@dadcue , I don’t have PRM. I have secondary adrenal insufficiency from being on prednisone for asthma. Every time I have to stress dose it’s harder and harder to wean back down. I was finally down to 6 mg then had to stress dose for broken ribs and after being on 7 mg for 9 days (I was decreasing by 0.5 mg every 2 weeks), I passed out twice which earned me a 4 day stay in the hospital. There no one could figure out why I passed out. I was seemingly doing okay back up at 7.5 mg when the day of discharge I got a message from my long distance endocrinologist’s muse saying to go up to 9.5 mg. I did that and was supposed to decrease by 0.5 mg every few days which I didn’t tolerate at all so the Endo said okay decrease by 0.5 mg every week or 2. I haven’t been able to get below 9.5 mg since. When I dropped to 9 mg after being at 9.5 for 15 days, I started with all of the same symptoms again, headaches, dizziness, extreme fatigue, cold clammy sweats, feeling like I was going to collapse, so just tonight I increase back to 9.5 for the day by taking an additional 0.5 mg this evening when I couldn’t take feeling this bad any longer. I don’t know if this increase is even going to be enough to bring me out of this. Even after passing out twice my endo doesn’t think this had anything to do with adrenal insufficiency yet she increased my dose which seems strange to me. She says I look good on paper and I therefore shouldn’t really need more than 5 mg daily. At this point I don’t even know which way to turn. I feel like this stuff which I now call poison is going to kill me. I’m trying to get to Mayo to be be evaluated but have hit a road block with my insurance so I’m working on that. Prednisone has completely taken over my life and I couldn’t hate it more.