I think that medications treatments are like anything and mostly what your doctor prefers. Sometimes it depends on what other overlapping diseases you have.
I think that Plaquenil and Methotrexate are the two most common drugs and treatment of choice. Along with those my rheumy strongly suggests and actually requests either flaxseed oil or fish oil for the lubrication. She also suggests and requires Folic Acid (not the OTC kind but perscribed) I also had to do Vitamin D. Then she told me that she will watch my blood work and play with the doses as needed. I get routine blood tests every two months. She really doesn't feel that treatment should be prednisone (thank god because I hate that stuff) unless for really acute episodes. She also does not perscrib any narcotics at all. I have a script for them from my family doctor and use them only when necessary. I also think that of course treatment isn't about only the medicaitons, there is exercise (which I don't really do at this point, but should) stress reduction (which I really am focusing on at this point) diet ( which I am not 100% good at all the time).
I would say that if your doctor is relying on predisone so much that you discuss your feelings with him. You have rights as a patient and refuse to take it at any point. I have been on it for short times a couple of times now. But I know that a 7 day dose pack is all that I would do right now. That way it takes care of the acute inflammation and I am off it in 7 days. I will be anxious to see what everyone has to say on this topic. Thanks for starting the thread.
"I will not let this disease define who I am"
Dx-Lupus, Sjogren's syndrome,antiphosolipid antibiody syndrome, hashimoto's and fibromyalgia and insomina.
Meds-Plaquniel, Methotrexate, Vit D, Flax seed, asprin, lipitor,armour,premarin,celebrex,folic acid,ambien,hydrocodone,skelaxin,colace,imodium,pr ilosec,antibiotics, and new ones added daily