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Medical Forum / Diseases and Disorders / Sinusitis / June 2007Back to normal for over two weeks.
Flunisolide and Loratadine seems to be working very well. Have been feeling good and breathing clear for over two weeks now. I still have a large polyp in the right side but not an issue any longer. Time will tell but so far so good and I hope that it's permanent. I assume that the treatment will need to be continued indefinitely. Jamffer > Flunisolide and Loratadine seems to be working very well. > Have been feeling good and breathing clear for over two weeks now. > I still have a large polyp in the right side but not an issue any longer. > Time will tell but so far so good and I hope that it's permanent. I assume > that the treatment will need to be continued indefinitely. > Jamffer You really don't want to use even nasal steroids indefinitely without pause. Using it in the a.m. only, or every other day and with a week off every month can preserve your HPA axis function. Susan > x-no-archive: yes > [quoted text clipped - 11 lines] > > Susan I use the Flunisolide only when needed one or two sprays per day - more on the right side if needed. The first week I used 1 spray 2x per day left side. Right side I used 1 spray 5-6 per day only the first week. Second week I was at one spray per day on left and 1x2 on right per day. Now I am at one spray per side per day. The doctor claimed that twice each side per day could be on going so I am not too worried since the maximum dose is 8 sprays per day each side on package instructions. After this week of one spray each side I'll try skipping days to see what happens, time will tell. All I know is that I'm better now and after three years of suffering I don't want to go back. If it works don't fix it, I say. Jamffer > Now I am at one spray per side per day. The doctor claimed that twice each > side per day could be on going so I am not too worried since the maximum [quoted text clipped - 5 lines] > want to go back. If it works don't fix it, I say. > Jamffer The problem is that at first it works. Once it suppresses your HPA axis, it works less and your own body is also less able to produce anti inflammatory cortisol, and your immune response is suppressed. Don't ever believe anyone who tells you that there's no risk of suppression or that long term steroid use, even mild ones at low doses is safe. Susan > x-no-archive: yes > [quoted text clipped - 7 lines] > > Susan It does lose effectiveness over time as I used eight bottles of Flonaise it had diminishing returns. It must be the Loratadine that is doing the trick. Thanks for the input. Jamffer > It does lose effectiveness over time as I used eight bottles of Flonaise it > had diminishing returns. > It must be the Loratadine that is doing the trick. > Thanks for the input. The best way to use a steroid, if possible, is to use it only in the a.m. (a.m. use suppresses HPA for 12 hours, night time use suppressed HPA for 24 hours), only every other day, lowest possible/effective dose, and take a week off every 2-3 weeks. Susan > x-no-archive: yes > [quoted text clipped - 19 lines] > > Susan Haven't we had this exact same discussion numerous times before on this group? Steroid sprays are not dangerous for the vast majority of people that use them as directed. I use either Flonase or Rhinocort daily for about 9 months of every year and I have no side effects. I've also seen the testing results done by my endocrinologist and there are no problems caused by my steroid spray usage. AW > Haven't we had this exact same discussion numerous times before on this > group? [quoted text clipped - 5 lines] > I have no side effects. I've also seen the testing results done by my > endocrinologist and there are no problems caused by my steroid spray usage. Really, does he use his X ray vision for that? I tested normal at 8 a.m . and 4 pm while in the midst of an Addisonian crisis last year. Subsequently, I tested hypercortisolemic on midnight salivary, 24 hour urine, and 4 pm ACTH. Unless and until you've had repeated testing you have no idea whether you're damaged or not. You can use nasal steroids much more safely than the instructions allow. And you don't know if they're not safe for you until your adrenals are all effed up. Susan |
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