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What is being replaced by the prednisone with the disease polymyalgia rheumatica? What does the body stop producing when they contract this disease?

I was dx'd with PMR a month ago.

I was told to take 40 mgm daily.  Didn't do that . Tried 20 mg daily.  Pain in neck better but not gone.

Increased it to 40 mg.  --Butterflies in stomache-insomnia--after 3 days of that went back on 20 mg.

Still insomnia.

Can I cut it back to a lower dose ?  When can I get off it completely?  I'm 78 years old and not into taking a lot of meds.

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A doc in Ireland stressed that I take the prednisone early in morning to attempt to avoid sleep problems. How about 4:30 to 7 a.m.? That was when I started getting up due to pain in various joints and muscles. Murder. I now have appreciation for what I imagine people with chronic pain to through. 15 mg low dose and symptoms are not as relieved as initial dosage. Patience.
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