As he entered the waiting room, a large, friendly sign instructed him to be seated and wait for his name to be called.The neurologist has disengaged. He didn't offer any treatment courses to help manage BR's symptoms. When we brought steroids back up as an option, his response was "OK. Do you want oral or IV?" I got the distinct impression that he didn't think there was anything that would help, and he would have prescribed hemlock if we asked for it.
"God will be with you shortly."
So I turn to you, dear readers. Do you have any experiences or advice regarding the difference between oral Prednisone, or IV Solu-medrol?
The Wheelchair Kamikaze warns of a side effect called Avascular Necrosis, which he got while being treated with IV Solu-medrol.
I have the condition in both shoulders and both hips, which now often feel as if they're made of razor blades. If I were healthy, I would have already had two total hip replacements. Since I'm in no shape to undergo the surgeries and subsequent rehab, I'm left with hips and shoulders that vacillate between intense pain and "holy crap I can't believe how much this fracking hurts crap crap crap" pain. Take my advice, don't get Avascular Necrosis.Lisa Emrich has a nice article on Health Central summarizing the more common side effects.
In 2005, I was in the process of being officially diagnosed. After the results of my Lumbar Puncture came back, I was called into the neurology center to begin a 5-day adventure into SolyWorld. One of the other MS patients already hooked up mentioned that it was like “PMS in a bag” - a description he and his wife had lovingly coined.WebMD offers:
Intravenous (IV) corticosteroids may work faster and have fewer side effects than oral steroids alone. Treatment with IV methylprednisolone may be followed by treatment with oral prednisone or oral methylprednisolone. Toward the end of the treatment, increasingly lower doses are used so that the body can recover its own ability to produce natural corticosteroid hormones.Hmm. So we may just be getting a short period of better quality of life at the risk of some pretty severe and permanent side effects. Maybe we can play a timing game. A round of steroids now to help get through the hot Texas summer months. A round in November to help get through the holidays.
Corticosteroid treatment does not work for everyone. In some people who have severe or frequent attacks, corticosteroids are effective at first, but become less helpful after repeated use.