Are there many others like me who had to start on high doses of prednisone and stay on a relatively high dose ? I got diagnosed in October 2018 ( although I think I've had PMR for over a year) and it took 30 mg before I felt better . I've been tapering Dorset Lady way ( thank you!) and got to 22.5 mg with a few aches and pains returning . I saw a rheumatologist mid December who insisted I taper 2.5 mg every two weeks so I ignored him. 😱. I've managed to get to 19mg but feel I've reach my brick wall of pain and fatigue , and tbh I'd be much more comfortable on 22.5 mg again. Are there others like me? I've been checked for ankylosing spondylitis and tested for myositis and myopathy because my creatine kinase was ' moderately elevated' , although the sample was taken as an afterthought by my GP whilst I was already on 30mg prednisone . My rheumatologist has talked about prescribing Methotrexate or Leflunomide if I haven't managed to reduce my steroids sufficiently ( which I haven't ) . I see him Tuesday . Any thoughts or advice , please ?