I started Pred. for PMR in Dec. of 2016, switched to delayed release Pred in March of 2017 and have tapered from a high of 20 to now between 8 & 7 on the 38day DSNS taper.
For reasons I can't figure, my sleep has deteriorated over the last few months. I noticed some time last November, around 9-8.5-8mg Pred., that my sleep was lighter, more interrupted and sleep onset was longer than I had experienced ever in my life, and even early on in treatment. Pred per se did not interfere with my sleep. On the contrary, I slept better once I began Pred treatment, except for the early morning pain from the cytokine dumping. The switch to Rayos, DR Pred, fixed the latter problem.
One doctor suggested taking more ativan (I've been taking 0.5 prn for a long long time due to pain from various degenerative conditions.) but another said he'd be concerned about dizziness and falls. So since my pharmacist said there is no interaction between melatonin and Pred., I decided to try 1.5mg of melatonin. I've taken it now for the last three nights and it seems to have worked wonders for me.
I did some googling and now I wonder if I should continue taking it. This article is about circadian rhythms of symptoms PMR, inflammatory cytokines, melatonin and cortisol.
Any advice based on this article or any other resources?