My doctor is talking about having me start reducing dosages of my meds, which are 15mg./wk methotrexate and 10mg./day prednisone (and Bactrim). He said he was leaning toward me reducing the MTX first, to 5 pills a week, or 12.5mg./wk. I said I was more in favor of tapering the pred, since 15mg. MTX is a pretty low dose. He said, OK, but wanted me to taper the pred faster than what many people here typically do, to get down to 5mg. in a month or so. I argued that I only wanted to go 1mg. at a time, based on experiences I've read here. He thought it was unnecessary to go that slow, but agreed to let me do it however I wanted, and wrote me a prescription for 100 1mg. pred pills which I can combine with 5mg. gotten by splitting a 10mg. pill.
I know there are threads in the archives about tapering pred, but I'm curious what those currently reading the forum think. Do people typically try to get off the MTX first or the pred, or do they do both at the same time? And do they typically taper the MTX, possibly to sub-therapeutic doses, or do they just quit it all at once, or what?
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