Polymyositis & Dermatomyositis Support Group
Polymyositis (PM) is a type of chronic inflammation of the muscles (inflammatory myopathy) related to dermatomyositis and inclusion body myositis. The inflammation is predominantly of the endomysium in polymyositis, whereas dermatomyositis is characterized by primarily perimysial inflammation.
Meds are tricky. I still haven't found the right combo for me. I just switched to the methotrexate (I think that's the med your doctor didn't want you on) injection--actually I just gave myself my first injection all by my myself and I lived, so anyone can do it:). I also have started on Cellcept and have been on steroids and plaquinil since June (But high doses of steroids basically since November). Plus a plethora of vitamins and pain pills to manage the daily pain I have.
My doctors didn't want me to do Rituxin. They wanted me to try IVIG first, since it is pooled from plasma donors it is more 'natural?" at least that is my understanding. Anyway, I had my treatments on Wednesday and Thursday of this week and I *think* all is going well, still too soon to tell but I am optimistic. For the IVIG, because DM (and PM) require such large doses it had to be over 2 days, 6 hours apiece. And then I missed Friday at work because of the enormous migraine I had. It is my understanding that as I get more, they will be shorter and I will know how to handle side effects better. Hopefully someone that has done Rituxin infusions can chime in as to whether it is different from my IVIG experience.
Since it seems once people know that you have a chronic illness, you get a lot of unsolicited advice...one such case for me was a woman that had adrenal failure, and she went to acupuncture and took chinese herbs and it is what put her back on track to her health. I honestly don't know. I am too afraid right now to veer in anyway off my doctor's plan for me.
As far as lifestyle, I have a fastpaced job in healthcare consulting and save my energy for the job and come home and rest. I have cut out a few activiites. I find I can do maybe 1 activity at nite and then rest a few days. I am trying to walk longer and am steering away from weights. I have heard about alternative treatments, but think the meds are the way to go, but will research them. I just listened to a RA webinar and they said many times that quality sleep makes a big difference, keep aways from fats, sugars and since we have an inflammatory disease, to make sure our blood pressure and cholesteral are okay.