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Macey has had success with a combination of nasal steroids, nasal

irrigation, inhaled antibiotics, oral antibiotics and then finally resulting

to IV antibiotics. She is daily on a nasal steroid but we've been lax about

the nasal irrigation. We've never done steroids for sinus problems just for

lung issues. Macey was steroid dependant for her breathing her first 3

years of life so I'm always hesitant to even do a burst.

Ursula Holleman

mom to (11 yrs old) and Macey (8 yr. old with CVID, Diabetes

Insipidus, colonic inertia)

http://members.cox.net/maceyh

Immune Deficiency Foundation - Peer Contact for GA

http://www.primaryimmune.org

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In a message dated 4/7/04 4:01:53 PM Pacific Daylight Time,

scoleman@... writes:

I have

been rading about 'steroid bursts'. Do those help?

Hi ,

My son has been suffering from chronic sinus infections for at least six

years now. His sinuses swell shut, thus keeping the meds from reaching the

infection. The ONLY thing that works for him is a short burst of Prednisone

along

with a good antibiotic. For him, they are equally important. Along with

being an excellent antihistamine, Prednisone is an excellent anti-inflammatory.

We only use the Prednisone for five days (a " burst " )--it was at 10 mg. a day

for many years, but because he's older now, he needs 20 mg. a day.

Sandi--Mom to , age 11. Immune Deficiency, Tetrology of Fallot,

Pulmonary Valve transplant, Mitral Valve stenosis, chronic sinusitis, chronic

ear

infections, asthma, severe allergies, GERD, Tethered Cord Syndrome.

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  • 1 year later...

I have a steroid question, though it isn't about my JRA child, but my

husband. I figure you guys are the experts though. My husband will be taking 100

mg

of prednisone a day for 5 days repeated every 3 weeks for 6 months. Does

anyone know if you still get the side effects from high dose steroids if you

have a break for 2 weeks after the 5 days instead of taking them continuously?

Thanks. Kim

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Hi Kim

I am trying to remember how quickly some of the physical changes occurred when

we raised Robbie's dose to over 60 mg last year - the weight gain was pretty

quick - though I don't think it occurred that quickly. Your husband may see a

little weight gain with that dose, though Robbie's weight drops rapidly when we

lower. Taking the dose for less than a week should minimalize or eliminate most

of the side affects - there may be some mood changes, but I think most Docs have

found that these burst type doses prevent most side afffects - such as the bone

density issues.

My ex was on a high dose of steriods, which tapered daily for about a week - he

did see some weight gain - it may have affected his mood, he did have some

anxiety issues - but it is hard for me to say how much was from the actual meds

- I was deployed during Desert Storm at the time - so he was pretty anxious as

it was...and in the long haul - after I came back 9 months later he'd had a big

weight loss.

I hope you husband does well, without complications! If I knew then what I know

now, I would have pushed more to try to avoid the daily doses of pred for my

son.

Val

Rob's Mom (8,systemic)

steroid question

I have a steroid question, though it isn't about my JRA child, but my

husband. I figure you guys are the experts though. My husband will be taking 100

mg

of prednisone a day for 5 days repeated every 3 weeks for 6 months. Does

anyone know if you still get the side effects from high dose steroids if you

have a break for 2 weeks after the 5 days instead of taking them continuously?

Thanks. Kim

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  • 1 year later...
Guest guest

Hi! I'm not the expert of steroids, but I've been on them and so has

. It depends on the optimal dosage the doc thinks will help him

at the actual infusion. It should come down to the level he's at, and

what dose will work. So ask the doc what mg. he/she wants him to be

in his blood stream the day of the infusion. Then you'll know what

you should be doing and make sure they aren't giving him too much at

one time.

How does he do emotionally on the steroids? Any behavioral/emotional

stuff on them? loses him mind. I use them as a last ditch

effort because he climbs the walls. hang in there! Janet

>

> Brennans pulmo just called me back and we need to take him back up to

> 8 ml daily x four days and then we will try to taper him by 1 ml

every

> 4 days. We are really having trouble tapering him. This will be the

> third burst and taper in three weeks.

> My question is that, due to the nasty IVIG reaction he had last

month,

> ID dr said that he will run an IV steroid prior to the next infusion.

> Im wondering, if he is still on orals when infusion day comes round,

> will we still be able to run the IV steroid prior? or would the orals

> be sufficient?anyone know?

>

> valarie

>

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Guest guest

Hi! I'm not the expert of steroids, but I've been on them and so has

. It depends on the optimal dosage the doc thinks will help him

at the actual infusion. It should come down to the level he's at, and

what dose will work. So ask the doc what mg. he/she wants him to be

in his blood stream the day of the infusion. Then you'll know what

you should be doing and make sure they aren't giving him too much at

one time.

How does he do emotionally on the steroids? Any behavioral/emotional

stuff on them? loses him mind. I use them as a last ditch

effort because he climbs the walls. hang in there! Janet

>

> Brennans pulmo just called me back and we need to take him back up to

> 8 ml daily x four days and then we will try to taper him by 1 ml

every

> 4 days. We are really having trouble tapering him. This will be the

> third burst and taper in three weeks.

> My question is that, due to the nasty IVIG reaction he had last

month,

> ID dr said that he will run an IV steroid prior to the next infusion.

> Im wondering, if he is still on orals when infusion day comes round,

> will we still be able to run the IV steroid prior? or would the orals

> be sufficient?anyone know?

>

> valarie

>

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Guest guest

--- well, he's a bit emotional, easy to get his feelings hurt, and

REALLY hungry!!:) He used to be worse on them. My other son has a bit

more trouble, and savannah cant have them bc she hallucinates!! yikes!!

This was a last ditch effort, but now we cant get him off ggrr.

thanks--I'll ask. I feel like we are getting " too many cooks in the

kitchen " in a way--so many drs to call and ask these questions of.

valarie

In , " jdbcj2000 " <janet_richards@...> wrote:

>

> Hi! I'm not the expert of steroids, but I've been on them and so has

> . It depends on the optimal dosage the doc thinks will help him

> at the actual infusion. It should come down to the level he's at, and

> what dose will work. So ask the doc what mg. he/she wants him to be

> in his blood stream the day of the infusion. Then you'll know what

> you should be doing and make sure they aren't giving him too much at

> one time.

> How does he do emotionally on the steroids? Any behavioral/emotional

> stuff on them? loses him mind. I use them as a last ditch

> effort because he climbs the walls. hang in there! Janet

>

>

> >

> > Brennans pulmo just called me back and we need to take him back up to

> > 8 ml daily x four days and then we will try to taper him by 1 ml

> every

> > 4 days. We are really having trouble tapering him. This will be the

> > third burst and taper in three weeks.

> > My question is that, due to the nasty IVIG reaction he had last

> month,

> > ID dr said that he will run an IV steroid prior to the next infusion.

> > Im wondering, if he is still on orals when infusion day comes round,

> > will we still be able to run the IV steroid prior? or would the orals

> > be sufficient?anyone know?

> >

> > valarie

> >

>

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Guest guest

--- well, he's a bit emotional, easy to get his feelings hurt, and

REALLY hungry!!:) He used to be worse on them. My other son has a bit

more trouble, and savannah cant have them bc she hallucinates!! yikes!!

This was a last ditch effort, but now we cant get him off ggrr.

thanks--I'll ask. I feel like we are getting " too many cooks in the

kitchen " in a way--so many drs to call and ask these questions of.

valarie

In , " jdbcj2000 " <janet_richards@...> wrote:

>

> Hi! I'm not the expert of steroids, but I've been on them and so has

> . It depends on the optimal dosage the doc thinks will help him

> at the actual infusion. It should come down to the level he's at, and

> what dose will work. So ask the doc what mg. he/she wants him to be

> in his blood stream the day of the infusion. Then you'll know what

> you should be doing and make sure they aren't giving him too much at

> one time.

> How does he do emotionally on the steroids? Any behavioral/emotional

> stuff on them? loses him mind. I use them as a last ditch

> effort because he climbs the walls. hang in there! Janet

>

>

> >

> > Brennans pulmo just called me back and we need to take him back up to

> > 8 ml daily x four days and then we will try to taper him by 1 ml

> every

> > 4 days. We are really having trouble tapering him. This will be the

> > third burst and taper in three weeks.

> > My question is that, due to the nasty IVIG reaction he had last

> month,

> > ID dr said that he will run an IV steroid prior to the next infusion.

> > Im wondering, if he is still on orals when infusion day comes round,

> > will we still be able to run the IV steroid prior? or would the orals

> > be sufficient?anyone know?

> >

> > valarie

> >

>

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