My doctor is of no help. All she says is that any dosage is too much. My polymyalgia was under control at 20 mg. a day. The Dr. told me to go to 15 mg. and the pain slowly increased. I relayed this info to the Dr. who insisted I stay on 15 mg. I did for about a month or so until the pain was intolerable. I did a one time increase to 40 mg. and I was pain free within 12 hours. I went back to 15 mg. and now I'm once again approaching the intolerable pain threshold. Is 20 mg. a day a death sentence? Has anybody been on Prednisone long term, and if so at what dose? (Quite frankly, I'd rather live a year with no pain, than five years with intolerable pain.) Please help.