Progress not linear in secondary adrenal insufficiency?

Posted by potterywoman @potterywoman, Sep 1 1:13pm

Does anyone else dealing with secondary adrenal insufficiency due to prednisone withdrawal experience a good day followed by a really really bad day? Yesterday I went to a meeting of my art crit group, managed to stand and chat, and then was able to stand and talk about my work. Felt great! Today I woke up feeling OK, ate, showered and dressed, but while standing talking to my housekeeper who had just arrived, I suddenly felt like I was going to drop and started gasping for breath. I wasn’t able to lie down feel elevated because I had to clear out while she cleaned but I sat and had a half liter bottle of water. I still don’t feel back to normal . As I have long been taking medication for hypertension, this hypotension is new and scary. How do you manage?

Interested in more discussions like this? Go to the Polymyalgia Rheumatica (PMR) Support Group.

Sorry for your experience. I think many of us get caught in the “yay I am well enough to do something” and totally over do it. A Dr once told me take the amount off energy you think you have and then never use more than 50% of it. It really works .., but is so hard to do!!!!

REPLY
Profile picture for terryartist @terryartist

Sorry for your experience. I think many of us get caught in the “yay I am well enough to do something” and totally over do it. A Dr once told me take the amount off energy you think you have and then never use more than 50% of it. It really works .., but is so hard to do!!!!

Jump to this post

@terryartist Thank you. Excellent advice. I wound up taking an extra mg of prednisone which my doctor had recommended prior to a trip I planned to take (nope, not going now), but I don’t want to keep increasing. I’m just worried about being so sedentary. I am an older adult and trying to preserve bone and muscle mass.

REPLY
Profile picture for potterywoman @potterywoman

@terryartist Thank you. Excellent advice. I wound up taking an extra mg of prednisone which my doctor had recommended prior to a trip I planned to take (nope, not going now), but I don’t want to keep increasing. I’m just worried about being so sedentary. I am an older adult and trying to preserve bone and muscle mass.

Jump to this post

@potterywoman
I do have good days and bad days 4 months off prednisone but in a different way. I've lost a lot of muscle and hips and thighs are weak and achy. Difficulty with stairs. The last week it borders more on pain and is worse if I sit too long. I don't see my rheumy for a few more weeks. Anyone experience this or have any thoughts? My last markers were normal and I am going to PT. (Dx GCA)

REPLY

Yes, I am thankful that my high dose prednisone has kept my giant cell arteritis under control; however, my body, including my temples and cheeks swelled to the point of disbelief and became rock hard with knots. I had cushings syndrome and now, adrenal insufficiency. It took me several weeks to get to the point of some understanding
I have four auto immune illnesses, too. I take my titered diwn orednisone in the morning. For several weeks I would have a dreadful tremor, have trouble walking and not think clearly. I have finally had three more normal mornings.

REPLY

Stopping long-term steroid treatments too quickly can cause adrenal insufficiency. A few weeks ago, I was having a couple painful days then a semi-good day. I was trying to walk close to 2 miles a day but the pain hampered my efforts. I had skin cancer surgery with instructions , "No exercise" I have had a low pain level ever since! Predictable low pain *low energy too) feels great! I am on 8mg prednisone and Kevzara. After stitches come out in less than a week, I will walk 1/8 mile a few days and see how I do then hopefully reduce prednisone by 1mg.

REPLY

Good luck to you in your recovery. I wound up with SAI because I was never warned about early signs (I was amazed that my doctor actually apologized) and because despite my high inflammatory markers, he had kept me on just 2 mg of prednisone. For my part, I didn't think to mention to him that I was having oral surgery and consequently didn't think to increase my dose in preparation. How do you manage to walk if you have slight lightheadedness? I keep being afraid I will experience a sudden fall in BP as happened a few weeks ago. Consequently, I am hardly getting any exercise, and it is killing me (hopefully not literally!) to be so sedentary.

REPLY

Early in my pred journey (about 2 weeks) rheum told me to stop - cold turkey. 2 days later I was at GP = PCP for routine bloods, felt fine and then passed out - my BP went through the floor. Nurse wanted to call ambulance. I was lain flat with feet elevated given water to sip and after 2 hours could sit up BP had increased to 100/60 and was discharged. I had a partial recurrence of the fainting over next 24 hours, but since then ok. There had been other errors and I decided to can my private rheum and find a better one. Luckily the nurse at the GP surgery was on the ball.

REPLY
Please sign in or register to post a reply.