Prednisone and Calcium?

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73monte
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Date Joined Mar 2007
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   Posted 12/26/2008 8:16 PM (GMT -7)   
While taking Prednisone, does anyone recommend using a Calcium supplement? Some come with Vitamin D and Magnesium as well. Not sure which to go for. Thanks. 
My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


Rider Fan
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Date Joined May 2008
Total Posts : 1445
   Posted 12/26/2008 8:34 PM (GMT -7)   
Yes. Calcium and D about 1000mg a day of each, give or take. Her GI must have mentioned this?
Nothing wrong with magnesium but it can cause D. I take it for constipation.
Dx'ed in 1999. No surgeries.

Current meds: 25mg Methotrexate. 20mg prednisone. Udo's Choice Probiotics (30 billion).


Betaine, digestive enzymes, Candicin (oil of oregano capsules), Beta Sitosterol.

Tried SCD, didn't work, now avoiding gluten and dairy.


Celey
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Date Joined May 2007
Total Posts : 1284
   Posted 12/26/2008 8:48 PM (GMT -7)   
Like I said before... Prednisone weakens the bones... and people with Crohn's disease have a higher risk for osteoporosis, anyway... So, I'd definitely recommend a calcium supplement...

I take those chewable Caltrate... :D... Yum.
I think I am being picked on by life, sometimes. But's that okay. Life and I are good buddies... I know life doesn't mean no harm. It just is the way it is. I can accept that.


LMills
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Date Joined Apr 2008
Total Posts : 1753
   Posted 12/26/2008 11:31 PM (GMT -7)   
I use caltrate at the moment. They're chewables and they don't taste bad(I think so).
I would definitely ask your doctor though if they didn't already recommend something. I hate when they forget the caveats I think should be mandatory for explaining taking prednisone >:( The tablets you swallow I'm sure are much better for the teeth though.
D, B, and folic acid are definitely musts. Those my GI didn't fail to mention..
20 years old, Diagnosed with moderate to severe Crohn's and Colitis in May of 2008.
Currently taking:
Prednisone 30 mg, pentasa 2 pills 4x a day, bentyl as needed, prilosec in the morning, tandem plus, humira every other week, and good probiotics.
Surgery for ectopic pregnancy most likely the result of severe Crohn's inflammation in July of 2008.
Attempting the specific carbohydrate diet. Cheated once for Christmas.

"He who has a why to live for can bear with almost any how."


73monte
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Date Joined Mar 2007
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   Posted 12/27/2008 4:37 AM (GMT -7)   
Thanks, I'll pick some up today. The ones I've seen (caltrate), all have magnesium. 
My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 12/27/2008 8:20 AM (GMT -7)   
I take a Calcium with Vit D supplement. I believe mine in 950 mg. I believe I told you on another post, that your daughter having Crohns and being female is enough by itself to take a calcium supplement. Then add Pred in the mix and you need it even more.
Been living with Crohn's Disease for 33 years.  Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium.  Resections in 2002 and 2005.  Also diagnosed with Fibromyalgia and Osteoarthritis. Currently my Crohns is in remission.


CrazyHarry
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Date Joined Mar 2006
Total Posts : 1034
   Posted 12/28/2008 7:17 PM (GMT -7)   
dont use the bone strengthening meds like fosamax and boniva regardless of what your doc says. they dont build bone the correct way and arent really all that good for you. you will regenerate the correct way if you stick to a good healthy diet and get off the prednisone, albeit the regeneration will be slow.

with that being said, you want to take a calcium supplement that gives you 1000-1500 mg of ELEMENTAL calcium. it must give its dosage in elemental. calcium is best absorbed with some magnesium and vitamin D. get a good cal-mag and get a vitamin D supplement. vitamin D must be in the form of D3. no NOT get D2 as it is synthetic. vitamin D is a fat soluble vitamin and should be taken with fat. so take like a tablespoon or so of coconut oil when you take this. spread out your calcium dose, taking half twice a day. dont worry about the magnesium giving you the mud butt. it is small amount and you arent taking it for constipation. it causes me no problems. below is what i take:

recommended brands:
cal-mag: peter gilhalms natural calm + calcium
vitamin D: carlson labs brand, 2000 IU pearls.
Crazy Harry

---------------------------------------------
Crohn's since 1993 (17 yrs old then)
surgery in July '05 - removal of 2 inches at ileum and 8 inches of sigmoid colon (had fistula into bladder)
Nov '05 developed colonic inertia; July '06 told i needed ostomy surgery
began maker's diet in August '06 - now feeling the best ever with no symptoms of colonic inertia and i kept my colon
med free as of 10/31/07


73monte
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Date Joined Mar 2007
Total Posts : 1496
   Posted 12/28/2008 7:36 PM (GMT -7)   

Hi C.H.,

Thanks for the detailed response. I had a very hard time finding a good supplement. I bought Calcium citrate w. magnesium and D, by Webber naturals. It's only 250mgs per tab. so she'll have to take at least 4 a day. I did see Elemental Calcium, but I believe that contains Calcium Carbonate, which is suppose to be hard on the stomach.


My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


Rider Fan
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Date Joined May 2008
Total Posts : 1445
   Posted 12/28/2008 8:33 PM (GMT -7)   
Yes, I never take carbonate. Poorly absorbed and hard on the stomach.
Dx'ed in 1999. No surgeries.

Current meds: 25mg Methotrexate. 12.5mg prednisone. Udo's Choice Probiotics (30 billion).

Tried SCD, didn't work, now avoiding gluten and dairy.


73monte
Veteran Member


Date Joined Mar 2007
Total Posts : 1496
   Posted 12/29/2008 3:45 PM (GMT -7)   
The Webber brand Calcium Citrate I bought is a no go. The pills are way too big, and even when broken in half, my daughter has a hard time swallowing them. So today, i bought the liquid type. It's called Calcium bone solution by Prarie Naturals. It says the Calcium is Citrate, Lactate, and Gluconate. I'm not sure if that's good or not. Anyone have any experience with this. Thanks.
My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


Celey
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Date Joined May 2007
Total Posts : 1284
   Posted 12/29/2008 3:56 PM (GMT -7)   
I hope your daughter never has to take potassium..... //>.>\\'.... *Those pills are huge...* And through the IV is even worse.... *Shudders, shudders* The burning, man... Ouch... //>.<\\'
I think I am being picked on by life, sometimes. But's that okay. Life and I are good buddies... I know life doesn't mean no harm. It just is the way it is. I can accept that.


73monte
Veteran Member


Date Joined Mar 2007
Total Posts : 1496
   Posted 12/29/2008 5:38 PM (GMT -7)   
By the sounds of it, she could never handle that. My next dilemma is she tried the liquid Calcium and hates that too. We're going to try to sneak it into a glass of juice without her knowing. Everyday seems to bring about something else.
My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


Celey
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Date Joined May 2007
Total Posts : 1284
   Posted 12/29/2008 7:03 PM (GMT -7)   
Your daughter sounds picky... She's going to have to learn that there are things she's going to have to do that isn't going to be pleasant...
 
At any rate, maybe you should go for the chewable Caltrate... They don't have a bad taste... Yeah, it has magnesium in it, but I haven't noticed it cause any bad effects... (Of course, I'm one of those rare Crohnies that has the constipation problem *trust me, not any better than the diarrhea side of things* but I believe LMills has the diarrhea problem like most others with Crohn's...
I think I am being picked on by life, sometimes. But's that okay. Life and I are good buddies... I know life doesn't mean no harm. It just is the way it is. I can accept that.


Dave D
Regular Member


Date Joined Aug 2005
Total Posts : 404
   Posted 12/30/2008 6:59 AM (GMT -7)   
CH,
What is your basis for this statement:
"dont use the bone strengthening meds like fosamax and boniva regardless of what your doc says. they dont build bone the correct way and arent really all that good for you. you will regenerate the correct way if you stick to a good healthy diet and get off the prednisone, albeit the regeneration will be slow."
I have definite bone density issues from past Prednisone. I even have a compression fracture to my L-1 vertebre. My gastro, rheumy, and family drs all reccomended therapy and I have just started Fosonate plus 1,200 mg calcium and 400mg vitamin D. They tell me I have a 50% chance of breaking a bone, probably a hip if I DON'T do it.
What else should I do?
Dave D
Retired male in late 60's. Perforated Colon in 92. Diagnosed as Ulcerative Colitis in 93. Uncontrolled flareup in 97 dictated J-pouch surgery. 04 Capsule endoscopy diagnosed as Crohns not UC. Emergency surgery in 05 to remove lodged camera capsule. Biopsies positively diagnosed Crohns at that time. 12/06 Unsucessfully tried Naltrexone(LDN). 2/07 developed scleritis of the eye, tearing and detaching the retina. Treated with high doses of Prednisone. 6/07 Thought eye was healing and started taking Entocort counting on the residual (non-systemic portion) as treating the eye. Wrong. In October eye was not stabilized. 11/07 Started Remicade to try and reduce the ocular inflamation of the Scleritis since I had been requiring more and more Prednisone to keep the eye quiet. 12/07, retina tares and detaches again. Started Remicade every 4 weeks plus 20mg of Prednisone per day. Six months and seven infusions later, good eye is back to 20/14. Bad eye is 20/70. Had cataract surgery on June 05 on bad eye. Eye returned to a correctable visionary level of 20/50. 11/08 had reaction to Remicade; trying to keep going with Imuran and Pred. Need corrective eye surgery and fitted for prism lense to correct that eye from turning out.  Life looks fairly good (literally) today.
Married with 4 grandkids.


73monte
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Date Joined Mar 2007
Total Posts : 1496
   Posted 12/30/2008 9:55 AM (GMT -7)   

(Celey)

I'm going to try the chewables next. I was thinking some would think that she's being picky/fussy, but it's really just taste, pills etc. that she has a hard time with. She's very receptive to anything otherwise. 


My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


Celey
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Date Joined May 2007
Total Posts : 1284
   Posted 12/30/2008 11:13 AM (GMT -7)   
//@.@\\'.... Has your daughter had a colonoscopy yet? If so.... how did you get her through THAT? A lot of things don't taste good.... and swallowing big pills suck.... I mean, before I got this disease, I wouldn't take pills for anything... but sometimes, you don't have a choice unless you want to suffer more or go through something worse...

This isn't one of those cases (so many different types of calcium supplements), but still... It's part of the unfairness of having a disease....
I think I am being picked on by life, sometimes. But's that okay. Life and I are good buddies... I know life doesn't mean no harm. It just is the way it is. I can accept that.


73monte
Veteran Member


Date Joined Mar 2007
Total Posts : 1496
   Posted 12/30/2008 8:14 PM (GMT -7)   
Yes, she did have a colonoscopy and endoscopy, and faced that pretty well for a 13y.o. Right now she'e just on quite a few meds, combined with her recent 10 days in the Hospital having I.V. meds. I think she's just feeling a bit worn out and afraid of an uncertain future. Compounding the problem is that she has always had trouble with pills and bad tasting medicines etc. We couldn't even get her to take bubble gum flavored Tylenol as a kid. You're right though, she'll just have to realize that the consequences are much worse. 
My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


Celey
Veteran Member


Date Joined May 2007
Total Posts : 1284
   Posted 12/31/2008 6:08 AM (GMT -7)   
Yeah, that's understandable.... She doesn't try taking the medicines all at once, does she? Even if it does take a while, I find its a lot easier to take them one at a time....

How is she handling the prednisone? You're making sure she's taking it, right? *Prednisone has got a bad taste to it... After some practice, I know she'll find a way to get it down most of the time without having to taste it... I had been taking prednisone for so long that I pretty much had it down to an art form...*

Prednisone Art... *LOL*
 
Anyway, I was the same way when I was a kid... Even when my Grandma threatened me with a whooping, I'd still refuse to take medicine.... And... when I first got this disease (When I was 18, I'm 20, now)... I didn't want to take the medicine, so I didn't (I was also in denial of the disease at the time)... but... after suffering so much, I finally gave in....
 
//@.@\\'... Believe me, you don't want your daughter to have to learn the hard way.
I think I am being picked on by life, sometimes. But's that okay. Life and I are good buddies... I know life doesn't mean no harm. It just is the way it is. I can accept that.

Post Edited (Celey) : 12/31/2008 6:13:34 AM (GMT-7)


73monte
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Date Joined Mar 2007
Total Posts : 1496
   Posted 12/31/2008 6:24 AM (GMT -7)   

You're right again (Celey), the consequences of not taking the right meds/supplements will be alot worse. I hope she doesn't want to learn the hard way either.

As far as the Prednisone goes, she has no problem with that at all, probably since they're small. Even the Pentasa she was on, she didn't complain too much about, ironically, it may not have been doing anything all this time.


My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.

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