I agree that taking prednisone at those doses over a long time can cause serious, even life threatening side effects. Every attempt needs to be done to get you on a lower prednisone dose. You need to carefully review which medications you have been on and make sure that you indeed did not respond to them. Combinations of medications frequently are helpful even when the medications were not helpful by themselves. Finally, you might want to be evaluated at a University center with access to the newer treatments– new biologic agents are being evaluated at an increasing rate. Good luck.
About Alan Matsumoto, M.D.
Part-time Faculty, Division of Rheumatology
Johns Hopkins University