I chop up the pills myself, it's a pain dealing with the tiny pills. In Australia they only come in 1mg and 5mg. They disintegrate if I'm not careful, have to line up the score mark on the pill cutter to get half then very carefully cut the half again with a sharp knife. It's not precise but definitely working for me. It's a source of constant amazement to me that such a minute quantity of a drug can have a profound effect on my body !!! I notice the difference in pain levels within 3 days of such a minor change..if the pain doesn't settle after 3 days and I need Paracetamol to get me through the day, I know I need to wait a few extra days before making the next reduction. I believe I can get off the Prednisone completely but will probably need the Plaquinil (possibly at a higher dose) for quite a while in order to continue functioning.