Just as taking prednisone can cause side effects, reducing the dose may cause problems as well. Prednisone is not addicting like a narcotic, but many patients experience withdrawal symptoms as the dose is reduced. These often include muscle soreness, joint pain, fatigue, and depression. Know that these effects are also temporary and worth bearing to allow a cutback in your dose. If you experience any unusual symptoms as your prednisone dose is reduced, contact your doctor. It may be necessary to temporarily increase your steroid dose until you are feeling better and then taper the dose more slowly.
There are other, perhaps somewhat less effective ways of approaching this, including regular gland expression, which can be taught to you by a willing eye care professional. Moisture shields and moisture goggles are also key to his management. EyeEco, a California company specializing in dry eye products, just introduced a silicone shield that I would recommend for nighttime use. It serves as a moisture barrier and also helps prevent mechanical irritation and drying. They also make a moist heat product that sounds similar to what you are already using.
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