I have had PMR for at least 30 years and been of and off prednisone (P) , mostly on for that time. My new rheumatologist (last of 5) tried hydrocholoquine. I was on HCQ for three months and had the wildest dreams and sleeping problems. It didn't help my PMR so my rheumatologist switched me to sulfasalazine and after 3 months and no help I was switched to Kevzara. I have been on Kevzara for about 6 months and it seems to be helping. I am down to 2.5 mg of prednisone and hopefully will be down to zero P in the future. I do have blood test now every 3 month and so far everything is OK.