GPA granulomatosis with polyangiitis
Just diagnosed in May, 2017. On a maintenance dose of 12.5 mg. per week of methotrexate Tapering off prednisone since May also-2.5 mg every other day for 1 more week. Was feeling fine until @ two weeks ago with starting the maintenance dose of methotrexate. For two-plus days I have side effects of extreme fatigue and tiredness and some gastrointestinal problems. Also, some insomnia. Is this normal for methotrexate? Could the symptoms be related to the steroid tapering? Thank you for considering this.
Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.
Sounds overwhelming. My RA Dr either comes up with a solid diagnosis or I will find another Dr. She stated I have RA but voice trails off as if she is looking for something else. They are following my blood work for Multiple mylona. I am exhausted all the time.if I do get my all my energy up for something special I am totally wiped out after a couple of hrs. I have to look up your diagnosis. I am not looking for another disease. I am sure one of mine will get me soon enough.
@oregongirl Definitely find a different doctor if the one you are with is not diagnosing you. I have mentioned before, I went almost a year and a half without a diagnosis despite symptoms, that if they connected them, definitely pointed to cirrhosis. If I had gone much longer it could have been a problem in my being eligible for a transplant.
I hope you do get a good diagnosis from your current doctor, that certainly makes it all easier.
I am seeing her Monday. I see my Drs at the University. The only Dr alloef to prescribe meds is my primary Dr. I will find another dr
@johnbishop I did ask, I am being treat by Mayo Clinic in AZ. They are not comfortable with taking me off of immunosuppressants yet (azathioprine) I take 150 mg daily along with 1 mg of prednisone (soon to be stopped) for GPA. Then for fungal meningitis I take fluconazole 800 mg daily and the side effects of that medication is killing me so I wanted to see if anyone else on here takes that as well. I had a lot of complications with the meningitis which has me on 2-3 other pills as well
@oregongirl yes you can fire your Dr.My friend in n Houston says the Dr,s at the Methodist hospital are great
@oregongirl Can your specialists not prescribe medications that are related to whatever they are treating you for? I know my transplant doctors will not prescribe anything that is in what he considers to be within the realm of the care of my PCP.
I hope things turn out well for you on Monday.
I understand your weariness. Autoimmune diseases like this (and I believe we are talking about the same thing) are malicious. Question: are your kidneys involved? The term granulomatosis implies that they are. If so your exhaustion could be a result of a low red blood cell count. Oddly although red blood is generated in the bone marrow, it is the kidneys that control the production. When my condition was active all I wanted todo was sleep. A transfusion and some injections of Procrit were required until my kidneys recovered enough to do their job. My doctors needed a kidney biopsy along with the previously mentioned ANCA values to determine my specific autoimmune condition. Bottom line: the response to all these conditions seems to be the same, you take some drugs that slow the reproduction of the fastest reproducing cells, those being the immune system cells (leukocytes?). That’s why the drugs they use are, or are closely related to anti-cancer drugs (another fast reproducing cell). Methotrexate I believe is also used to treat cancer and is very possible. I’m not questioning your RA doctors diagnosis or treatment. I just saying what I’ve learned.
When I had to go to the hospital by ambulance TWICE in one week, the Univ of Texas Hospital was full. They took me to Baptist. I was SO IMPRESSED.
They have a special wing for seniors and I venture to say that all the nurses are available to all the patients on that wing. I was SO well taken care of. One night I could not breath. The nurses were in there immediately. Everyone has a private room. My new Neurologist is approved for Baptist Hosp. That was where I met him. I was impressed immediately and asked for his card. I have good insurance and can go anywhere I choose to go. I think I made a horrible mistake going to the Univ of Texas. It is a teaching facility. So much money spent and no diagnosis and maybe blood cancer which they want to wait a year to do the tests again. I think I will keep my primary doctor at Univ and the Neurologist. But. my RA is done. Monday is the last time she will see me. I am assuming that I was unable to get the meds I needed was due to the TEACHING part of it. Before I allow them to do anything serious, I will go to Minnesota Mayo for 2nd opinion. If I find they are ON IT and will good care of me, I will stay there and get it done. My spine doctor does want to put shots up and down my spine and in my neck. My neck hurts so bad. Is the Arizona Mayo as good as the Minnesota Mayo. Do either of them offer housing for out of state patients and their family?
Hello @oregongirl, I'm not sure about the Mayo Clinic Arizona Campus but the Rochester does have some charitable lodging. Here's more information on what is available for patient's families.
There's also some information on Mayo Clinic's Charitable Care and Financial Assistance on their website here:
I have read about this disease since my son was diagnosed with it two years ago at the age of 18 years. What I have read is that a person normally wouldn't be diagnosed with this until they are in their mid 40's. I guess he was diagnosed so early due to the fact that he is very athletic and this effected his lungs. He had what the doctor called cannon size nodules in his lungs. I cannot find another sole in the US that was diagnosed that young and am just really trying to find someone he can talk to about this. He is in College and still in and out of the hospital for treatments. He is struggling and I hate to see it.