Not so many precautions for PMR except for the possibility of causing a flare.

Depending on how long you have been on prednisone, there are many precautions that should be taken. Make sure the surgeon and the anesthesiologist know you are on long term prednisone.

When I faced a major back surgery, I was told I wasn’t a good surgical risk because of prednisone. Pain was going to be the deciding factor. I wound up taking 60 mg of prednisone and the pain went away.