Hi, John. Thanks for your reply. I haven't been keeping a log thru 8 mg (beginning at 15mg)because I wasn't having any pain at all. But when I started the 7 mg. and started having pain, I am now keeping a log as you had described yours recently, and that's what I modeled it on. This issue seems so basic to this disease, one would think it's a no brainer to a rheumatologist. Yet from the conversation on this site, it's anything BUT basic. I've had 3 conversations in 13 days with my rheumy. Each time he'd tell me to stay a few (4-5) more days at 7mg because I had pain, and then start tapering. All of his answers were similar. Never addressing whether or not I had pain. The 3rd conversation, I e-mailed him and I TOLD HIM I was going up to 8mg to see if it would help because now I've progressed to muscle spasms in my butt. He answered back stay on it 4 days, then go back to 7mg for 4 days, and then start tapering again. Again never addressing whether I had pain at that point or not. I'm losing confidence in this doctor. Do I start looking for someone else?