I noticed in all the very good advice you have received that no one mentioned that we are all different, that is to say in basic health and the way our bodies respond to medication or lack thereof. Some tell me I am tapering too fast from 20mg from middle of December to now 4 mg. I admit to the character flaw of impatience, however, I am willing to go back up if I need to So far I have had some slight negative reactions when I do another taper (after 6mg I am doing .5 at a time) I am down to 4mg. When I taper I expect to get some kind of reaction for a couple of days, but can deal with it. I do sometimes sleep poorly, but that is an almost lifelong problem of occasional insomnia. I am very careful not to attribute every discomfit/pain to PMR or tapering too fast. Night before last had a dreadful night, but last night slept like an innocent babe.