I was on 40 mg a day and then after 5 or 6 days gradually reduced dosage as prescribed by my Dr. I kept breaking out with hives and the Dr. then put me on Prednisone. It took care of the hives, however, I have had awful side affects. Nights sweats, severe anxiety, severe bloating in my stomach, can't sleep, increased appetite, dizziness, moody and depressed. I hope I never have to take this medicine again.