My Mayo rheumatologist discussed the side effects with me when we discussed a tapering strategy to hopefully minimize the amount of time I would have to be on prednisone to control the PMR. My pharmacist also went over the side effects with me as they normally do with any new medication I take. I'm no expert but I'm not sure it's a gaping hole in the medical system. It definitely pays to be your own advocate and do your own research along with discussing alternatives with your doctor. I've been fortunate to have a great primary care team but realize everyone might not be as fortunate which is another reason to advocate for your health and learn as much as you can about the condition and what helps or makes it worse.