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← Return to Prednisone for over a year along with Kevzara for last 5 months
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Prednisone for over a year along with Kevzara for last 5 months
Polymyalgia Rheumatica (PMR) | Last Active: Jun 3 11:35am | Replies (47)Comment receiving replies
Under the rule of it’s always something… I’m tapering off ophthalmic prednisone right now. Had cataract removal the last two weeks of April, and the NSAID eye drops to control inflammation had to be stopped because it triggered a relapse of microscopic colitis. In my case it is sensitive to nsaids and PPIs - both of which I took for years. I just didn't dream that freaking eye drops were substantial enough to cause a relapse of MC.
I also had prednisone eye drops so leaned on that and now i am tapering - based on frequency not dosage. I had some eyeball cramping today and a feeling that something foreign is in the eye - though of course it's not. So maybe I’m getting experience I haven't had before with eye inflammation.
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I just wish to add my thoughts about the rule that it's always something.
In my case "if it wasn't one thing -- it was the other." In terms of PMR and spondlyloarthritis it was sometimes both.
In terms of not being able to taper off Prednisone. It was either a flare of something or adrenal insufficiency but probably "a combination of many things."
As for being on Prednisone daily for more than 12 years --- "it was one thing after another" in terms of the side effects.
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Colitis might be an extra-articular manifestation of spondyloarthritis. I wonder if it is possible to have both RA and spondyloarthritis?
"Arthritis can be a symptom of many types of diseases, but thorough differential diagnostics allows for an unambiguous diagnosis in most cases. However, it should be kept in mind that one diagnosis does not necessarily exclude another."
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847317/
For the longest time, I confess to being guilty of thinking that "it could only be one thing."
I couldn't accept that all things are "likely multifactorial" as my primary care doctor said hundreds of times.