Following my post regarding a better time to take enteric coated Pred, as promised here's an update over the last couple of days. I've now taken two doses of 30mg Pred at about 9pm and I've not had any problems with disturbed sleep and the dizziness and tinnitus have lessened during the morning. BUT, I now have really tight muscle spasms around my chest and back, also around the chin area. This started yesterday so I decided to phone the doctor this morning. I managed to get an appointment today and he sent me to the hospital for an x-ray and for an ECG tomorrow. He didn't seem unduly concerned and I feel he actually set up the hospital appointments as a way of reassuring me. He more or less said that a lot of my symptoms were caused by stress and suggested I "did something" to distract myself. Not sure what, seeing that the dizzyness and tinnitus I'm experiencing make it very difficult for me either to walk far or to drive far. And as I live on my own, I'm spendng many hours at the moment wondering what on earth to do to kill time! Anyway, he also said that the suggestion from the rheumatologist that I reduce from 40mg to 30mg was probably too fast so I now have a supply of 1mg enteric coated Pred so I can reduce more slowly. So, once again, it's a question of trial and error - or as I prefer to call it, DIY medicine!!