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Methylprednisolone - steroid injection #281682
10/09/18 09:25 AM
10/09/18 09:25 AM
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pdiddy Offline OP
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pdiddy  Offline OP
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Hi all, had a rheumy appointment yesterday to discuss my humira dosage and regular check up etc. Last week I felt pretty shitty and was expecting to come away with further medicine following my appointment as I was finding in the 2nd week after the injection my symptoms were getting worse.

He said the challenge for him/me, was to establish how much pain is from inflamation and how much is from the mechanical damage that the disease has caused (which i'll always have unless some novel treatment is found). Essentially, his recomendation was to stick with the humira once a week and use NSAIDS in addition (naproxen). I really don't want to take NSAIDSs at all to be honest.

He also gave me a leaflet on methotrexate (which I don't want to be on either) as I think his plan is for me to be on that in the future, since the humira hasn't really cleared up my psorasis or the pain in my thumb, occasional locking elbows and toes on left foot (this is all minor compared to my back). I'm not that bothered about my psorasis and i could live with that if that's all that was wrong with me,.

Anyway, the reason for my post is that he gave me depo-medrone (Methylprednisolone).......40mg/ml....................as a steroid injection. Apart from the peripheral areas of my body, this is the best I have fealt in ages. Not pain free in my back but best I've been in a long time. I know it will be short lived, and there's only so many of these bad boys you can have over a period but boy has it made a difference! Much more than the humira. I'm assuming the peeps in the US use a similar cortisone? Just wondering what your experiences are?

Thanks

Re: Methylprednisolone - steroid injection [Re: pdiddy] #281916
10/30/18 12:01 PM
10/30/18 12:01 PM
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Whidbey Island WA
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WhiteCell Offline
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WhiteCell  Offline
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Madrone (methyloprednisone) decreases inflammation....so there at least is one of your answers. Glad you feel better.


Starting at 18 yrs old > Reiter's Syndrome. Diagnosed 2001 Ank Spon.
Started Remicade 2002 - 5mg/kg every 7 weeks.

Right Eye Glaucoma- Trabeculectomy/lens replacement 2006.
Right eye DSEK Cornea Transplant 2009.
Right eye Ahmed Shunt 2016.
Right eye DSEK Cornea Transplant 2016.
Supra Ventricular Tachycardia. 2004. Cured by RF ablation 2008.

ICU RN - Seattle, WA

~Grasp The Challenge and Succeed~
Re: Methylprednisolone - steroid injection [Re: pdiddy] #281919
10/31/18 02:23 PM
10/31/18 02:23 PM
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pdiddy Offline OP
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pdiddy  Offline OP
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Hi Whitecell, thanks for your response. Unfortunately it was short lived and only lasted about a week......my back started to tingle again which I know is an indication the inflamation is on it's way back. I'm on humira too and although it does make some difference it doesn't really seem to work as well as the madrone.........my rheumatologist thinks It's mechanical damage but i'm not convinced all the pain I experience is. I'd like to try Embrel to see if that makes any difference.

Re: Methylprednisolone - steroid injection [Re: pdiddy] #281931
11/01/18 05:33 PM
11/01/18 05:33 PM
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Whidbey Island WA
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WhiteCell Offline
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WhiteCell  Offline
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Have you tried Voltaren gel, Aspercreme or Lidocaine patch or combinations? Both you and your Rheum could be correct.

The fact that you site "tingling" is interesting. The tingling is typically associated with nerve inflammation perhaps caused by nerve involvement. In that case and to "see" structural damage has he recommended any scans? CT/MRI? or recommended nerve conduction study for that area of your body? I'm not sure how relevant, but it's worth a question in my mind.


Starting at 18 yrs old > Reiter's Syndrome. Diagnosed 2001 Ank Spon.
Started Remicade 2002 - 5mg/kg every 7 weeks.

Right Eye Glaucoma- Trabeculectomy/lens replacement 2006.
Right eye DSEK Cornea Transplant 2009.
Right eye Ahmed Shunt 2016.
Right eye DSEK Cornea Transplant 2016.
Supra Ventricular Tachycardia. 2004. Cured by RF ablation 2008.

ICU RN - Seattle, WA

~Grasp The Challenge and Succeed~

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