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AI disease, prednisone, and recovery AI disease, prednisone, and recovery

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Unread 02-16-2008, 09:25 AM
AI disease, prednisone, and recovery

Hi everybody,

I need some prednisone advice here. I'm about 2 1/2 weeks post op and getting over the surgery, but my RA is starting to get in the way. I'm not sure how much of the fatigue is from what, and the RA flaring in my hips is making it impossible to sleep and difficult to do the walking I'm supposed to. I will Start Remicade on the 5th, so I'm thinking about going ahead and taking pred to get me over this hump. The catch is, the pred is going to slow healing so I'm afraid it will do me more harm than good.

So, my questions are, how long of a period of time does a pred pack usually cover, and does anyone have an opinion on how big a dent it will put in my recovery? Is it worth it for short term, or should I just tough it out?

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Unread 02-16-2008, 10:05 AM
AI disease, prednisone, and recovery

Hi snowy owl. I have chron's disease and have been on the pred in varying doses since november. It defo slows the healing down. I ended up with a nasty staph infection in my incision which didn't get caught right away and allowed to fester due to the pred masking symptoms until they get bad. My recovery has not been to great because of the pred. But i have to have it or have a flare up (which also happened due to improper dosage of pred and landed me back in the hospital)
It's a catch 22. You need something for that ra pain (it's horrible, i know) because being in pain can affect your healing too. I do know if you take pred for more than 7 days you have to taper down gradually to get off it. It also depends on what dosage they put you on. I would take it and I would just monitor myself extra careful. You have the bonus of having 2+ weeks of healing on your own....I don't think the pred will set you back too much. I am getting ready to start Remicade too. I was supposed to have it yesterday, but i couldn't because of my recent infection.
Good luck with whatever you do!
Unread 02-16-2008, 10:30 AM
AI disease, prednisone, and recovery

Thanks Super70,
Thanks for the input, it helps! I had a vaginal cuff infection a week post op so I'm concerned about where I am in the healing process. I don't have an external incision to judge it by, but the doc left a pretty nasty sore, (from the retractors or something, he changed the subject real fast when I asked about it,) and if it is any indication of healing time, I'm not making much headway.

It stinks having to let one thing go untreated in order to deal with another, ugh!

Good luck with your Remicade too, the first couple of months will be a pain, but hopefully it will give us both some better quality of life.
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Unread 02-16-2008, 11:30 AM
AI disease, prednisone, and recovery

I have lupus and have been on prednisone for 2 years. Yes it can slow healing and mask infections, but I think not taking it might slow your healing in other ways. If you are just going to take a dose pack, it really shouldn't negatively impact your healing and recovery. That mostly happens with larger doses over a longer period of time. You need to get the RA under control first and formost. good luck with what you decide to do and I hope you can get some comfort and rest!
Unread 02-16-2008, 01:14 PM
AI disease, prednisone, and recovery

Thanks Beclea,
I'm going to call my doc as soon as her office opens on Tuesday and ask for the pred pack. I was diagnosed in 2001, but I've managed to get around using it until now. I think the military docs are not encouraged to give it out or something as they have never offered it to me and it was the first thing my new civilian doctor suggested.

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