Excellent article. For some reason, a delayed-release formulation of prednisone is very expensive in the United States. I was told my insurance would never pay for it so I only took standard prednisone.

I could never taper off prednisone presumably because of adrenal suppression and low cortisol levels. This article explains this issue well so I highly recommend everyone to read it.

When I was tried on Actemra ... very expensive as well ... I was able to get off prednisone completely. Actemra doesn't interfere with cortisol levels.