GCA x tapering

Posted , 5 users are following.

Having GCA there are three years I have flare ups now and then due to the fact my Rheumy just cares for the results of the blood tests, while paying no attention to my symptoms.

Following the discussions on the forums I get helpful information though.

This is a good thing!

3 likes, 4 replies

4 Replies

  • Posted

    Hello, I'm having exact problem with my Rheumy, he wants MRI's and all these scans but not listening to my symptoms. I was having severe scalp pain, neck, arms & groins pain, the scalp pain was coming intermittently for over a year and then this past Feb. I awoke and couldnt move, thought I was paralyzed. He refuses to believe it's gca or pmr even though I responded to the pred immediately and feeling so good since first prescribed. Now he wants me off of it completely. All because my blood work is normal. Not sure what to do now!
    • Posted

      Possibly time to find another doctor who will listen to you and not have preconceptions. If you are on pred then your bloodwork probably WILL be "normal" - but 1 in 5 patients with PMR or GCA don't have raised ESR/CRP. 

      However, some doctors like to get their patients off pred to be able to investigate other possible diagnoses - so at the very least you need to sit down with whatever doctor you see and discuss how to go about that. It is one thing to insist your patient reduces pred because they currently do not appear to have PMR or GCA - but what is he prepared to do if the symptoms return as you reduce. That is the crux of the situation and one for which you need to have a plan in place.

    • Posted

      Hi EileenH,

      I just returned from Internist, he now says there are two other meds,\ he'd like to try Lyrica & Cymbalta and I asked why should I do this. I then told him that at my eye exam last week I was told I have borderline Glaucoma, never told that before & he says the pred wont do that. I am now scheduled to see a Neuro Opthomologist on May 18. I told him that all of my scalp pain has stopped since starting the pred and he says to me everyone gets a headache, I said this was not a normal headache, I could not lie down or touch my head why are you not considering my symptoms and he was just as rude as could be.

      I told him that my Rheumy tried tapering me by 5 mil and I had the worse flare up and again he says thats what Firbo does so I was beating a dead horse. I'm going to try and find another Dr because I'm at the point of no return.

      Today I was told I could have Fibromyalgia, I laughed, I tried to show him some printed material which clearly states that prednisone rarely if ever helps people with Fibro & he says not true.

      He then tells me that I self diagnosed myself & I wanted to kick him.

    • Posted

      Sorry Sharon - you really do need a new doctor. Pred can raise eye pressures and he should know that - it is a listed side effect. It may just cause the raised pressures - that isn't glaucoma until other criteria are found but it does need monitoring and treating with drops if it goes above a certain level. Pred does nothing at all for fibro pain so reducing your dose of pred that was working for whatever it is you have won't have led to fibro returning. And Lyrica/Cymbalta do nothing for PMR.

      Given you are paying for this delightful man's attention I'd sack him. Or are you medicare (or whatever it is)? If so - ask him why he took you on if he just wants to be rude and not do his job.

      I would have kicked him - verbally if not physically  rolleyes  twisted

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.