Returning PMR symptoms

Posted , 10 users are following.

Posted on behalf of dorothy89764  • about 16 hours ago 

Hi There

I was diagnosed with PMR 3 years and 3mths ago.started on 20mg and over the 3 years reduced pred down to 1mg. Took some juggling. I stayed on 1 mg for appox 1 mth without pain. 16 weeks ago I took my last  tablet (maybe). All was good for a few weeks but the mild to not mild muscle soreness has returned. I take Ibuprofen in the mornings and at night so I can sleep. The ibuprofen manages the pain, but it is still there just under the surface.  Can this still be withdrawal from the pred? The soreness I experience is not as bad as when I was first diagnosed. 

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  • Posted

    My SED runs from 2 to 4 when I'm not having a flare. My original SED when I started GCA was 86 seven years ago. I developed PMR  about 5 years ago. Now I'm at 12.5mg. pred, MTX and Actemra. I get labs and see my rhuemy each month. With 4 GCA flares (1 PMR) and now the addition of the Actemra I'm not sure how slowly to reduce now. One of my flares came at 1 mg pred and the others after I was off everything for a few months. I don't know how  docs can know when we are over this. 
    • Posted

      Right at the beginning my GP told me that many patients keep a supply of 1 mg tablets on hand to deal with any stirrings of the disease.  That seems eminently sensible to me - like keeping a tube of otc hydrocortisone ointment on hand for the occasional skin rash, and as the years go by you need it less and less, but its use when necessary fends off a full-blown flare-up and the need for further intervention.
    • Posted

      Sensible advice Jean, there is still so much we don't know about this condition... but at least we can share personal experience and see patterns developing until further research is done.

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