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Medical Forum / Diseases and Disorders / Lupus / August 2007

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Shingles recovery

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MsLiz - 22 Aug 2007 14:41 GMT
I have early stage lupus and take plaquenil for it.

I came down with shingles in the middle of June.  The doctor gave me a
short term prescription, the name of which I forgot but it was an
anti-herpes drug; prednisone, and Lyrica.  

The prednisone had awful side effects such as insomnia and ugly mood
swings, I am talking severe depression here, but once I realized it
was the prednisone, I knew I'd get past it.  I took it in diminishing
amounts and finished it after three weeks.  Then my immune system went
haywire and I caught a mild virus causing swolen saliva glands.  The
insomnia continued for a while and is finally abating.  Lack of sleep
caused muscle tension, which caused headaches and hipbone aches.  I
can't take lunesta every night without getting ill effects from it.  

The actual pox aspect of shingles is long gone, but the post herpatic
neuralgia is making me crazy!  I feel like my skin is on fire when I
am not just hurting.  Also, we have temps reaching 103 degrees here
and my old Volvo AC isn't worth much.  

Last week I went for a sleep study overnight, and remained for a
narcolepsy study the next day.  This must have stressed me because
after taking six short naps during the day, I went home and slept five
hours, got up for an hour, and slept five more hours.  Since then the
PHN pain has been excruciating.  

I continue to take 75 mg of Lyrica twice a day.  The doctor gave me
samples which run out today, and I can fill precriptions for Lyrica or
Neurontin, which is an older formula and cheaper.  Any thoughts,
anyone?

I know from prior posts in the NG that some of you have had shingles.
How long did your pain last?  Any suggestions to diminish it?  

If you have had chicken pox but not shingles, and have lupus, get the
vaccine.  I am mad as hell that neither my internist or rheumatologist
suggested it. It came on the market last year.  

Information and sympathy will be appreciated.  I have lurked here for
years and rarely posted, but your help is needed now.

MsLiz
age 54
early stage lupus and the rheumy denies I am disabled !
janers - 22 Aug 2007 15:15 GMT
First off I noticed you mentioned rheumy denies you are disabled?  Get a darn lawyer and fight
this thing. If you can not preform everyday duties and such you are disabled. How long you been
like this and what does doc mean EARLY stages of lupus?

Is that meaning you have no kidney involvment?  then I must be in early stages myself for the
last 9 yrs LOL when diagnosed but sick since 1993 figure that one out.   I would talk to a
lawyer for disability and find someone who can fight for you on this one  ok?
Now the shingles. I had them but the pain when not as severe as you describe. There are cases
of the pain being that bad and you are one of them.

I took neurotin and found it gave me a personality change.  SO doc told me to quit it. Then
later tried lyrica and never again for me.  Each person's body make up is different so you
never know.  Lyrica gave me the feeling I could not do zip.  I could not think straight or
decide what I was suppose to do or do it actually. I stood in the kitchen one day and it was
like What or where am I? I felt my whole body was odd.  So of course they told me stop the
morning dose and I did but the hung over feeling from night dose did the same thing.  Imust
have already too much seretonium in my body :) who knows.  so quit that.   I have neuropathy
and tried 3 different drugs for pain nothing has helped.

I am sure there are some that says stick with neurotin, some swear by it and some by lyrica. If
cost is a problem then go with what you can.   But I do not think you can just STOP lyrica
after being on it like that OR switch to neurotin. I think you need to decide and do it  today
cause you will have with drawl I was told.   Call the doc on that will you??

I am so sorry that you are having this problem and wish I could help more.  What other health
problems you have besides what they rheumy called EARLY stage?  Are you seeing other docs? Ask
them.   But me, I would call a lawyer and just apply for it now and see what happens.   You
apply at the SS office, on line or phone and see what happens. IF turned down, fight it with a
lawyer and talk talk talk.

good luck
keep me informed privately if you want

janers
MsLiz - 22 Aug 2007 16:07 GMT
>First off I noticed you mentioned rheumy denies you are disabled?  Get a darn lawyer and fight
>this thing. If you can not preform everyday duties and such you are disabled. How long you been
>like this and what does doc mean EARLY stages of lupus?

I have no organ damage.  He thinks my weight is my biggest problem.  I
think it is a problem too, and that makes me want ot eat.  I have
metabolic syndrome, so I produce too much insulin after eating, and
that wears me out.  

>Is that meaning you have no kidney involvment?  then I must be in early stages myself for the
>last 9 yrs LOL when diagnosed but sick since 1993 figure that one out.   I would talk to a
>lawyer for disability and find someone who can fight for you on this one  ok?

LOL, I am a lawyer, but only handled one SS appeal for a fellow I was
doing child custody and divorce for.  

>Now the shingles. I had them but the pain when not as severe as you describe. There are cases
>of the pain being that bad and you are one of them.
[quoted text clipped - 7 lines]
>have already too much seretonium in my body :) who knows.  so quit that.   I have neuropathy
>and tried 3 different drugs for pain nothing has helped.

>I am sure there are some that says stick with neurotin, some swear by it and some by lyrica. If
>cost is a problem then go with what you can.   But I do not think you can just STOP lyrica
>after being on it like that OR switch to neurotin. I think you need to decide and do it  today
>cause you will have with drawl I was told.   Call the doc on that will you??

Okay, I will probably refill the Lyrica.  I will talk to the
pharmacist.  I am charging everything these days.  I can't do zip
either, but there are other issues too.  I may have Asperger's
Syndrome (a form of high functioning autism), and am trying to get an
appointment with a psychiatrist to discuss this as well as chronic
depression due to bad marriage.  I need to get a separate reliable
income so that we can split.  

>I am so sorry that you are having this problem and wish I could help more.  What other health
>problems you have besides what they rheumy called EARLY stage?  Are you seeing other docs? Ask
>them.   But me, I would call a lawyer and just apply for it now and see what happens.   You
>apply at the SS office, on line or phone and see what happens. IF turned down, fight it with a
>lawyer and talk talk talk.

I recently decided that I need to apply for SS, but my goal when I
came down with shingles was to resume practicing law.  Now I just
can't see it.  I haven't got a doctor willing to say I am disabled,
and I believe that is key.  

Thanks Janers.  I have seen your name here before.  The encouragement
is very valuable, and I really did not expect such a speedy reply.

Well, there is one thing which will put me to sleep.  The president of
the US is making a speech, so I signing off to take a nap.  I really
should record him, he knocks me out.  LOL.

MsLiz
Candi Bowen - 22 Aug 2007 22:45 GMT
Hi MsLiz, there's no such thing as 'early stage lupus', & if that's what
your doc said, I strongly suggest you go elsewhere. Lupus is a disease that
is totally unpredictable in its progression. It can hit you like a ton of
bricks very quickly or you can have problems for decades that don't advance
beyond joint pain with an occasional flare. Everyone is different. If  you
still have neuropathy from 'shingles', there's a good chance it's not just
from shingles. Regarding the vaccine for chicken pox, I would suggest you do
some homework about the possible repercussions regarding ANY inoculations if
you have lupus. We simply react differently from the norm. I've had
shingles, &  was on Neurontin for 2+ years, but it was because of lupus
related vasculitis/brain involvement that caused the peripheral neuropathy,
not shingles. I know how painful PN is, especially at night (felt like
shards of glass bouncing around inside my legs the instant I fell asleep), &
I really hope you research PN or call their local support group for more
info, plus get a second opinion as far as 'early stage lupus'. Good luck to
you! Hey, I'm 51, was dx'd at 30 & I'm still here! Candi

>I have early stage lupus and take plaquenil for it.
>
[quoted text clipped - 40 lines]
> age 54
> early stage lupus and the rheumy denies I am disabled !
MsLiz - 23 Aug 2007 02:58 GMT
>Hi MsLiz, there's no such thing as 'early stage lupus', & if that's what
>your doc said, I strongly suggest you go elsewhere.

I think those are my words, paraphrasing what I understood him to say.
My rheumatologist is the head of the department at the Univ. of
Alabama, Birmingham, and I see him every six months.  Based on your
advice, I will call tomorrow and move the appointment up.  

When I go in, they take a lot of blood and urine, and then I get a
letter a few weeks later telling me to keep on doing what I am doing.

>Lupus is a disease that
>is totally unpredictable in its progression. It can hit you like a ton of
>bricks very quickly or you can have problems for decades that don't advance
>beyond joint pain with an occasional flare. Everyone is different. If  you
>still have neuropathy from 'shingles', there's a good chance it's not just
>from shingles.

I started out feeling tired, then had mildly ill feelings like I was
going to come down with a cold but never did.  After a few years I
came down with the ton of bricks you describe and it took six weeks to
get the appropriate blood test, referral, more blood tests and
diagnosis.  I tried generic plaquenil and it did not help.  The real
thing did the trick and did not tear up my stomach.  Thereafter, I had
the occasional flare up but felt like I was doing pretty well.  

> Regarding the vaccine for chicken pox, I would suggest you do
>some homework about the possible repercussions regarding ANY inoculations if
>you have lupus. We simply react differently from the norm.

I had chicken pox as a child, and would like to have been offered the
shingles vaccination.  It is moot now!    

> I've had
>shingles, &  was on Neurontin for 2+ years, but it was because of lupus
[quoted text clipped - 4 lines]
>info, plus get a second opinion as far as 'early stage lupus'. Good luck to
>you! Hey, I'm 51, was dx'd at 30 & I'm still here! Candi

I am glad you are still here, Candi!  Are you still employed?  or do
you qualify for disability?  Sorry, I am nosey and don't know when I
am inappropriate somethimes.  

I googled PN and the description is exactly what I am feeling.  I have
sudden flashes of heat and fire on my skin, plus my glands were
swollen.

When you say brain involvement, you are just describing the nerves and
sensations, you didn't get any brain damage did you?   Sorry for my
wording, I don't think you sound brain damaged, it just the mention of

brain involvement scared me.  

Did you find that your sleep patterns changed?  I slept a lot to day,
but never cleaned up the kitchen.  A few weeks ago, I was sleeping as
little as two hours a day.  

Thank you so much for your input.

MsLiz
Candi Bowen - 23 Aug 2007 21:49 GMT
Hello, this group isn't as active as it used to be, but be assured there are
a lot of people here reading & will respond. In the meantime, there's
another, among many, places to go for info. This is a very informative &
friendly one - http://www.thelupussite.com/forum/forumdisplay.php?f=41

Regarding my brain involvement, that's up for debate, depending on who you
ask ;-) but an MRI showed an occipital area of attenuation (yeah, right)
that causes diplopia (double vision), problems with autonomic nervous system
(regulates involuntary action; ie sweating, breathing, digestion, etc.) but
mine primarily involves a sweating issue, which could be attributed to or
aggravated by menopause. Hee hee. And slight aphasia. Not good for board
meetings, especially if you're in a communications field, graphic design,
attorney - I mean most of your work involves research & the power of your
words. I'm not putting your rheumy down, but mine is head of rheumatology at
the Univ. of Cleveland. I'm sure he's an excellent physician, perhaps he was
trying to alleviate your fears, maybe because your labs were on the low end
of norms. My doc keeps telling me to keep doing what I'm doing too! I have a
mini animal rescue group here, horses, a chicken, dogs, cats, etc. & he says
they're keeping me alive. I'm a graphic designer/copywriter by trade but I
haven't worked outside the home in 4 years. I do some freelance work, but I
could definitely do more. My fiance owns a business so he supports me/us. I
really need to resurrect my disability claim that was denied in 2000 - I
just didn't pursue it because of a variety of problems that year. Divorce,
relocating from another state, my father passed away, my own illness acting
up, etc., but it's my understanding the lupus is on the 'list' of approved
conditions for disability.  I simply didn't have the fight in me at the
time, but I think I'm ready to go another round. About the mildly ill
feelings. A lupus flare strongly resembles a bout of the flu. Achy joints,
fever, malaise, etc. It's really hard to differentiate between a flare and a
virus, even for the best specialist, because the ANA isn't indicative of
disease activity, simply a marker that you have a connective tissue problem.
Are you photosensitive? Have you ever had a rash, not a sunburn, from sun
exposure? That's pretty much conclusive of anti-phospholipid syndrome which
is dx's with a positive anti-cardiolipin test or a false positive syphilis
test, which also inconsistently fluctuates. It's often secondary to lupus,
but can be a primary illness. Regarding sleeping all night - what's that
like??

Candi

>>Hi MsLiz, there's no such thing as 'early stage lupus', & if that's what
>>your doc said, I strongly suggest you go elsewhere.
[quoted text clipped - 64 lines]
>
> MsLiz
MsLiz - 24 Aug 2007 00:48 GMT
>Hello, this group isn't as active as it used to be, but be assured there are
>a lot of people here reading & will respond. In the meantime, there's
>another, among many, places to go for info. This is a very informative &
>friendly one - http://www.thelupussite.com/forum/forumdisplay.php?f=41

I had noticed that this group had quieted down.  I will check out the
other site.  

>Regarding my brain involvement, that's up for debate, depending on who you
>ask ;-) but an MRI showed an occipital area of attenuation (yeah, right)
>that causes diplopia (double vision), problems with autonomic nervous system
>(regulates involuntary action; ie sweating, breathing, digestion, etc.) but
>mine primarily involves a sweating issue, which could be attributed to or
>aggravated by menopause. Hee hee.

My LMP was 6/06 and the hot flashes ended a year or so before that.  

> And slight aphasia. Not good for board
>meetings, especially if you're in a communications field, graphic design,
>attorney - I mean most of your work involves research & the power of your
>words.

I stopped practicing law before I was diagnoses.  I knew something was
wrong, and was depressed, then my mother died rather suddenly.  

> I'm not putting your rheumy down, but mine is head of rheumatology at
>the Univ. of Cleveland. I'm sure he's an excellent physician, perhaps he was
>trying to alleviate your fears, maybe because your labs were on the low end
>of norms.

I think that is the case, plus no organ damage at the time of
diagnosis in Dec. 2003.  He says my being overweight is more of an
issue.  I find it impossible to engage in serious exercise.  

> My doc keeps telling me to keep doing what I'm doing too! I have a
>mini animal rescue group here, horses, a chicken, dogs, cats, etc. & he says
[quoted text clipped - 3 lines]
>really need to resurrect my disability claim that was denied in 2000 - I
>just didn't pursue it because of a variety of problems that year. Divorce,

That's been on the back burner for a while.  

>relocating from another state, my father passed away, my own illness acting
>up, etc., but it's my understanding the lupus is on the 'list' of approved
>conditions for disability.  

http://www.ssa.gov/disability/professionals/bluebook/14.00-Immune-Adult.htm#Top

That is the link to the list.  We must have lupus plus other stuff.  I
haven't waded through the entire site, and am not sure I will qualify.

>I simply didn't have the fight in me at the
>time, but I think I'm ready to go another round. About the mildly ill
>feelings. A lupus flare strongly resembles a bout of the flu. Achy joints,
>fever, malaise, etc.

I remember.  This is different.  It is like post shingles pain, but on
my legs as well as upper body.  I feel like I am an fire.  

> It's really hard to differentiate between a flare and a
>virus, even for the best specialist, because the ANA isn't indicative of
>disease activity, simply a marker that you have a connective tissue problem.
>Are you photosensitive? Have you ever had a rash, not a sunburn, from sun
>exposure?

No, to rashes.  I don't spend time in direct sunlight on the doc's
advice, and am rather fair.  

>That's pretty much conclusive of anti-phospholipid syndrome which
>is dx's with a positive anti-cardiolipin test or a false positive syphilis
>test, which also inconsistently fluctuates. It's often secondary to lupus,
>but can be a primary illness. Regarding sleeping all night - what's that
>like??

The prednisone caused vicious insomnia.  I'd stay up until dawn, and
when I'd have a little urine, it would wake me up.  I'd get only about
two hours sleep at a time,without dreams.  I already had sleep apnea,
so I use a machine to keep my airways open.  Last week I had a sleep
study to check my air pressure needs, plus a daytime nap study to
check for narcolepsy.  There was a blood test for that, as their is
apparently a genetic factor.  I will get the results next week.  Since
that overnight stay in the hospital, my nerve pain has increased
greatly.  I can sleep longer periods and dream now, fortunately.  

Thanks, again.

MsLiz
Candi Bowen - 23 Aug 2007 22:49 GMT
One  more thing, ignore IronJustice & MI5Victim. Don't even bother reading
it.

Candi

>I have early stage lupus and take plaquenil for it.
>
[quoted text clipped - 40 lines]
> age 54
> early stage lupus and the rheumy denies I am disabled !
Candi Bowen - 23 Aug 2007 22:52 GMT
One MORE thing. May 26, there was a thread about shingles, started by Carly.

Candi

>I have early stage lupus and take plaquenil for it.
>
[quoted text clipped - 40 lines]
> age 54
> early stage lupus and the rheumy denies I am disabled !
MsLiz - 24 Aug 2007 16:32 GMT
>I have early stage lupus and take plaquenil for it.
>
>I came down with shingles in the middle of June.  The doctor gave me a
>short term prescription, the name of which I forgot but it was an
>anti-herpes drug; prednisone, and Lyrica.  

adding to my own post:

The rheumatologist got my message and his nurse relayed the message
that shingles doesn't have anything to do with lupus.  I hope there
was something lost in translation because I know I got shingles
because of my immune system being weak.  He probably means that the
treatment of shingles is separate from lupus.  I see the internist on
Monday, and am wondering who can checkme for peripheral neuropathy.  

I also started filling out the online SSA disability application, and
was glad to find the guidelines on the internet.  Back when I
practiced law they had it in a book, but online is handier.  

MsLiz
 
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