1. Make sure that you are actually dealing with a flare of PMR and not the adrenal insufficiency that , by many accounts, can mimic the PMR pains. They did for me but patience and sitting with "some" pain at those crucial taper points (below 5 mg) helped me. The so called flares mellowed and went away on their own. Everyone is different, however. I can successfully say that I did not have the classic PMR pain when tapering. All my pain was gone during the prednisone journey and my lab numbers stayed down during that journey. Pred was working, in other words. 2. Try the biologicals (actemra and Kevzara) if you are assured it is a stubborn point in your tapering. 3. taper VERY slowly once at 5 mg. I did .5 mg every 2-3 weeks below about 3-4 mg. The last few milligrams took almost as long as the first 10. 4. Try the tylenol extra strength to weather these possible adrenal insufficiency storms. 5. Hang in there. 6. keep asking questions about whether this a flare or not. I, fortunately, never had flares but did have weird pains at lower prednisone doses which I could have mistaken for flares. Also, length of time on prednisone, age, commorbidities, and severity of PMR originally all play a role in how well one tapers. 7. Remember, tapering to 0 prednisone is possible and to live without PMR is too. I have since March 2026 after a year journey with PMR and prednisone. Not as many of us who have gotten thru PMR write into this chat room but we do exist!