That's a good question, but one that I can't answer. In my case over one year I tapered down from 2 months of 60mg a day to 5mg which wasn't enough so I've now stabilized at 7.5mg.
For a year prior to my fun experience taking 60mg I had been on 5mg a day and was increased to 60 when I had a bad flare. So although I can't answer your question definitively, in my case I don't believe I need more as time goes by. But I do agree with your rheumy that summer has been hard on me. Even though my simptoms are subsiding, the heat, as you know, is getting the best of me.
I'll be anxious to see what others have to say about this.
Lupus, Rheumatoid Arthritis, Sjogren's, osteoarthritis, fibro, ibs, renauds, restless leg, hiatal hernia, double vision, migraines.
cellcept, neurontin, prednisone, plaquenil, synthroid, triamterene, tramadol, actonel, tri-est, imitrex, cymbalta, multivitamin, calcium w vit D, fish oil, aspirin