I read the PMR Forum on Healthunlocked.com out of the UK. There are a few long-haulers with great expertise (and credentials) on that forum and I've learned a lot. One thing is if your dose is lower than you need at the moment, inflammation will continue to build up until you have a flare. The usual starting dose is 15-20 mgs. You should find almost complete comfort, stay there for awhile and then try a slow reduction. If you're comfortable at the lower dose, stay awhile and then slowly drop again. Once you get to 10 mgs. don't drop more than 1 mg. at a time. If you feel pains again, don't reduce further. I can't say I was 100% comfortable, but if you're feeling PMR pain you probably shouldn't reduce for now. You can try again later.