Thanks Sue. I do agree with the weighing the benefits and that is where I am stuck - I would need a higher sustained dose of steroids than what a Medrol dose pack give, and I cannot find anything to support a specific dose for this so I assume my PCP (only doctor I see right now besides the eye doc) will be just as clueless. Then (and this will probably sound stupid), I would want to take them when I can maximize my pain free time doing something enjoyable, not working, as I know the fun will not last.