I am mystified. For what its worth my PCP and my board certified rheumatologist both told me that there are no studies that show alcohol adversely affects a PMR patient whether on prednisone or kevzara or both, as I now am. Yet there are many comments that say alcohol is bad for a PMR patient. At age 83 I find that even the smallest amount of alcohol inhibits sleep and leaves me fatigued the next day. I attribute that to the effects of aging not PMR. As a result I seldom drink but when I do its red wine and while I am tired the next day, I do not experience any unusual aches or pains characteristic of PMR.