Thanks for consulting me at HCM. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns according to latest medical practice guidelines. Temporal arteritis patients who are resistant cases and on long term Corticosteroids, I usually recommend them to go for some other agents too for better outcome. No doubt steroids are needed from the very start of treatment otherwise irreversible damages can debilitate the patients in many ways. So, to avoid strokes and visual losses low dose Aspirin is recommended. Added are the benefits of Methotrexate that I usually recommend. It has effective benefits in controlling the pain, stiffness and inflammation. You may ask your treating physician for addition of these agents to your therapy. Hope I answered all of your questions. Please click on I Find This Answer Helpful and don t forget to add your precious positive feedback to help me able to assist you better in future too. For any disease you have, a timely follow-up regarding treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow up to see how you doing. Remember to write down my name in the start of your question next time, & I will be with you right away. I am available 24/7 for providing you expert medical opinion on any health issue. Have a blessed time ahead. Regards! DR. MUHAMMAD HANIF USA