You'll probably have to up your pred dosage at least to the dosage where you were before symptoms began. A few years ago, I got down to 3 mg/day of pred and started with roaming joint pain. I briefly went back to 40 (I think), had my first rtx treatment shortly thereafter. I got down to 5 mg/day and decided to hold there for the foreseeable future. I'm still at 5 mg/day. I see my rheumy on 9/29, and am going to ask about trying to taper off again.

If you have an infection, I doubt that you'll get your rtx as scheduled. I hope you can get past it quickly and get the treatment you need.