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Medical Forum / Diseases and Disorders / Sinusitis / April 2005question about oral steriod my ENT scribed
I had sinus surgery in late Dec. After I healed up I felt great for a few months until I got a cold. The weather in FL has been cold, hot, cold, hot. Everyones sick it seems like. So I got a cold 2 months after follwed by a sinus infection and went to the ent gave me some anti's and knocked it out. Cool, got another cold like 2 months after that, seemed like I got over it quick this time but I think I had a a little bit of a sinus infection that I didn't pay attn too but I felt ok and could breathe about 80%. Now about a month later (5months after surgery) I have a bad cold and sinus infection again, everyone seems to be sick around here again too. I went to the ENT today and he gave me Avelox 400MG for 3 weeks and a steriod Methylprednisolone 4mg to take for 6 days. I am reading some of the side effects of this stuff and it scares me. Does anyone have any feedback on this stuff. I meen I don't mind most side effects because they aren't really that bad but some of the stuff on here seems like very serious side effects and is making me question taking it. I am going to call him tomm. and ask about this stuff anyway but I would like to hear some feedback in the real world. I think he seems to think I have some kind of allergy and this will help with it. After 3 weeks I am getting another CT to see how the surgery went and to see if there are any polyps that he couldn't see with a scope. I think he said that he wants me to get an allergy test done too. I am also going to use mucinex and afrin for 3 days. > I had sinus surgery in late Dec. After I healed up I felt great for a few > months until I got a cold. The weather in FL has been cold, hot, cold, [quoted text clipped - 9 lines] > the side effects of this stuff and it scares me. Does anyone have any > feedback on this stuff. Yes, I've taken Methylprednisolone a number of times. 4 mg a day is a *very* low dose. And 6 days is a very short course. So I wouldn't worry too much about it. The nasty side effects you're reading about usually occur with much higher doses, and/or after longer periods of time. (It's not unheard of for a patient to start on 48 mg a day.) One thing I would suggest is that you take the Methylprednisolone first thing in the morning. It can sometimes give you insomnia and if you take it first thing in the morning, it will have worn off by the time you go to bed.  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. >I had sinus surgery in late Dec. After I healed up I felt great for a few >months until I got a cold. The weather in FL has been cold, hot, cold, [quoted text clipped - 13 lines] >call him tomm. and ask about this stuff anyway but I would like to hear >some feedback in the real world. 6 days at that dosage is next to nothing, as Steven mentions. The side effects normally occur at much higher dosages and with long-term use. >I think he seems to think I have some kind of allergy and this will help >with it. After 3 weeks I am getting another CT to see how the surgery went >and to see if there are any polyps that he couldn't see with a scope. I >think he said that he wants me to get an allergy test done too. I am also >going to use mucinex and afrin for 3 days. ok thanks. One thing though, it says on the first day take 2 in morning, 1 after lunch and supper, and two before bedtime and it gradually reduces till the six day. There are 21 pills. >ok thanks. > >One thing though, it says on the first day take 2 in morning, 1 after >lunch and supper, and two before bedtime and it gradually reduces till the >six day. There are 21 pills. The dosage normally decreases with each passing day. You start out at a high dose and then begin tapering off. A methylprednisolone dosepak (blister pack with the pills arranged by day in horizontal lines) sets the interval between pills and the amount taken per day for you. But in my case I have a hard time taking methylprednisolone (I get moon faced from the swelling) but I can better tolerate regular prednisone so my doctor just prescribes a bottle of 20mg pills and I already know from experience how to handle the dosage to maximize the benefits and minimize the problems. Only common problem I can't do much about while taking prednisone is an increase in hunger after taking the stuff. For that all I can do is take the pills with a few crackers just prior to the normal time I'd eat a meal. That way I use the meal I'd normally eat anyway to satisfy the prednisone related surge in hunger. If I tried to take prednisone sometime between meals, I'd end up eating way too much per day and start looking like the Goodyear blimp. >ok thanks. > >One thing though, it says on the first day take 2 in morning, 1 after >lunch and supper, and two before bedtime and it gradually reduces till the >six day. There are 21 pills. It' still low. You will be tapering it of as soon as you start. That is a common way to prescribe it - a "burst" at the start and then a taper. The taper is actually to protect your adrenal gland so that it gradually resumes its own steroid production. That is really a short course for acute inflammation. Many of us have taken much longer courses for more chronic inflammation.
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