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I saw my GP yesterday for the first time since I had been diagnosed with PMR. He had received a letter from the rheumatology clinic asking that he prescribe something for bone protection and something for stomach protection.
He has prescribed Ranitidine for the acid because even though I take the pred half way through a bowl of porridge I still get a lot of acid, and alendronic acid for bone protection.
I have agreed to take the alendronic acid without first having a bone density scan because, I am 70, stopped HRT around eight years ago and because of my back problem have, for the past few years, led a very sedentary life.
He told me to continue with the supplement I was taking (called Osteoguard which contains calcium, magnesium, vit D, vit K and boron) as the alendronic acid takes calcium from the blood and deposits it in the bones
I didn’t think to ask at the time but does anyone know, is pred bad for the bones because it keeps the calcium in the blood so it is not deposited in the bones?
As for the Methotrexate, it is a very tricky one! He said that Methotrexate is horrible, toxic stuff and he would hate to have to take it but, on the other hand he would also hate to be on long term pred as it will certainly not probably cause problems. (‘What you got ‘ere luv, is a gorilla’)?!!
As for the MXT and my current medication, he checked quite carefully and said it was not a drug that was listed as not to be used.
He gave me a copy of the letter the nurse had sent him which also said they would be reducing my pred by 1mg a month from my next appointment.
My next appointment at the rheumatolgy clinic isn’t until 30th July so I have until then for this to yo-yo in my mind, helped of course by your informed responses for which I am very grateful.
You will guess from the quote that I read the post “The gorilla in your house” I think this is an amusing, but clever way of looking at things. I know we are told we must “own” everything these days but I think if people could ask “How is your gorilla today?” instead of “How are you today?” You could tell them the gorilla was quite calm at the moment without them thinking it had permanently turned into a pussycat!!!!
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