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In Reply to: RE: Where I live, prednisone is definitely a prescription drug... posted by Steve O on July 19, 2014 at 16:54:48
Indeed, in the US Prednisone is precsription only. I was (am) assuming T. K. is back in the US, thus my recommendation would require a visit to a physician who would no doubt go with whatever he/she thinks would be most effective with acceptable risk. Triode, if you are in a country where you can buy Prednisone over the counter please accept my apologies, that might not be the right medication for you.
A Predisone "bubble pack" provides a week's worth of Prednisone with a different dose each day, so that the dosage is tapered down toward the end of the week. Whatever other meds a doctor might turn to could have significant side effects as well, so it is up to the doctor to consider the pros and cons and pick one.
All that said, if I do not have an identifiable "infection" but rather inflammation and blocked eustachian tubes, Prednisone is what fixes me up.
G
Follow Ups:
I didn't and don't mean to sound "snotty", but using Prednisone to treat the condition I think you're describing (feeling snotty) is akin to using a sledge hammer to break an egg. You might want to reconsider that practice. The very high starting dose in a bubble pack is likely to make anyone feel "better", as Prednisone induces a state of mild euphoria in most people, until they taper the dose or worse, stop taking it abruptly. No steroids are needed, usually, to treat nasal stuffiness. Just fluids and decongestants should suffice. If there is a known major allergic component, then maybe Prednisone might help.
In my everyday life, I am a virologist; I don't see patients, but I have noticed that there seems to be a tendency among younger physicians to use Prednisone with more alacrity than I was taught or that my early clinical experience suggested was appropriate. Probably some insurance company thinks this is more cost-effective, the main driver of medical decision-making these days.
Avoid these steroids, unless there is a clear indication. Like excessive inflammation or an auto-immune response. Prednisone, like many of these types of meds (eg: Medrol, Cortisone) are very hard on the stomach, too. Should be taken, with caution, in Diabetics.
if you have diabetes, ulcer, Tb, and any number of other pre-existing conditions, but those are the main ones. However, a 5-day course such as the one discussed, you can probably get away with. It is said that Eleanor Roosevelt was hastened off to her final reward by a physician who gave her steroids without realizing she had resolved pulmonary tuberculosis. The tuberculosis re-activated and disseminated due to the steroid therapy.
"The tuberculosis re-activated and disseminated due to the steroid therapy."
The oral steroid I'm taking now has a warning about that exact thing, right on the label. It clearly states that steroids render the patient susceptible to infection, including from communicable diseases. I guess it's less of an issue if the patient is taking antibiotics simultaneously.
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Buy Chinese. Bury freedom.
steroids render the patient susceptible to infection, including from communicable diseases .
Long term use yes. (Once in blue moon - no)
...Taking steroids or antibiotics can cause Thrush or Candida.
Taking both, dramatically increases said risk.
Steroids will increase glucose levels, typically 1.5x and up. Sometimes up to 4x one's baseline glucose level.
Proper diet can alleviate this.
In my case, I'm taking the aforementioned Prednisone (six tabs 1st day, five-2nd day, four-4th day, etc.), plus Flonase steriod spray, plus ten days of 500mg Levofloxacin, an antibiotic I wasn't previously familiar with. This all follows a five-day regimen of Z-pak (Azithromycin) that I just finished five days ago. Man, I hate being medicated like this (especially the consecutive antibiotics), but it does seem to be helping. The steroids are drying everything out and after two days on this, my hearing is already coming back.Seriously, I wasn't looking forward to dragging around a tube DIY hearing aid everywhere I go...
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Buy Chinese. Bury freedom.
Edits: 07/23/14 07/23/14
In the case of TB, the bacillus is never truly eliminated from the body, even after "cure" of pulmonary TB, the usual result of primary infection. There remain viable bacilli inside granulomas formed by the cell-mediated arm of the immune system to limit any spread of infection. Any subsequent event that causes an inhibition of cell-mediated immunity, like chronic long term steroid therapy or any immune compromising disease, like AIDS or certain lymphomas, will put the patient at risk of re-activating the infection. Once the granulomas break down and TB disseminates from the lung to other sites in the body, it's big trouble. When it happened to Eleanor, there were only one or at most two anti-TB drugs available to treat her.
Sorry, this has nothing to do with TubeDIY, I know.
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