After five years, on June 27, I got to zero pred, though I am continuing Actemra. It was July 26 when I started having a headache, which over the next few days had progressed to sharp pain down the left forehead and was needle-like in my left eye, my blind eye. I had intermittent pain on the right side but far more on the left. There was also some pain in the left temple region, again downward. I was so tired and slept on and off, and on Monday, when I went to call the Dr., it was after office hours. I was nervous about going to bed since I'd lost sight in my left eye while sleeping. I thought if I were reading this on the forum, I would be yelling...Go to the ER/AE. I did.
They did a brain scan to rule out any brain issues; I'd had a stroke in my 40s. The ER Dr. contacted my rheumatologist, who ordered an IV with 60mg of methylprednisolone, the equivalent of 75mg of prednisone. It didn't seem that long before the pains started to subside. He wanted them to keep me overnight so he could visit in the morning. Since I took Actemra, my ESR, CRP .03, but clinically speaking; I was flaring away! My rheumatologist gave me a script for 20mg tablets and told me to take 60mg if the pain came back; that was Tuesday morning. It was my emergency kit.
I had a few pains last night, Tuesday in the States, but by noon today, the frequency was increasing: noon, 1:15, several in the afternoon, and two really sharp ones around 7-7:30 PM. So, I cracked open the kit.
I'll take prednisone any day to keep my eyesight. I'll see the rheumatologist on Friday morning. As much as I looked forward to getting to zero, I feel safer now. I look forward to getting to a low-maintenance dose. It's OK.....๐