From what I’ve found on the web, relapses are common in the 5 mg to 7 mg range. This happened to me at the 6 to 5 transition. I resumed the 7 mg dose with relief and then tapered at 0.5 mg every 4 to 6 weeks with good results. I am down to 3.5 mg now and stable. Slight shoulder pain with weight lifting that improves with warming up but is most likely due to PMR.