I'm happy to report that some prednisone side effects have lessened over time, esp. the insomnia and cognitive issues. I'm sure the two are related. I haven't been able to reduce my dose over the last year, though have tried a number of times. I was using neurontin to help me sleep but am off it now. I have pushed activity more. It helped that I had my kitchen remodeled which involved dealing with the design and research plus doing a lot of the finishing work like painting.