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I've searched the net, and can't find anything regarding prednisone and

surgery. Does anyone know of any information anywhere?

I'm caught between a rock & a hard place. My rheummy isn't sure what's

going on...things have gotten worse. My left ribcage is aching. He is

against me using pred except in dire circumstances. I'm so discouraged.

Maybe try the pred just for a few days.

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Hi Tess…

do you not have pre op done and then at that time you have a meeting

with your anaesesiologist…(spelling) at which time he disucces the

medications you are on..

what is the surgery you are having????that might narrow down the search

for those trying to help you

Sincerely

Sam

[ ] prednisone-surgery

I've searched the net, and can't find anything regarding prednisone and

surgery. Does anyone know of any information anywhere?

I'm caught between a rock & a hard place. My rheummy isn't sure what's

going on...things have gotten worse. My left ribcage is aching. He is

against me using pred except in dire circumstances. I'm so discouraged.

Maybe try the pred just for a few days.

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here are little blurbs I found that might lead you to further research..

prednisone (a steroid to reduce swelling) prior to surgery.

Dr. Javer has prescribed a corticosteroid (Prednisone) and is often used

together with surgery

you have taken prednisone for more than a month, you may require an

extra dose during

physically stressful situations such as major surgery or severe

infections ...

If you have taken prednisone for more than a month, you may require an

extra dose during physically stressful situations such as major surgery

or severe infections. These " booster " doses can be given either by vein

or by mouth. Usually the dose need be raised for only a day or so. This

may be true even up to one year after you have discontinued the

medication. This point is well known to doctors, but it is important for

you to remember if you are away from your doctor and require major

surgery or develop a severe infection. If you are on long term

prednisone therapy, carry a notice with you on a Medic-Alert bracelet or

in your wallet. (Medic-Alert Foundation can be contacted a their website

at www.medicalert.org/ at their toll-free number 800-825-3785.) Be sure

that all your doctors know that you are taking chronic prednisone

therapy. http://www.gihealth.com/html/education/drugs/prednisone.html

<http://www.imssf.org/jpred.shtml> Prednisone

.... properly. If you are going to have surgery, tell your prescriber or

health care

professional that you have received prednisone within the last twelve

months. ... www.imssf.org/jpred.shtml

<http://home.earthlink.net/~sbunde/experiences.html> experiences

.... in November 2000. Complications. Because I was taking 60 mg of

Prednisone before

the surgery, I had to go on the Prednisone taper after surgery. I think

this ...

home.earthlink.net/~sbunde/experiences.html -

maybe this is a start for your situation..

sincerely

samantha

[ ] prednisone-surgery

I've searched the net, and can't find anything regarding prednisone and

surgery. Does anyone know of any information anywhere?

I'm caught between a rock & a hard place. My rheummy isn't sure what's

going on...things have gotten worse. My left ribcage is aching. He is

against me using pred except in dire circumstances. I'm so discouraged.

Maybe try the pred just for a few days.

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Hi, I'm new to the list and don't know anything official to tell you, just

my experience, which was having a total knee replacement back in December.

At that time I was thinking I wouldn't be able to stay on my prednisone at

the same time as surgery, but orthopedic surgeon said it was no problem and

I kept taking it.

Barbara in Texas

> I've searched the net, and can't find anything regarding prednisone and

> surgery. Does anyone know of any information anywhere?

> I'm caught between a rock & a hard place. My rheummy isn't sure what's

> going on...things have gotten worse. My left ribcage is aching. He is

> against me using pred except in dire circumstances. I'm so discouraged.

> Maybe try the pred just for a few days.

>

>

>

>

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Tess, I know every time I have a surgery (and I had 4 last year)the

anesthesiologist is always concerned about predisone use........and usually

my surgeon....I have diabetes(type2NID)and I take 4mg of medrol a day. When I

was sick with sinusitis a couple months ago they raised me up to 32 mg a day

for a few days ...my sugar immmediately went way out of whack....fortunately

I got the reduce swelling immediately effect we needed right away and was

able to go back to my 4 mg a day after only 3 days......and in the meanwhile

increased my glucophage from 2 to 3 a day then.

When you have underlying health problems aside from RA it makes it harder on

us when we need meds for other immediate health problems.....I dont increase

or decrease any meds w/o all my drs knowing......and whenever I go to any of

them for even a sniffle I bring an updated list of meds /doses.

YOur surgery isnt until June 11 right? There has to be someone in that

surgeon's office (a nurse? assoc?PA? )who could help you in this matter.

Also, what about a shot of steroids vs the pills? I know that a shot doesnt

raise my blood sugar at all....

and sometimes works faster .

I wish you luck and hope you feel better ..........Judy in AZ

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Tess,

I'm really sorry that you've been having such a rough time lately. Your

many challenges would get the strongest of people down at times. You can

do it though! Keep the faith.

As far as your prednisone question, your surgeon is still the best one

to ask. Your situation is quite complicated since you have several

conditions and are on other medications. Could someone at his office

help? What about a call or an email to him (from them or you)?

In the meanwhile, these links discuss perioperative considerations in

relation to prednisone:

http://www.clevelandclinicmeded.com/ccjm/january2002/shaw.htm

http://www.emedicine.com/med/topic3168.htm

[ ] prednisone-surgery

> I've searched the net, and can't find anything regarding prednisone

and

> surgery. Does anyone know of any information anywhere?

> I'm caught between a rock & a hard place. My rheummy isn't sure what's

> going on...things have gotten worse. My left ribcage is aching. He

is

> against me using pred except in dire circumstances. I'm so

discouraged.

> Maybe try the pred just for a few days.

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Don't know a definitive answer just experience. I did have a minor-local

sedation surgery while taking prednisone but it is one of the drugs I get

questioned about when I have major surgery. I would lay it on the surgeon to

find out!

Temple

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