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Long Term Prednisilone also Vasculitus Options
seabright-j
#1 Posted : Sunday, September 11, 2011 6:13:07 PM Quote
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Confused I have been on Prednisilone for approx 3 years now. Had trouble with DMARDS. Various doses and I now have vasculitus.
Has anyone else been on long term steriods and what effect have they had.

Also has anyone got vasculitus in legs and can tell me what to expect and how to treat. My Doctor just increases my steriods but for obvious reasons I do not want to have to do this.
jenni_b
#2 Posted : Sunday, September 11, 2011 7:17:04 PM Quote
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Hi

I have been on long term steroids and sadly had multiple problems as a result and I really relate to not wanting to have more.

As I understand it the vasculitis must be controlled with big doses of steroid and then, when its controlled they bring them down again.

I also think that better controlled RA means better controlled other immuno disorders, are you on any DMARDs or Anti TNFs at all?

Jenni xx
how to be a velvet bulldoser
LynW
#3 Posted : Monday, September 12, 2011 7:29:37 PM Quote
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Hi

I have been on varying doses of prednisolone for over 23 years and like Jenni have experienced various problems along the way. When I was first diagnosed steroid was the "in" treatment and consequently now I cannot do without them (although I'm on a bucketload of other stuff!) because my adrenal glands do not produce their own. Once I cut down below about 5mg I start to suffer light headedness, muscle weakness and low blood pressure. From what I understand this can take a long time to happen and certainly 3 years, although a long time, shouldn't be too problematical.

I too have had an episode of vasculitis but in my arms and hands. The treatment was high dose prednisolone. It was several years ago and has never recurred. I don't know whether other treatments have been introduced more recently.

I am surprised you are taking steroids as these days they tend to be reserved for emergency use. Have you been considered for anti-tnf as you seem to have had problems with DMARDS?

Lyn Smile
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

seabright-j
#4 Posted : Saturday, October 01, 2011 2:32:32 PM Quote
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jenni_b wrote:
Hi

I have been on long term steroids and sadly had multiple problems as a result and I really relate to not wanting to have more.

As I understand it the vasculitis must be controlled with big doses of steroid and then, when its controlled they bring them down again.

I also think that better controlled RA means better controlled other immuno disorders, are you on any DMARDs or Anti TNFs at all?

Jenni xx


Thank you for replying. I have gone up in dose in steriods to control vasculitus it has helped, now down on 5 mg a day. I have bad reaction to DMARDs one being anaphylatic shock. I have never been offered a TNF maybe because I go into Atrial Fib sometimes. What problems have you experienced with long term steriods.

Jo xx
seabright-j
#5 Posted : Saturday, October 01, 2011 2:35:46 PM Quote
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LynW wrote:
Hi

I have been on varying doses of prednisolone for over 23 years and like Jenni have experienced various problems along the way. When I was first diagnosed steroid was the "in" treatment and consequently now I cannot do without them (although I'm on a bucketload of other stuff!) because my adrenal glands do not produce their own. Once I cut down below about 5mg I start to suffer light headedness, muscle weakness and low blood pressure. From what I understand this can take a long time to happen and certainly 3 years, although a long time, shouldn't be too problematical.

I too have had an episode of vasculitis but in my arms and hands. The treatment was high dose prednisolone. It was several years ago and has never recurred. I don't know whether other treatments have been introduced more recently.

I am surprised you are taking steroids as these days they tend to be reserved for emergency use. Have you been considered for anti-tnf as you seem to have had problems with DMARDS?

Lyn Smile

Thank you for your post. I have troubles on DMARDs and cannot take tried 3 now. Never been offered anti-tnf possiblly due to my heart condition. Can you tell me if the vasculitis rash disappeared all together on high steriods mine has just reduced a bit but not gone.

Jo Confused
jenni_b
#6 Posted : Saturday, October 01, 2011 8:56:07 PM Quote
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Location: nr Southampton
Hi ya,

Hopefully you get chance to read this especially if you are having breathing issues and are back from the hosp.

I have had prbs on the steroids.

Basically they have given me 7 main issues.

1) Weight gain
2) Endocrine issues- I now have diabetes which is insulin dependent
3) Adrenal Gland issues (I have secondary addisons)
4) Blood Pressure rise. (Been controlled by meds)
5) Immuno things like not being able to recover from infection/ get rid of things very well. (same on all the meds or even without the meds as the RA scuppers healing times too)
6) Palpatations/ racing heart rate suddenly
7) Sensitivity to even small amounts of steroid.



You did ask!

Jenni xx
how to be a velvet bulldoser
LynW
#7 Posted : Tuesday, October 04, 2011 1:47:35 AM Quote
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Joined: 12/4/2009
Posts: 2,127
Location: Thornton Cleveleys
seabright-j wrote:

Thank you for your post. I have troubles on DMARDs and cannot take tried 3 now. Never been offered anti-tnf possiblly due to my heart condition. Can you tell me if the vasculitis rash disappeared all together on high steriods mine has just reduced a bit but not gone.

Jo Confused


Hi Jo

The rash did go, eventually, but I am left with skin damage which takes the form of very small areas of non-pigmentation, like little white blotches. It's not particularly obvious but there nonetheless! I don't worry about it, the vasculitis went thankfully and that was the main concern.

Hope things settle down soon,

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

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