Hello @123suew, What kind of a tapering schedule are you using weekly, bi-monthly, monthly? How much do you reduce the dosage when you taper? I struggled my first time around with PMR and worked with my rheumatologist who gave me a few suggestions to try. The key for me was tapering slowly. Initially I went down by 5 mg at a time but when I reached 10 mg, I had to change tactics. My rheumatologist prescribed 2.5 mg and 1 mg tablets of prednisone so I could taper slower.

Another thing that really helped me was to keep a daily log. Each morning I would write down how I felt pain wise on a scale of 1 to 10. The prednisone usually keep me at 2 or lower. If the pain was any higher than 2 and it was the day to lower my dose to the next lower dosage, I would add another few days on the same dose to see if I felt any better. I normally would taper to the next lower dose if I only had minor aches. I took 3 years tapering off of prednisone the first time around with the last six months going between 1 mg and 1/2 mg until I could finally stop taking prednisone.

You might want to discuss a tapering schedule with your rheumatologist just to see if they might have some more ideas of things to try.