I know how you feel about prednisone. Been there, doing that. Up to 40 mgs. for near hospitalization for cp and sob. Living on duonebs every 3 hrs with a cracked rib from coughing. I asked my rheumy that very question in Oct. Option instead of pred. He shook his head and said for now, prednisone is what I need. I have had to accept that it is a quality of life issue. I have been taking the pred. so I could work. I love my job and I can't do it anymore. I am applying for disability. And praying that when I can rest more without job stress, that my body will recover abit, and I won't need it so often. By the time I got to the emergency room, (my first, and boy was it scarey), my family dr. gave me 20 of prednisone and admonished me for not taking more, sooner.