HC and Medrol

[dseezs]

Lee,
This is driving me crazy and if I was going in circles before now it seems twice as bad.
I had to use an Ativan last night again and it didn't work had to use 2.5 HC on top of it to get any relief. So of course I'm messed up again this AM. I had to use 2.5 HC AT 5:30 am to try to go back to sleep. I laid there but didn't really sleep much more. Took 12.5HC at 8AM. Helped but feeling of adrenaline still there. Will use another 12.5 HC next dose, then 10, then 10 final dose.Then go back to 30HC tomorrow. So far that's the plan. Of course something could happen in the meantime to change that!
This is technically day7 of Florinef xcept 1 day I did 1/2 because she tolds me to go up. The same time to go up to 2 Grains Thyroid.
I can feel the added 15 mg Thyroid helping but my main thing right now is this damn adrenaline! I have to get this under control!
My thinking is that she is as bad as me when it comes to figuring this out and I'm pretty much on my own again xcept where the RX's are concerned. She's got me doing too much at once and its hard to know whats' doing what.
Adrenals, Aldo (sodium-potass) Thyroid, sex hormones right? Except now my adrenals are in sad shape from all the bouncing around I've been doing and the added meds. OUCH! Feel like crap! I haven't really been smoking these last days. A few drags here and there and no caffiene (besides Ativan). I try not to use either one.
I have the RX for Potass. filled and sitting in the drawer for a later date. I've had to cut down on my salt and potass when I was told to drop some HC . I had it up to 146 and 4.2. on 25HC, but then went up to 30 and it dropped to 137 and 3.9. My poor adrenals, no wonder they don't know what to do! I've been back and forth between 25 and 30 HC two or three times now. I've got to go up and stay put right?
Circles again as usual, this time with help from a Doc.
Thanks
Deb

[Lethal Lee]

Hi Deb,

Yep too many changes at once!!!

Yes do take some extra HC even some more than 40HC would be good I think. Then go back to 30mg HC and STAY THERE!!!!

Yes plese do go up on Florinef. I think you need faster than 7 day increases. But go to 1/2 tab & see how next 5 days go. Watch the Potassium symptoms. Use the RX if you need to.

Good going on cutting down the Caffiene & ciggies. I know how hard it must be especially now.

I'm glad the extra Armour helped. Now if we can get things a bit more sorted in another week perhaps another 1/4 raise would help even more?

Well to give Doc her due she IS giving you your RX'es. God bless her!!!! And you had given up trying to find a local to help! Thank goodness she came along when you needed her so much. Perhaps she can learn along with you!!!!

[dseezs]

Hi

Glad you were still there. I'm going to double my doses for the rest of the day. The adrenaline is back with a vengence. Just did 2.5 to see how much that helps. Next scheduled dose in 1 hour Will then take 20. Then 10 and 10. I don't want to take the Ativan.

Hopefully the doc can learn with me and between the three or four of us we'll get this straightened out before I croak! Scary most of the time lately!

I should also add some Florinef and some Potassium this afternoon?

[Lethal Lee]

'Lo Again,

Glad you were still there. I'm going to double my doses for the rest of the day. The adrenaline is back with a vengence. Just did 2.5 to see how much that helps. Next scheduled dose in 1 hourWill then take 20. Then 10 and 10. I don't want to take the Ativan.
OK worth a shot. Dont stress too much about the Ativan. Look at it as a short term aid. Do use it when you HAVE to. Sleep is important especially.

Hopefully the doc can learn with me and between the three or four of us we'll get this straightened out before I croak! Scary most of the time lately!
Yeah I bet it is. I hated having to go to ER. Most of the time resulted in MORE stress & was little help. In fact I didnt even go there when I was writhing in pain passing Kidney Stones as it turned out!! WE paid to arrange a Doc to do a home visit. Only took 2 hours for her to arrive. At ER have never be seen in less than 7-8 hours!

I should also add some Florinef and some Potassium this afternoon?
I would try that. By Potassium do you mean the OTC kind or RX kind?

Your last results were Sodium 137 and Potassium 3.9?

Maybe you should add 1-2 of the RX Potassium...is it 600mg or 750 mg?

In any case add 1 tab RX Potassium. See how that is remembering that result was when on 30mg HC & you are going higher today & back to 30 tomorrow? Possibly if that is OK add in another Rx Potassium in pm with second dose?

I hope the extra HC gives you some relief today!!!!!

[dseezs]

Hey Ya,
Still there. The HC has kicked in and adrenaline gone for the time being.
I'm talking about adding OTC Potassium. I'm kinda scarde of the RX it says: Klor-ConM20 Potassium Chloride Extended-release Tablets, USP 1500mg 20mEqK 30 Tablets.
OTC Potassium 99mg 4x today and 1/2 tab Florinef (1/4 AM-1/4 PM) salt I'm doing 1/2-1/2-1/4-1/4.
Hey how much sleep aren't you getting? I'm suprised you've been here this long. What's up with that?
Go to the land of nod!!!!!!
I'm going to be going to 30HC tomorrow and will continue to play this by ear.
Thanks
Deb

[dseezs]

Hey,
Now 3 hours since taking 20HC and I'm getting what feels like adrenaline again. Don't know what to do . Was going to take 10 HC at next dose time at 4:30. B/p rising again.
Anyone have any ideas?
Thanks
Deb

[Lethal Lee]

Hi Deb,

Are you dosing every 4 hours at present?

Have you considered trying an every 3 hour HC schedule or even a 2 hour schedule??

I have seen that work for some who metabolize fast. You dont need to increase daily total necessarily just divide up the current dose?

Say for 30mg HC
3 hour schedule
7am 10 mg on waking
10am 2.5mg
1pm 7.5mgmg
4pm 2.5mg
7pm 5 mg
10pm 2.5mg at bedtime

Say for 35mg HC
2 hour schedule
7am 10 mg on waking
9 am 2.5mg
11am 7.5mg
1pm 2.5mg
3pm 5 mg
5pm 2.5 mg
7pm 2.5 mg
10pm 2.5mg at bedtime

That would keep HC at more constant levels without "dips" may help to stop Adrenaline & reduce anxiety need for Ativan & ciggies.

If either of the above schedule works then that would enable you to keep increasing the Armour. As you become less HypoT you may then find you can go back to a longer interval?

[dseezs]

Hi ya,
I took the Ativan and kept with with my reg. 4 hr dosing. Seems to have worked out alright so far.
I felt better this AM and so far today haven't felt the need for the Ativan. (crossed fingers) Actually felt like doing a bit today.
Waiting around a bit to see how this goes. I'd really like to hop in the shower but I don't want to push my luck.
Did 60HC yesterday and 30HC is the plan for today. Hopefully won't feel the need (adrenaline) to do Ativan.
Are you getting any good sleep yet?
Thanks
Deb
Now 7 PM and had to take the Ativan. I had stress dosed 2.5HC but that not doing the trick. Spoke too soon I guess. Guess all I can do is keep at at it. Do you think since this happens in the afternoons that it's my low dose of thyroid yet? It seems always in the afternoon when I get the feeling that something is stuck in my esophagus (center of chest) too? Just a thought.
Thanks
Deb