Splitting the dose
I am on 20 mg of prednisone. I've started taking 15 in the morning and five in the afternoon because otherwise I have breakthrough pain at four or 5 AM does anyone do this?
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I've had broken sleep for years before PMR and prednisone, but have mostly been able to get back to sleep fairly quickly. Have also had problems with getting to bed before midnight over the years but have fixed that in the last year by eating low carbohydrate, not eating after 7pm, turning lights down around 9pm and following a routine to get sleepy and to bed before midnight.
The small evening prednisone dose makes no difference to my sleep.