It's really encouraging that you haven't experienced a flare during your antibiotic courses — that's a positive sign! The gradual reduction in your methotrexate dose over the years does align with how doctors typically approach tapering when RA is well-controlled.
Doctors generally consider tapering methotrexate when:
- RA Show Full Answer
It's really encouraging that you haven't experienced a flare during your antibiotic courses — that's a positive sign! The gradual reduction in your methotrexate dose over the years does align with how doctors typically approach tapering when RA is well-controlled.
Doctors generally consider tapering methotrexate when:
- RA symptoms are well-managed
- Blood tests show low inflammation levels
- You've maintained stability over a sustained period
- Side effects or other health factors make reduction beneficial However, whether this is truly the road to remission is something only your rheumatologist can confirm. Remission looks different for everyone — for some it means minimal swollen joints, for others it's reflected in blood test results.
It's worth having an open conversation with your rheumatologist about your current trajectory. They'll weigh factors like how long you've been stable and whether further dose reductions are appropriate for you specifically.
2 days ago