My doctor checks my sediment and C reactive proteins once a month which determines whether I need to increase the prednisone by 1mg.

I never do the lowering or raising on my own as I am not a physician. Only my doctor can determine that through blood tests.

I also am one that is not affected on the occasional time I forget my dosage. Yet, I need to keep on the same dosage until I discuss it with my doctor as although I am not affected by the miss, if I lower my dose, on my own, my PMR can flare up.