Shirley, when I am in a flare, I will often start a long term steroid taper. usually starting at 4 pills for a few weeks, then 3 for a few more, then 2, then 1, then 1/2 ect. its about a 4 month taper and when I am off the steroids, the flare is typically gone.

Small business owner, 53 / mother of 5, Fort Worth, Texas
Remicade, Seroquel, Folic Acid, MTX, gabapentin
Undifferented spondylopathy HLA-B27+ (onset 2007- DXed 2008) with associated uveitis, psoriasis
EPI and IBS - gastritis due to NSAIDs
Right Hip replacement 2017 with subsequent 4" heterotopic ossification (removed 2019)