Spontaneous purpura on methylprednisolone 1.5 mg

Posted , 12 users are following.

i am experiencing spontaneous bleeding under skin on forearms and am on 1.5 mg methylprednisolone.  Can anyone tell me if it is a side effect of methylprednisolone and would I do better on prednisone?

Also, am an ultra rapid metabolizer of the gene CYP 1A2.  Would prednisone or methylprednisolone be better for me.

one last question:  have lost about 40 percent of my scalp hair.  Which one would cause less side effects.  I’ve been on these steroids for 46 months.

thanks.

all info would be helpful

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  • Posted

    It is a side effect of all corticosteroids. You might be better on prednisone but there is no guarantee. The same applies to your hair loss.

    Everyone responds to steroids differently and also a single person may respond differently to the various corticosteroids. I had awful side effects with methylpred (black beard, weight gain, developed Cushing's syndrome, severe myopathy) - I had none with prednisolone and have none with prednisone in the form of Lodotra/Rayos. Hair loss is the same. My hair turned into a Brillo pad with methylpred and stopped growing, it didn't fall out though. My hairdresser today commented "you have far too much hair!" - and that is after a month on methotrexate which caused some hair loss! I went through a period of permanent bad hair days - but it is back to normal, is growing and thick shiny and just a tad curly.

    I'm afraid there is no-one here qualified to give an opinion about the gene expression and metabolising corticosteroids - we are all patients.

    • Posted

      Eileen,

      what is  ladotra prednisone and is prednisone better than prednisolone?

      im still on methylprednisolone.  I will ask my doc about switching.  I read that it’s not as hard as methylprednisolone on the endothelial layers.  Is this so?  Thanks for all the info.  Really appreciate it.  Find out more here than from the docs.

    • Posted

      Lodotra known as Rayos in the US is prednisone with a special modern coating to the tablet. It is quite expensive if you are somewhere you have to pay for it. Where do you live? For some unknown reason prednisolone seems to be available in UK and prednisone in the US. Prednisone gets converted by the liver into prednisolone so it all becomes the same in the end. 
    • Posted

      Jeannae, FYI RAYOS is a delayed-release prednisone tablet. It consists of a prednisone-containing core tablet in an inactive shell, which delays the onset of in vitro drug dissolution by approximately 4 hours.

      I was going to use it for my evening dosage, but too expensive, doing fine without it. Positive, active and smiling. ☺️

  • Posted

    I did not lose hair; it got frizzy and curled. I do have the easy bruising with red spots. 

    I wonder if my high intake Vit D3 ,with my doctors assent, has helped the hair because it's not falling out.

    • Posted

      I did not lost hair either, it did come a little frizzy, but one advantage was that my fingernails became real strong.  They used to be paper thin, split and break.  Now they never break. That's a real plus for me!!!     I still bruise easlly and my skin is paper thin even although I am down to 1mg. and will be stopping now.  My blood tests this week were fabulous (although that is not always an accurate sign of PMR). Sed rate was 5, CPR was 0.6.  MD says I now longer have PMR, and I have no symptoms.  I had reduced to l mg. very slowly.  Have had PMR for 2 1/2 years.  I should celebrate!

    • Posted

      Congratulations. Good luck getting off and happy your markers look so good.

       

    • Posted

      Maybe, I’m back on 50,000 IU’s of Vit D weekly.  We will see.  Here’s hoping.
  • Posted

    I have purpura, under the skin blood spots, too. Mainly on firearms but also on upper arms and more recently on my hands and even legs. They disappear after a couple of weeks only for more to appear!
    • Posted

      Bummer.  I’m gonna try the K2.  This is depressing.  Can’t go out looking like this!
  • Posted

    Jeannae, I am bald my dad was bald taking Prednisone has made a bad condition worse, what ever I have left is so fine it's hard to see just one strand. Bad joke time, my dad told me want to safe your hair catch it in a cigar box. But all kidding aside, on Pred I am leading a pretty normal PMR pain free life.. Think positive and trying to smile. ??

    • Posted

      Thanks.  I’m trying to stay positive and smile.  I just discovered all these posts were in my junk mail and I previously thought no one answered a few months ago so I’m happy tonight.
    • Posted

      Jeannae, stay positive and smiling, I truly believe it helps. Attitude attitude, attitude, very important! ☺️
  • Posted

    I take Vit K2 to help my bones absorb calcium and my pharmacist told me that it also helps to stop that subcutaneous bleeding.  I don't have any, maybe that's why. 

    • Posted

      That’s interesting about Vit. K2 helping to stop the subcutaneous bleeding.  I hadn’t heard about that. What dosage of K2 do you take daily?
    • Posted

      I take one capsule, 90 (I presume micrograms, it looks like an upside down h, daily), well away from my pred and close to my calcium/vit D tablet.
    • Posted

      Thanks. Do the prednisone & K2 interact, thus the need to take them at different times?

    • Posted

      As far as I know it's the pred and the calcium that should be separated.  

    • Posted

      thanks, Priscilla.  I’m going to ask my doc when I go tomorrow.  I’d like to try it for a couple of reasons.  I’ll let you know.
    • Posted

      I haven't heard that pred interferes particularly with vitamins.  It changes the way we metabolize calcium so the calcium dose is less effective, so we should wait at least four hours before having calcium after taking pred dose..  And calcium interferes with pred absorption.  

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