<p>Compmom - so you are taking nothing for regular inflammation reduction management? I didn’t think prednisone was for long term maintenance of the disease. I’ve had cortisone shots for pain and prednisone prescription when I had a bad flare and that was for the immediate and it worked great but I’m past the point of going for pain relief from flare to flare. As my Dr pointed out - if you can stand the pain, that’s great but that isn’t the problem - the problem is when you are in pain your joints are being destroyed. Hiding the pain and not fixing the problem can have you bedridden pretty quick. Of course I’m referring to RA and not Lupus - not sure if the implications are the same.</p>