I made a mistake I'm am now regretting advise please
Posted , 8 users are following.
I was in nauseous this morning so I did not take my prednisone as I usually do in the morning. I thought I would just wait till lunchtime and take it however by lunchtime my arms and hands hurt me so much I wanted to die So I took my pred about 1 o'clock this afternoon (seven hours ago) my arms are a lot better my hands just ache terribly. Should I take a little extra pred or just deal with the pain until morning?
0 likes, 17 replies
denisep911 amkoffee
Posted
artfingers amkoffee
Posted
hindags artfingers
Posted
EileenH hindags
Posted
hindags EileenH
Posted
I think I have to talk to my rheymy about splitting my dosage. At least give it a try for a week or two. I don't go to sleep mych before midnight anyway. Last night I slept unusually long, until 8:30am. I could feel the withdrawal effects in my body. Not sure if calling them withdrawal effects is correct.
I usually have a bathroom break between 2 and 3am anyway. but I've been advised to eat something before taking Prednisone. Would I have to? I take omeprazole in the evening.
EileenH hindags
Posted
amkoffee
Posted
What a terrible mistake this is turned out to be. I guess I'm just going to muddle through to the morning. It's about 945 right now so hopefully I can sleep through it all. I did take one of my muscle relaxers that I've usually take for my back and that seems to be helping a little bit. Can't wait to take my pred in the morning. I never plan on doing that ever again!
EileenH amkoffee
Posted
I think you just need to ride it out I'm afraid - sorry it's such a late answer for you but we in Europe were in bed by the time you posted!
Every morning your body sheds a new batch of inflammatory substances at about 4.30am. They circulate through the body setting up a new lot of inflammation. The best time to take ordinary pred to avoid the morning pain is 2am, the peak level in the blood is then just before these substances are released and the inflammation never gets hold. Otherwise, the sooner you take your pred after 4am, the less work the pred will have to do when it gets to the workplace.
The Rayos artfingers mentions does just that without having to wake up in the middle of the night, it isn't actually a slow release form, it releases all at once at 2am, 4 hours after taking it. The blood level shoots up, just the same as if you take plain pred.
The antiinflammatory effect of pred lasts from 12 to 36 hours - for a very few of us it will last nearer 48 hours - and the nearer you are to the 12 hour period the sooner you will have pain as the effect wears off. Much beyond 24 hours is pushing it! I was only on 5mg and fine - within 6 hours of missing that first 5mg tablet I was in worse pain than before taking pred. It took a long time to get that flare under control - because I couldn't take any pred, I hadn't got any!
amkoffee EileenH
Posted
Thank you for your reply even though it was a little late as I got it this morning when I woke up. Based on the timetable you gave me it makes a lot of sense because I typically wake up around 5 o'clock in the morning and immediately take my prednisone so I'm taking it just really close to the 4:30 am mark.
Thank you Eileen your explanation of everything really describes it very well for me. And you can be sure I'm never doing that again.
EileenH amkoffee
Posted
Maybe - or maybe not! Everyone says that the first time it happens - but most people do forget again
I do think the little reminders of WHY we take pred are sometimes a good thing - stops us getting complacent about PMR having gone away!
amkoffee EileenH
Posted
I use a pill planner because I have so many pills to take. I'm a walking Pharmacy. So it wasn't that I forgot to take my prednisone. I was nauseous when I woke up yesterday morning and I was afraid that prednisone would make it worse so I thought I'd hold off a little while. In fact I didn't take any of my morning pills yesterday morning except for my pain pills. I guess I'm going to have to learn to treat my prednisone in the same way I treat my pain pills. Take them no matter what.
EileenH amkoffee
Posted
Yes, I'd noted that. But it doesn't matter WHY you don't take them, you are often skating on rather thin ice time-wise and being late will have an effect.
As long as the pills stay down for about an hour you're fine - but feeling nauseated is bad enough and the thought of it being made worse is even more daunting. I don't blame you being tempted to wait.
Anhaga EileenH
Posted
I'm really confused now. My dear hubby shared a stomach bug with me, so I'm pretty sure I didn't absorb yesterday's dose, nor did I take any this morning. Hubby did not develop the headache and overwhelming fatigue that I have. I have had NO PAIN. Less, in fact, than on a normal day. Does this mean I no longer have PMR, that all my current struggles are only to do with steroid withdrawal?
EileenH Anhaga
Posted
A lot of people find that having a bug makes their PMR pale into insignificance. However - that could well be the case - you can't get off pred without some symptoms if PMR is still around, if it is gone there may still be problems but the cause won't be the same.
Anhaga EileenH
Posted
Tammyshernia EileenH
Posted
EileenH Tammyshernia
Posted