... methotrexate/folic acid, and an anti scalp itch medicine. Her face is red and she is tired a good bit, but is improved over what she had been. I am concerned with the long term side effects of these meds. Are there any alternatives, and what prednisone dose do most of you level out at? Are there any super specialists out there, as this is a 2 in 100,000 disease, so the average Rheumatologist may not be up on all its nuances