@jandee
Male 81 - PMR diagnosed this June. Currently tapered to 12.5 mg Prednisolone. Tylenol (or paracetamol in UK) helps with other aches and pains (osteo arthritis).
For PMR pain I found a split dose helps (currently 5 mg at supper time ca 8pm and main dose 7.5 mg at breakfast ca 8 am). I wake up about 4 am with my brain buzzing, but eventually drop off and catch up with a siesta.
Regarding reduced bone density you could ask about alendronic acid. I am awaiting results of DEXA bone scan but expect it to be OK for now, although I a month ago I did suffer a closed L1 fracture after a high impact fall from a ladder rescuing our cat. Life is rarely smooth!