I had more energy and motivation and interest in things too. I didn't have a care in the world. I didn't seem to have any need to sleep because I was feeling no pain and an abundance of energy.

Granted, I was on a rather high dose of prednisone. I was also on the verge of going blind in one eye. I told my ophthalmologist that I "didn't care if I lost my vision because I felt great." My ophthalmologist simply said he didn't want me to feel too good about the situation! He wanted me to reduce my prednisone dose rather quickly.

What prednisone dose people can tolerate is highly variable. My self imposed limit was 60 mg and up to 100 mg for a few days if that's what was needed. For some people their tolerance is much lower. For other people their tolerance level is higher. The problem is, people typically aren't aware what their tolerance is when they have just started taking prednisone.

Prednisone can also mask pain that has nothing to do with PMR. It is nice not to have any pain but not all pain is PMR pain. For most conditions there are better treatment options. There are other things besides prednisone that can be done.