I have been on 400mg of Plaquenil daily for about 15 months however my lupus is becoming more active with inflamation and chronic joint pain.
I have been put onto Prednisilone a few weeks ago, firstly by GP 25mg daily then 12 1/2 mg daily for a trial (did not sleep at all). But last week my Rheumy put me on 5 mg daily as a long term treatment, cut my Plaquenil down to 200mg daily. And added Methotrexrate 10 mg weekly, I took it for the first time last night after dinner as I had to wait to get over a sinus infection first.
So far no nasty side effects, what a relief. Still not sleeping the best with the prednisolone (whacky dreams and waking often) but better than the higher dose thats for sure. My inflamation and pain has almost disappeared completely now, and I even went on a 3 hour horse ride yesterday. Yay!
Good Luck Bernie
Shell