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Medical Forum / Diseases and Disorders / Lupus / April 2004

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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
>
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>
> 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,
>
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> >
> > 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,
>
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> >
> > 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!!!
>
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>> >
>> > 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
>
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>
> 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
>>
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>
>>>> ---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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