With PMR, I tapered quickly to 7mg but have been stuck there for the last six months, moving to 8 mg only yesterday. On just 0.5mg tapers, I had hoped my symptoms were pred withdrawal but, a week later, symptoms were always worsening. So, today, I Googled adrenal gland awakening and was astonished to read this from two websites of The Imperial Centre for Endocrinology:
"If you look at old textbooks and websites, you will see that in the past, people thought that 7.5mg was the equivalent amount of prednisolone that you need in a day, but we now know that this is too much and is much closer to 3mg. Even doses of 3-7.5 mg therefore have the potential to cause side effects."
“We know that patients who have no adrenal glands feel fine on 3mg-4mg prednisolone so that is the equivalent of what your adrenal glands make daily. If you feel unwell as you cut the dose before you reach 4mg, that would suggest that your primary vasculitis is not fully in remission. However if you get down to 3mg, then reducing the dose further requires your own adrenal glands to be in working order.”
So I guess I am stuck at 7mg through PMR inflammation alone, which makes future treatment simpler.