a DMARD

I am tempted to try 5mg pred

PMRpro profile image
PMRproAmbassador in reply toHarry8388

Disease Modifying AntiRheumatic Drug - they do something to alter the disease process and reduces the erosive effect on the joints. Examples are methotrexate and leflunomide.

Bcol profile image
Bcol in reply toHarry8388

Can't see that trying 5.0mg for a week or so is going to do any harm and may well give you an answer you can take back to the docs if you need to.

123-go profile image
123-go in reply toPMRpro

Me too!

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