Hi . It is certainly understandable that you would be troubled by these symptoms. Are you on any medications besides these two? I ask because hydroxychloroquine is often prescribed with other drugs. I also ask because, If not, I'm curious if the doctor explained why they were trying to lower the primary medication (it is not uncommon to try to ween patients back on prednisone). If you have concerns about your treatment and whether they are being heard by the doctor, please don't hesitate to seek another opinion. Hoping you get some answers and relief soon. Breathing issues are not to be taken lightly (and can have other causes), so if they continue be persistent in getting treatment. Please feel free, if you like, to keep us posted on how you are doing. Best, Richard (RheumatoidArthritis.net Team)