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Re: PREDNISONE Tapering

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In a message dated 3/14/02 2:47:22 PM Pacific Standard Time, writes:

A 5mg drop, from 10? That sounds like a lot. My dr. has been dropping me 1 mg a month, and I haven't had any problems, so far. I'm at 4mg at the moment. Hope all goes well! Laurie

Joanna, you probably are very familiar with typical schedules for tapering and are on top of the "drop" from 10 mg to 5. For other, new, people, I tapered to 7.5 and then went to 7.5 alternating with 5, then finally 5 alone -- about three months after I dropped from 10.

Harper

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I am on 10 mg right now. I had planned to drop to 8 mg, since the drop from 15 to 10 was a killer for me! I thought I had terminal flu! Anyway, the doctor gave me the script for 8 mg a day, and then Mom ended up in the hopsital and died before I got the script filled. I chose not to drop down to the 8mg during the funeral, etc., but will probably start next week once I get back to work. Then, I have Easter break to let my body totally adjust to it.

I am hoping that the drop will be good for me, but won't know until the next labs. But so far, so good!

debby

Re: [ ] Prednisone tapering

In a message dated 3/14/02 2:47:22 PM Pacific Standard Time, writes:

A 5mg drop, from 10? That sounds like a lot. My dr. has been dropping me 1 mg a month, and I haven't had any problems, so far. I'm at 4mg at the moment. Hope all goes well! LaurieJoanna, you probably are very familiar with typical schedules for tapering and are on top of the "drop" from 10 mg to 5. For other, new, people, I tapered to 7.5 and then went to 7.5 alternating with 5, then finally 5 alone -- about three months after I dropped from 10. Harper

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Hi Everyone!

I have been so glad to join this group and

learn more about this strange disease.

I am 44 years old and was recently

diagnosed last month with CAH.

I somehow contracted mono back in Sept

from my little niece or nephew and didn’t even know it, had no symptoms. I

went for a routine physical after moving back home to Chicago from New

Orleans and my

new primary doctor was concerned because my liver enzymes were elevated. He

accused me of taking Esctacy! I was shocked that he

asked me that, and we went back and forth, me trying to explain that I didn’t

do drugs and him not believing me. It was a comical scene. Anyway, the enzymes

were in the 810 and 300 range for the ALT and AST in Sept and I felt fine. He promptly

sent me to a liver specialist. At the consult she told me that this autoimmune

condition may be developing, because it was so atypical of just mono alone. They

observed me for 3 more months and no medication and I improved but she would

not let me out of her sight. I was wondering what the big deal was and just

wanted to be done with the whole doctor routine. The enzyme levels went on

their own down to 112 and 200. Then, everything started going haywire last

month. The levels began to shoot straight up rapidly to the 300 range again.

She immediately did a biopsy and put me on 30 mg prednisone and 50 mg Imuran 2 ½ weeks ago. The biopsy confirmed CAH (IAH) and

the slide was sent to the Mayo clinic for confirmation.

She kept saying she was so sorry, she wished it had been something else, like

fatty liver.

Well I saw her yesterday and she was so

happy to see me. She told me that the liver enzymes are now normal and that she

felt she had gotten me into remission. However I am to stay on the prednisone

20 mg and Imuran 50mg until further notice. The

prednisone may be tapered down more today after I find out the results of the

hepatic profile done yesterday.

Now I am wondering what my eventual

prognosis will be; Will I get continue to get worse in spite of my quick return

to normal enzyme levels? Can I be cured? I don’t mind taking the drugs if

that’s the only way to keep this at bay, but just wonder if I will just

get worse anyway as this is a chronic condition. She feels that she had

arrested it but told me with her head down, “I can’t promise you

anything after 20 years”. She says I have mild disease and I will be

fine.

What do you all make of this?

Thank you so much for your input! It has

been so comforting reading all the posts, to know there are others facing this

strange illness.

in Arlington Heights, Il.

Re: [ ]

Prednisone tapering

I am on 10 mg right now. I had planned to drop to 8 mg, since

the drop from 15 to 10 was a killer for me! I thought I had terminal

flu! Anyway, the doctor gave me the script for 8 mg a day, and then Mom

ended up in the hopsital and died before I got the script filled. I chose

not to drop down to the 8mg during the funeral, etc., but will probably start

next week once I get back to work. Then, I have Easter break to let my

body totally adjust to it.

I am hoping that the drop will be good for me, but won't know until

the next labs. But so far, so good!

debby

Re:

[ ] Prednisone tapering

In a message dated 3/14/02 2:47:22

PM Pacific Standard Time,

writes:

A 5mg

drop, from 10? That sounds like a lot. My dr. has been dropping

me 1 mg a month, and I haven't had any problems, so far. I'm at 4mg

at the moment. Hope all goes well! Laurie

Joanna, you probably are very familiar with typical schedules for tapering and

are on top of the " drop " from 10 mg to 5. For other, new,

people, I tapered to 7.5 and then went to 7.5 alternating with 5, then finally

5 alone -- about three months after I dropped from 10.

Harper

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to M Skowron in Arlington Heights,

I have the exact problem that you do. It has been very difficult to diagnose. I have no symptoms either. Mine is also complicated with the fact that I have no Adrenal glands ('s disease) They asked me several times if I drank alcohol which I don't even like the taste of. My liver counts go up and down too. Please excuse my typing. I keep making mistakes and trying to catch them all. I just got home from the hospital with 's disease...they took out my adrenal glands in 1971 because of a tumor, so when I get the flu it's off to the hospital I go. (I'll be glad when the effects of all this cortisone wear off. I was getting 300 milligrams a day while in the hospital and my normal dosage is 30. I'm wired for sure and my tongue and fingers are going faster than my brain...I can see why Olympics can lose there medals for taking steroids. I think I could run 10 miles, but then I'd probably have a heart attack. Ha! Ha! Ha! I wish I could get your private email to keep track of you. It's fun to talk to someone who has the same condition. MY ggt's were 521 normal is up to 44, my alk phosphate was 225 normal is up to 125, my ld's were 501, normal is up to 240, my ast's we 430, normal is up to 33, my alt's were up to 349 normal is up to 37. The Dr. gave me a print up to take to the liver specialist. Do you get all this stuff on your email? I'm getting up to 46 a day and I don't have time to read them all because I baby-sit my grand son. Yours just hit me because your condition sounds similar to mine and it hasn't been named yet. They did my biopsies at the hospital. You're lucky they sent yours to Mayo well I guess I'll talk to you later. Stay positive. I know it's not alot of fun thinking about.

Re: [ ] Prednisone tapering

In a message dated 3/14/02 2:47:22 PM Pacific Standard Time, writes:

A 5mg drop, from 10? That sounds like a lot. My dr. has been dropping me 1 mg a month, and I haven't had any problems, so far. I'm at 4mg at the moment. Hope all goes well! Laurie

Joanna, you probably are very familiar with typical schedules for tapering and are on top of the "drop" from 10 mg to 5. For other, new, people, I tapered to 7.5 and then went to 7.5 alternating with 5, then finally 5 alone -- about three months after I dropped from 10. Harper

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  • 9 years later...
Guest guest

Hi again, everyone... it's me again :)

I, again, need some feedback in regards to prednisone tapering! I know

you were on it a long time, Doug....can you tell me how slowly you decreased?

My Endo says my adrenals are very, very lazy and for me to wean down 1/2

a milligram a month. She said it could take up to a year to get me off of

prednisone and I'm only on 6mg per day now :(

She said once I get to 5mg, I'll have to carry around an emergency kit in

the event of a crisis and I'll need to give myself a shot.

I'm a tad bit confused....She wants to start me on another steroid once I

get to 5mg...I asked her specifically for adrenal crisis symptoms and the

list is longer than my leg!!!! Fatigue? Oh yes, I have that... LOL...

along with the other host of symptoms I carry :(

At this point, my adrenals are barely functioning....She's also scared me

about my Vitamin D levels. They are so low she's having me take

50,000units 1X a week plus D3, 2000 units, per day...

Any advice????????

Much love to all,

In a message dated 3/23/2011 9:05:59 P.M. Eastern Daylight Time,

shellysteiner33@... writes:

Wow I am so sorry to hear about the dry mouth issue, however Xanex can

cause dry

mouth also. I would definetly speak to the pharmacist about help. :(

________________________________

From: " _heartabrasions@..._ (mailto:heartabrasions@...) "

<_heartabrasions@..._ (mailto:heartabrasions@...) >

_ _ (mailto: )

Sent: Wed, March 23, 2011 6:38:43 AM

Subject: Re: [ ] Dry Mouth

Hi All!

I've had the dry mouth for quite awhile but it's only been bad as of

recent. The trouble swallowing started around the time of adipex, a month

or

so

before the Xolair. I'm going to discontinue the Adipex for a few days to

see if it gets better. I am fine during the night but once I wake up, BAM,

it hits me like a ton of bricks!

I've been up an hour, had a cup of coffee, 2 Halls cough drops and a shot

of chloraseptic. I'll definitely go to the drugstore today and see what

they have to offer as well. Drinking water has never been a problem. I

drink at least 120 ounces of water (8-10 bottles) each day...

I'm attributing this to some correctol I took last week too....maybe my

potassium is low...

As far as anxiety... I have a huge issue with this but have never had the

" dry swallowing or trouble swallowing " issues.....I take Xanax everyday

(.5mg X 3 per day) and even after a xanax I do not notice a difference...

the

dryness is still there and therefore creating a hard time swallowing!

I took my blood sugar last night and it was 115. When I woke up I took it

as well and it was 106 so my sugar is normal as of right now.....

Either way, I'm going to take everyones advice and rule all things out and

get some stuff from OTC at the pharmacy!!!

I want to thank you all for all of your help during this horrible time.

Venting to others and getting great feedback is such a blessing!!!! I hope

that I have helped you guys out in some kind way such as you all have

helped me!!!

You're all a blessing to me.

My very best,

In a message dated 3/23/2011 6:26:11 A.M. Eastern Daylight Time,

_mpink@..._ (mailto:mpink@...) writes:

, your post brought back memories when my mouth was so dry I could

not lick a stamp.(Spiriva) The mouthwash that was mentioned helps, they

also

have special toothpaste and some sprays you can carry in your purse for

when you are out and about. The " can't swallow " thing I also went through,

mine was anxiety. If stopping the medicine does not help, try meditating

or

relaxation tapes. Sorry you are having such a struggle! Marilyn

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]

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Guest guest

Your endo is right on track. The taper schedule makes perfect sense and the

signs of low adrenal functioning are long. Fatigue is a big one. I have that

schedule but thew it out the window when my asthma flared again.

You will switch to cortef which is used for adrenal replacement instead of pred.

Just works better to deal with those symptoms. The whole point is that you want

to be low enough to stimulate your body to wake up and produce cortisol while

not having too many symptoms of adrenal insufficiency.\

Don't worry about the vit D levels. They will rebound once you take more of it.

Likely you are just not absorbing the vit D in your diet due to all your meds

(very common). What are you doing to prevent osteoporosis? How old are you?

, RN

________________________________

From: " heartabrasions@... " <heartabrasions@...>

Sent: Thu, March 24, 2011 6:00:57 AM

Subject: Re: [ ] PREDNISONE Tapering

Hi again, everyone... it's me again :)

I, again, need some feedback in regards to prednisone tapering! I know

you were on it a long time, Doug....can you tell me how slowly you decreased?

My Endo says my adrenals are very, very lazy and for me to wean down 1/2

a milligram a month. She said it could take up to a year to get me off of

prednisone and I'm only on 6mg per day now :(

She said once I get to 5mg, I'll have to carry around an emergency kit in

the event of a crisis and I'll need to give myself a shot.

I'm a tad bit confused....She wants to start me on another steroid once I

get to 5mg...I asked her specifically for adrenal crisis symptoms and the

list is longer than my leg!!!! Fatigue? Oh yes, I have that... LOL...

along with the other host of symptoms I carry :(

At this point, my adrenals are barely functioning....She's also scared me

about my Vitamin D levels. They are so low she's having me take

50,000units 1X a week plus D3, 2000 units, per day...

Any advice????????

Much love to all,

In a message dated 3/23/2011 9:05:59 P.M. Eastern Daylight Time,

shellysteiner33@... writes:

Wow I am so sorry to hear about the dry mouth issue, however Xanex can

cause dry

mouth also. I would definetly speak to the pharmacist about help. :(

________________________________

From: " _heartabrasions@..._ (mailto:heartabrasions@...) "

<_heartabrasions@..._ (mailto:heartabrasions@...) >

_ _ (mailto: )

Sent: Wed, March 23, 2011 6:38:43 AM

Subject: Re: [ ] Dry Mouth

Hi All!

I've had the dry mouth for quite awhile but it's only been bad as of

recent. The trouble swallowing started around the time of adipex, a month

or

so

before the Xolair. I'm going to discontinue the Adipex for a few days to

see if it gets better. I am fine during the night but once I wake up, BAM,

it hits me like a ton of bricks!

I've been up an hour, had a cup of coffee, 2 Halls cough drops and a shot

of chloraseptic. I'll definitely go to the drugstore today and see what

they have to offer as well. Drinking water has never been a problem. I

drink at least 120 ounces of water (8-10 bottles) each day...

I'm attributing this to some correctol I took last week too....maybe my

potassium is low...

As far as anxiety... I have a huge issue with this but have never had the

" dry swallowing or trouble swallowing " issues.....I take Xanax everyday

(.5mg X 3 per day) and even after a xanax I do not notice a difference...

the

dryness is still there and therefore creating a hard time swallowing!

I took my blood sugar last night and it was 115. When I woke up I took it

as well and it was 106 so my sugar is normal as of right now.....

Either way, I'm going to take everyones advice and rule all things out and

get some stuff from OTC at the pharmacy!!!

I want to thank you all for all of your help during this horrible time.

Venting to others and getting great feedback is such a blessing!!!! I hope

that I have helped you guys out in some kind way such as you all have

helped me!!!

You're all a blessing to me.

My very best,

In a message dated 3/23/2011 6:26:11 A.M. Eastern Daylight Time,

_mpink@..._ (mailto:mpink@...) writes:

, your post brought back memories when my mouth was so dry I could

not lick a stamp.(Spiriva) The mouthwash that was mentioned helps, they

also

have special toothpaste and some sprays you can carry in your purse for

when you are out and about. The " can't swallow " thing I also went through,

mine was anxiety. If stopping the medicine does not help, try meditating

or

relaxation tapes. Sorry you are having such a struggle! Marilyn

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]

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Guest guest

Hi carrie! & nbsp;Thanks for the quick response!!!

I already have osteoporosis....thanks to prednisone!!! & nbsp;She isn't doing

anything for it as she said no more meds until I can get off prednisone and get

my vitamin D up...im 41 and going through surgically induced menopause too...

I'm a bundle of mess right now tapering. & nbsp;The fatigue is EXTREME...my legs

ache, I'm depressed, dizziness....its horrible! & nbsp;You would think I was

coming off a narcotic!!!!! & nbsp;I've never been " dependent " on anything and I'm

NEVER depressed and always spirited & amp; high strung. & nbsp;Today is the worst

day :(

Thanks so much for getting back to me....any advice on how to hang on during the

taper?? I really don't know how long I can hang on like this :(

-- Sent from my Palm Pre

On Mar 24, 2011 8:35 AM, & lt;carrie72583@... & gt; wrote:

& nbsp;

Your endo is right on track. The taper schedule makes perfect sense and the

signs of low adrenal functioning are long. Fatigue is a big one. I have that

schedule but thew it out the window when my asthma flared again.

You will switch to cortef which is used for adrenal replacement instead of pred.

Just works better to deal with those symptoms. The whole point is that you want

to be low enough to stimulate your body to wake up and produce cortisol while

not having too many symptoms of adrenal insufficiency.\

Don't worry about the vit D levels. They will rebound once you take more of it.

Likely you are just not absorbing the vit D in your diet due to all your meds

(very common). What are you doing to prevent osteoporosis? How old are you?

, RN

________________________________

From: " heartabrasions@... " & lt;heartabrasions@... & gt;

Sent: Thu, March 24, 2011 6:00:57 AM

Subject: Re: [ ] PREDNISONE Tapering

Hi again, everyone... it's me again :)

I, again, need some feedback in regards to prednisone tapering! I know

you were on it a long time, Doug....can you tell me how slowly you decreased?

My Endo says my adrenals are very, very lazy and for me to wean down 1/2

a milligram a month. She said it could take up to a year to get me off of

prednisone and I'm only on 6mg per day now :(

She said once I get to 5mg, I'll have to carry around an emergency kit in

the event of a crisis and I'll need to give myself a shot.

I'm a tad bit confused....She wants to start me on another steroid once I

get to 5mg...I asked her specifically for adrenal crisis symptoms and the

list is longer than my leg!!!! Fatigue? Oh yes, I have that... LOL...

along with the other host of symptoms I carry :(

At this point, my adrenals are barely functioning....She's also scared me

about my Vitamin D levels. They are so low she's having me take

50,000units 1X a week plus D3, 2000 units, per day...

Any advice????????

Much love to all,

In a message dated 3/23/2011 9:05:59 P.M. Eastern Daylight Time,

shellysteiner33@... writes:

Wow I am so sorry to hear about the dry mouth issue, however Xanex can

cause dry

mouth also. I would definetly speak to the pharmacist about help. :(

________________________________

From: " _heartabrasions@..._ (mailto:heartabrasions@...) "

& lt;_heartabrasions@..._ (mailto:heartabrasions@...) & gt;

_ _ (mailto: )

Sent: Wed, March 23, 2011 6:38:43 AM

Subject: Re: [ ] Dry Mouth

Hi All!

I've had the dry mouth for quite awhile but it's only been bad as of

recent. The trouble swallowing started around the time of adipex, a month

or

so

before the Xolair. I'm going to discontinue the Adipex for a few days to

see if it gets better. I am fine during the night but once I wake up, BAM,

it hits me like a ton of bricks!

I've been up an hour, had a cup of coffee, 2 Halls cough drops and a shot

of chloraseptic. I'll definitely go to the drugstore today and see what

they have to offer as well. Drinking water has never been a problem. I

drink at least 120 ounces of water (8-10 bottles) each day...

I'm attributing this to some correctol I took last week too....maybe my

potassium is low...

As far as anxiety... I have a huge issue with this but have never had the

" dry swallowing or trouble swallowing " issues.....I take Xanax everyday

(.5mg X 3 per day) and even after a xanax I do not notice a difference...

the

dryness is still there and therefore creating a hard time swallowing!

I took my blood sugar last night and it was 115. When I woke up I took it

as well and it was 106 so my sugar is normal as of right now.....

Either way, I'm going to take everyones advice and rule all things out and

get some stuff from OTC at the pharmacy!!!

I want to thank you all for all of your help during this horrible time.

Venting to others and getting great feedback is such a blessing!!!! I hope

that I have helped you guys out in some kind way such as you all have

helped me!!!

You're all a blessing to me.

My very best,

In a message dated 3/23/2011 6:26:11 A.M. Eastern Daylight Time,

_mpink@..._ (mailto:mpink@...) writes:

, your post brought back memories when my mouth was so dry I could

not lick a stamp.(Spiriva) The mouthwash that was mentioned helps, they

also

have special toothpaste and some sprays you can carry in your purse for

when you are out and about. The " can't swallow " thing I also went through,

mine was anxiety. If stopping the medicine does not help, try meditating

or

relaxation tapes. Sorry you are having such a struggle! Marilyn

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]

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Guest guest

>

> Doug....can you tell me how slowly you decreased?

It took me a year to see any results from Xolair and my doctor started

tapering me down from 40 to 30 to 20 to 10 etc....

This has been 6 years ago and I don't really remember all the details.

I do remember getting more aches and pains in my joints and other places because

the Pred was masking them.

Doug

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