Medical Forum / Diseases and Disorders / Lupus / April 2004
Prednisone
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misc - 16 Apr 2004 12:08 GMT Hi All
Just wondering how many people are on prednisone permanently. I have been on it for 22 years, and will be for the forseeable future. What are some of the scary things that I should be worried about? Would like to hear first hand stories as well as theories.
Winny
Smelly Melly - 16 Apr 2004 17:53 GMT Hi Winny,
I am on prednisolone. I have been on it for nearly 4 years and for the rest of my life as I have lupus and also APS and raynauds..
I am surprised that you have not been informed by your gp what the risks of taking steroids are? Sadly I am one of the unlucky ones and now have severe osteoporosis at 32... this is due to the high dose steroids...
The other thing to be careful of is that because the steroids surpress your immune system any illness you come into contact with can be a bit worse for you.. My daughter had suspected chicken pox last year and I nearly had to have the counter injection for it just in case....
Lots of love Mel xxxx
> Hi All > [quoted text clipped - 4 lines] > > Winny Winny - 16 Apr 2004 22:33 GMT Hi Mel
Thanks for your reply. I do know some of the possible effects, but I was just interested to know some actual cases. Like I said, I have been on it for 22 years - but mostly on 10mg or less - and haven't suffered too much yet, at least not anything serious. For about 10 years I was on 5mg. There have been the boosters of course for various bouts of medical fun. I have the bruising, thin skin, etc. and my immune system is lowered by other drugs as well (I have a severe case I am told) and I am aware of the risks with that. I have annual bone scans to check my bones and I am doing ok. Slight osteopoenia but take Calcitriol to help.
Was your osteoporosis caused by the pred? What doses were you taking?
Winny
> Hi Winny, > [quoted text clipped - 22 lines] > > > > Winny Smelly Melly - 17 Apr 2004 11:16 GMT Hi winny,
I am on 10mg+ for the rest of my life. I have to self medicate my steroids in case i get really bad mouth ulcers...
Sadly the steroids caused the osteoporosis (can never spell that right lol)
The bruising in me is horrendous. I only have to knock myself now and a huge bruise comes up as if I have been beaten...
Lots of love Mel xxx
> Hi Mel > [quoted text clipped - 46 lines] > > > > > > Winny saggums - 18 Apr 2004 02:07 GMT Melly!!!
Please beware!
RE: Chicken Pox vaccine - and any other vaccine that is considered a "live vaccine". DO NOT HAVE IT!!!!
Any "live vaccine" used by a person with a weakened immune system (lupus, etc.) will in fact cause that person to come down with a full blown case of the disease rather than preventing it, as immunizations are supposed to work.
Two weeks before my niece got married several years ago, I came in contact at work with a child with chicken pox whose mother couldn't leave him at daycare. I panicked and got the vaccination. Several days later, when I was covered with these large itchy red sores, I called my GP and told him I had chicken pox. He naturally wanted to see me right away and confirmed my worst fears.
Since I work in a facility that conducts medical research, and because this just happened to be a pet topic for one of our senior scientists, I have since learned that this is a rule of thumb that we should all follow. If your not sure, ask if it is a live vaccine. If it is, don't have it.
To put this in perspective, the "normal" influenza vaccine issued every year is generally safe for us to take. However, the "nasal" variety being pushed this year because of shortages of the injectable variety, was created using a "live vaccine". Not only do you need to stay away from this inoculation, you also need to stay away from anyone that has had it for at least three or four days.
Sorry about sounding like the harbinger of doom, but although this is now accepted as common knowledge in scientific circles, I'm not sure that your Joe Average GP would know this.
> Hi Winny, > [quoted text clipped - 22 lines] > > > > Winny Candi Bowen - 18 Apr 2004 21:08 GMT I don't know if a regular tetanus shot is live or not, but 25 yrs ago I got serum sickness from a tetanus shot for an infection. I developed a fever over 105º (40+ç for Winny I was so deathly ill) & at the time didn't know I had lupus. Since I have horses, I really need the innoculation, but my doc does it in 3 smaller doses, which doesn't make me sick. Well, a tiny bit, but it's not bad. PLUS, tetanus shots CAN be lifelong; everyone is different & it takes a certain test to see if it's still working. You may not need one every 10 yrs or whatever they say, tests are available to see if you still have the immunities for tetanus, & you may not need the shot at all.
Candi ----------
>Melly!!! > [quoted text clipped - 65 lines] >> > >> > Winny BJ - 16 Apr 2004 18:39 GMT Hi Winny, I was on a high dose of pred for a number of years. I am off it now, against the advice of my rheumy, hematologist and endocrinologist. I wanted to see how I would do without it. I figured that I would not know until I tried. I had to go back on it about three times last year. I did a pulse, then ditched it again. You likely know about the weight gain and osteoporosis that can result from pred use. A couple of the serious side effects are the danger of avascular necrosis and increased blood pressure. I guess we have all seen the effects it can have on our skin. It thins, bruises and wrinkles easier. Also, it can increase the risk of infection. How much pred are you taking? Have you ever tried going off it? BJ-Sk. Canada
> Hi All > [quoted text clipped - 4 lines] > > Winny Candi Bowen - 16 Apr 2004 23:41 GMT Hi Winny, it's me,Candi,
Years ago, I was on 20-40 mg. Pred for several years. I had lupus pneumonitis, 8 of the other 11 criterion for lupus, which as you probably know, all kinds of weird things going on in the meantime, but I got real tired of taking all the meds (bowl of pills; breakfast of Championns, right?). I stopped them all. Slowly; I knew how to do it. My doc wasn't very happy, but he wasn't aware for several months because I didn't tell him. I am in no way shape or form advocating that anyone do this, but I did. Since becoming a vegetarian seven years ago, I haven't had any major problems. Sure, my joints hurt, I'm still photosensitive (although that's been sporadic cross your fingers), have fevers, feel yucky a lot, but I've not been hospitalized for something weirdly life-threatening. How old are you? Maybe because I'm nearly 48 has something to do with my lupus getting 'better'. I've read that sometimes when you reach menopause, this can happen. Don't know. The last time I was in the hospital was 6 yrs ago because of APS; I had a blood clot in my foot & they were sharpening the knives to amputate because of cellulitis; VERY painful condition. Thank God for Prednisone. So - double-edged sword we got going on here. If something happens to me, I DO take Pred for it (I want to live), but I just don't take it routinely. That works for some people, others have to take it all the time. Lupus isn't a predictable thing.
Candi ----------
>Hi Winny, >I was on a high dose of pred for a number of years. I am off it now, against [quoted text clipped - 17 lines] >> >> Winny herbwormwood - 23 Apr 2004 11:46 GMT > Hi Winny, it's me,Candi, > [quoted text clipped - 6 lines] > am in no way shape or form advocating that anyone do this, but I did. Since > becoming a vegetarian seven years ago, I haven't had any major problems. Hi, I also became a vegetarian 3 years after getting lupus. I was a milk and egg eating vegetarian. I was ok for many years auntil I did a PhD. Too stressful- a major flare resulted in kidney trouble and CNS lupus. A few years later I cut out the milk and eggs. That was about 3 years back and I have been fairly stable since. I didnt do it for health reasons, but I do feel it has helped me.
If I was to give any dietary advice to anyone with lupus, I would say that a low salt diet (blood pressure and kidney health) is probably most important. Then maybe being careful about calorie intake as overweight is terible on the joints.
RhondaM - 17 Apr 2004 01:23 GMT I am back on it now as of today dr is putting me back on it with a high dose and then tapering down to 10 mg for indef. he also added neurontin too So I guess I am on it indef. I just get very very hungary and munch..it also raises my blood pressure
> Hi All > [quoted text clipped - 4 lines] > > Winny Larry Walker - 17 Apr 2004 02:17 GMT >Hi All > [quoted text clipped - 4 lines] > >Winny That was the first medication my doctor put me on and we didn't get along plus a huge weight gain. The only time I use Pred now is if I have a bad flare and then only for days at the most.
Have done great on MTX.
>>>---LDW----> herbwormwood - 23 Apr 2004 11:39 GMT Hi, Maybe I am being controversial here but in my opinion the only way anyone will have to be on prednisolone for life will be if they have been tested and found to be not producing enough natural cortisone. Otherwise prednisolone should be reduced when the patient is not in a flare or active illness. Most illness goes through a remission period at some point. It is your body and *you* decide what to do. You get yourself fully informed and then you make your own choice, to follow advice or to disregard it. As long as you know what you are doing.
This is just my own personal opinion of course. I have been on it for 24 years and at last down to 4 mg alternate days. Hoping to get off it one day, but it has to be reduced very carefully and slowly. I would not say I am on it permanently, because eventually I hope to not be on it. I have osteoporosis from being on it so long. Am also on imuran/azathioprine. Have joint problems, CNS problems and have had nepritis.
>> Hi All >> [quoted text clipped - 13 lines] > >>>> ---LDW---->
 Signature for an alternative look at current events, go to http://www.greenpeace.org.uk/
Winny - 23 Apr 2004 23:33 GMT I tend to self-medicate my pred. - but only to a point. I am a bit too scared these days to push things too much. I am on 10mg daily, and will reduce further when I am almost pain free. Good advice about the low-salt diet. Do you have any problems related to the long term pred.? (apart from the osteo?)
Winny
> Hi, > Maybe I am being controversial here but in my opinion the only way anyone [quoted text clipped - 35 lines] > for an alternative look at current events, go to > http://www.greenpeace.org.uk/ herbwormwood - 28 Apr 2004 12:49 GMT > I tend to self-medicate my pred. - but only to a point. I am a bit too > scared these days to push things too much. I am on 10mg daily, and will > reduce further when I am almost pain free. > Good advice about the low-salt diet. > Do you have any problems related to the long term pred.? (apart from the > osteo?) Hi Winny, I dont know, because I have notheing to compare it with. Been on it so long, I dont know what would be normal for me! I do get very hungry in the middle of the night. I get very bad tempered when I am hungry too. I believe this is related to prednisolone. I have had withdrawal symptoms when trying to reduce even by half a milligramme.
I get adult acne, and very dry skin. I really have no idea what is caused by prednisolone and what is me. Lynne
> Winny > [quoted text clipped - 40 lines] >> for an alternative look at current events, go to >> http://www.greenpeace.org.uk/
 Signature for an alternative look at current events, go to http://www.greenpeace.org.uk/
Winny - 30 Apr 2004 11:46 GMT Thanks Lynne
I know what you mean. Since I was only 15 when I started on it - I don't know what is 'normal' for me or what is caused by the pred. either (or the lupus for that matter) .
Funny thing ... I still say things like "Geez, I don't know why my wrists are so sore today ...." (trying to think of what I did the day before) .....and then realise how dumb I am.
I don't know if I will ever get used to it.
Winny
> > I tend to self-medicate my pred. - but only to a point. I am a bit too > > scared these days to push things too much. I am on 10mg daily, and will [quoted text clipped - 63 lines] > for an alternative look at current events, go to > http://www.greenpeace.org.uk/
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