Does anyone do the opposite of prednisone taper?

Why do doctors start patients from 0 to maximum prednisone? I guess b/c patients don't feel any ill effects from the sudden change in meds and it gets in there ASAP for quick relief, but wouldn't it make sense to work up to that amount. I guess prescriptions are never ever prescribed in that manner. I am just curious.

aha, I had asked the same question to myself.

I flared @ 5mgs of pred on 5/13/08 (not sure if aza is faling me or coz I took aspirin a couple days before)
anyhow
I put myself up to 10mg's for a couple of weeks, not much difference, then I put myself up to 20 mg's a couple of weeks, not much difference, but when I went up to 40mg's (and called my GI a week later, MY BAD, he said was ok) I was doing much much better in about a week and a half and right now I am doing well 2 weeks later, I think I am nearing 'pred induced remission'.

However, it could be if I stayed on 10 or 20 for a month I would have gotten the same result, but methinks it is b/c the 40mg helped me and if I ever flare again and have to go on pred, I want to see if I can just start at 40mg and see how long that takes, but also I think each flare I respond differently........I digress, my theory now is that the 10 and 20 did not help me get better (kept me from getting worse) but the 40 is what I think helped.