My rheumy is suggesting that I should try Actemra. Situation: PMR and GCA diagnosis in September 2016. Started at 60mg after some eye problems. Got down to 30mg in 8 weeks, flare-up at attempt to go to 25mg. Back to 60mg now slower, got down to 17.5 in 9 months. New flare-up, back up to 20, then 30 and then 50mg to get symptoms back under control. Then in 7 months DSNS method down to 12.5.mg. Now I have another flare-up and my rheumy suggests that I should try Actemra. I live in the US and am on Medicare, but it is going to be very expensive for me due to the copay. I have seen good double blind test reports, that suggest it is more effective than just prednisone.
I have no problems with the Pred: no weight gain, no high sugar, sleep well etc.
What do you think? Should I go for the Actemra or make sure the next DSNS "run" gets me below 10mg and then go even slower?