Hi @chzuck, I've had two occurrences of PMR. Starting at 20mg prednisone for both. I always took my dose when I got up in the morning per my rheumatologist. I also only tapered when my pain level was acceptable (less than 2 on my scale of 0 to 10). The first time it took 3 and a half years to taper off, the second time six years later took 1 and a half years to taper off. I am also still dealing with thin skin even though my PMR has been in remission for over 5 years now.

What helped me the second time around was changing my lifestyle - eating healthier and exercising more. Probably the biggest factor was eliminating as much processed food and sugar as possible. Do you keep a daily log to record your level of pain in the morning and the dose of prednisone?