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Re: Prednisone, Sam

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>

> > Assuming that your own adrenals are producing close to a normal

> amount

> > from day to day but just can't keep up with stress I would think

> that

> > taking one 5 mg pill for 3 days or until the rash clears would be

> > sufficient and then save the rest for the next time that you are

> sick.

>

> ***** My adrenals aren't producing enough for my day to day

> activities (which aren't much). I'm tired all the time. I also get

> very weak & shakey (this feels different from the hypoglycemia weak &

> shakey) for no reason never mind during stress. That's why I was

> afraid that taking the prescription may be dangerous. My

> understanding is that I'd be jumping on it with the equivilant of

> 20mg HC (when I see that other people ramp up),

Ramping up is something that I only heard of when people started

referring to the stopthethyroidmadness site. I haven't gone to that

site yet, but we have to be careful to examine what various people say

on the internet (including me).

There was one time I talked a doctor into giving me an injection of

solu-medrol. That's the equivalent of 100 mg cortisol, injected.

There was no ramping up and no tapering down and it did give me the

boost that I needed to move forward (I was in a state of total fatigue

at the time).

When I started physiological HC I started at 20 mg/day, no ramping up.

I was working with a doctor. He was giving me HC for the long term -

that is different from what you have the prednisone for.

Your prescription is for short term prednisone. Some doctors write

these type of prescriptions routinely to help people fight infections

or get through some sort of flare up of asthma or allergies.

For example, there was one time that my daughter was prescribed 5 mg

prednisone and was to take 4 tablets, twice a day for 5 days because

she had a viral infection, secondary infection, and it was all

aggravated by pollen season. (that's 40 mg prednisone/day or equiv to

100 mg cortisol/day?, check my math). She was 15 years old at the time.

>supressing my

> adrenials & then jumping off again (if I took the 5mg/day).

5 mg/day for a short term isn't enough to suppress your adrenals.

Check Andy's " Amalgam Illness " . Somewhere in there he says how often

it is safe to do tapers without suppressing the HPA axis (and the

tapers are using much more prednisone than what you have).

> I also

> have had morning nausea on & off for years - maybe that has someting

> to do with my adrenals.

It could be due to your body producing ACTH to try to get the adrenals

to produce more cortisol. If that's what it is (I can't say for sure,

just one possibility), the fact that it is only morning nausea and you

get beyond it means your adrenals are responding and the fact that it

happens means that your pituitary is sending out the ACTH signal.

> I have digestive problems as well, but that

> particular nausea doesn't feel digestive in nature.

>

>

>

>

> > It might more closely approximate what the body would normally do if

> > you took 2 pills the first day, one the second and until the rash

> > clears, then 1/2 for a day, then nothing.

>

> ***** I don't understand how this would approximate what the body

> would normally do.

>Wouldn't this equal 40mg HC the first day, 20mg

> the second until rash clears, and then 10mg the last day?

>

Yes. When stressed the adrenals would normally increase cortisol

production until beyond the stress. I can't say exactly how much

cortisol would be made in any particular case. I do know that when

sick or stressed 's patients (80-90%loss of adrenal function)

are usually instructed by their doctors to double or triple the

maintenance cortisol dose for about 3 days or until the sickness is

better and then taper.

>

>

> >

> > Andy describes tapers on p 190- 191 of 'Amalgam Illness'. I don't

> > think that you have enough for what he describes as a short taper.

> > You do have enough if you do as described on p 190 and omit days 1,2

> > and 3.

> >

>

> ***** That sounds like a good idea. I didn't see that in the book

> before. Do you think it would be better to do the mini-taper rather

> than what you were suggesting above it?

>

>

Probably.

Or you could use it as your doctor prescribed.

>

>

> > > I'm just taking licorice, pregnenolone

> > > and pantethine for my adrenals and no thyroid.

> > >

>

> ***** While taking the Prednisone is it still ok to take the above

> suppliments?

>

Pantethine is just a B vitamin and is ok. I don't know how much

pregnenolone you have been taking for how long. I would probably

continue with it. The licorice could contribute to salt and water

retention, so I would probably stop it while taking prednisone. Andy

would be better to answer these questions than I.

>

>

>

> > You could buy a tube of cortisol cream and have it on hand for times

> > when you are feeling really lousy. The symptoms to watch for when

> > cortisol is getting dangerously low is incredible weakness (like not

> > having enough energy to go to the bathroom), vomiting that won't

> stop, > sometimes associated with diarrhea. I have had occasions

> when I got > that low on cortisol (because of stress) and rubbing a

> small amount of cortisol cream on resolved the problem. If cortisol

> cream is used more than just occasionally the sites of application

> have to be rotated so that it doesn't distort the skin cells (from

> too much applied at one spot).

>

> ***** Thanks also for this info on using HC cream in a pinch! I

> didn't know that it could be used this way.

>

Welcome.

J

>

> Sam

>

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