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Post by justaustin on Mar 12, 2009 13:54:49 GMT -5
Dallas,
I just posted on the RTH forum.
Laurie
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Post by verbal0rchid on Mar 16, 2009 8:10:35 GMT -5
what's a good dose for a pred-pack? My doc gave me 5 mg, 12 day pack of Sterapred. I am feeling horrid on it, my kidneys hurt so bad, and sinuses are getting bad like my apres-Kenalog crash. Shortness of breath, and I looked but could not find any side effect of kidney pain on Sterapred's profile on drugs.com - anyone have knowledge to share please? Thinking I need to call my doc and let him know, but I don't know if 5 mg of Pred is strong or weak.
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Post by Lethal Lee on Mar 16, 2009 12:29:30 GMT -5
I assume this is Prednisone & not Prednisolone?
Prednisone is harder on the Liver. Your Liver might be having a hard time converting it to Prednisolone which is what it has to do before it can use it. For both Preds 1 mg = 4 mg HC. So a 5 mg dose is eqiv to 4 x 5 mg = 20 mg HC
So I see several problems. First its harsh on Liver. Second 5 mg is too low a dose. Third hes probablbly got you taking it all at once in the am?
I suggest you do this take 5 mg in am & take another 1/2 tab thats 2.5 mg in evening that is more physiological amont (30 mg HC equiv) and more natural dosing schedule.
Of course if you do take 1 1/2 tabs a day (7.5 mg) you are going to run out it will last only 8 days not 12 days. If you cant get more & need to stay on 5 mg take 2.5 mg am & other 2.5 mg about 8 hours later. I'm betting you are gonna need more though.
What happened to him RXing HC for you? If you are to stay on a longer acting steroid then Medrol is better than Prednisone as that doesnt need converting either.
A good dose amount for Medrol is 6 mg a day thats eqiv to 30 mg HC (1 mg Medrol = 5mg HC). Most multidose that too.
You need a Rx for HC for stress dosing too even if you are to stay on Medrol or Prednisone for day dosing. The longer acting steroids cant be used for stress dosing as take too long to take effect.
The symptoms sound like low Cortisol to me. I reckon its shutting down your ACTH in am & youve got no more Pred to add to it later in the day.
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Post by verbal0rchid on Mar 16, 2009 13:23:00 GMT -5
yes, he said if i had any more problems he would write the scrip for HC - he said this (the pred, yes prednisone not 'solone) would help not crash after the Kenalog wore off and on day 10 I was to call him for the rx of HC. you see how long it's lasting. ugh.
i've been on the phone with his office four times so far today, and posted the result (on RTH) of the phone call i did receive from the lab about the ACTH/cortisol/renin/aldo/sodium/potassium tests from last week. not much info i'm afraid. she said ACTH was 14 "fine" (ha!) - out of 6-48? *snorts* cortisol was 2.1 - not enough blood to test renin after everything else was done she said, and aldosterone was "fine" no numbers yet. i'm waiting to hear back hopefully from the doc SOMETIME today, this hurts so bad. they all want me to do something else, can they call me back, can i come in, no i can't because i can't lift my daughter in or out of the car seat.
i told the last girl who again said 'can i call you back' - fine but HE told me to call him if this happened, i just need the rx he said he would write for me. so waiting again. i don't want to take a pain pill in the event he does write HC and i can take it today, i need to be able to monitor if it's working by the pain going away and know it's not from the pain pill.
the pred he gave me was a pack, where you take 2 in morning, 1 after lunch, 1 supper, and 2 before bed, then taper down over 12 days. not all at once. i've had those before for bad asthma/bronchitis episodes but it's not working for this.
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Post by verbal0rchid on Mar 16, 2009 13:41:54 GMT -5
are you kidding me.....
they finally got with the doc, he's writing the scrip for HC but it's a 1x per day tablet. nothing for stress dosing? damn it. i asked the girl why just once per day and she said that's the way he wrote it, and wants me back in a week so they can draw for a morning/evening cortisol, 8 am and 4 pm next tuesday.
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Post by verbal0rchid on Mar 16, 2009 16:28:16 GMT -5
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Post by fractal1 on Mar 17, 2009 14:08:15 GMT -5
Hi there, I posted a comment on RTH. Cheers
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