I have had pmr since 2013 and it’s been a battle to decrease the steroids. I am currently at 5mg daily which is the lowest dose I’ve been on. Also, I have been diagnosed with an adenoma on my adrenal gland and have been tested for Cushing’s syndrome. I have not had the results of the tests yet but have been given an appointment to see a consultant in a June this year so won’t know the results for months. My problem is that my heart rate has increased, I feel hot a lot of the time and I wake up at 5.30am every morning feeling agitated and hot. I also have trouble getting to sleep as wel, only averaging 4 to 5 hours a night. Can a lowered dose of pred cause these symptoms. I am usually a chilly mortal. I’m also on 15 mg of methotrexate.