Prednisone Question

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Samantha193
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Date Joined Feb 2017
Total Posts : 4
   Posted 8/30/2017 3:11 PM (GMT -6)   
Hi,

Anyone who is currently on Prednisone long term, if you get sick with a sinus thing, maybe sinus infection, do you take antibiotics typically due to the prednisone lowering your immune system or do you treat it the way you would if you were not on prednisone and wait about a week or so for symptoms to improve before trying a course of antibiotics. I am curious because I have been on about 20mg maintenance dose of prednisone for over a year and I have a sinus thing now and it's been about a week. I don't know if I should wait a few more days to see if it resolves itself or if I should be taking antibiotics right away due to my lower immunity. Anyone who knows, please let me know. Thank you.

73monte
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Date Joined Mar 2007
Total Posts : 1738
   Posted 8/30/2017 5:23 PM (GMT -6)   
I can't really anwer your question. I have seen antibiotics taken while on Prednisone though. Just not sure what the drawbacks are.

Most would consider the long term use of Prednisone, questionable. 20 mgs is a fairly high dose to remain on as well. Have you considered other treatment options, like anti-TNF's or other immunosuppressants?

Samantha193
New Member


Date Joined Feb 2017
Total Posts : 4
   Posted 8/30/2017 5:35 PM (GMT -6)   
Yes, I have. My doc said humira will likely not work well for me and I'm trying to get entyvio. You are right about that but it's all that has been working for me right now. What are you taking? I know that my doc said that on Remicaide you need to always take and antibiotic when you get sick but I wasn't sure if the same were true for prednisone.

scifigal2k
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Date Joined May 2012
Total Posts : 3257
   Posted 8/30/2017 5:38 PM (GMT -6)   
I shudder a bit at you being on such a high dose for so long. Either you have the bad luck of no meds that work for you, or you have an irresponsible doctor. I hope for your sake it's the doctor!

Have you seen your PCP about the sinus thing? If it's a cold virus, then antibiotics won't do much unless a secondary bacterial infection develops. I hold off on taking antibiotics with Crohn's because they always make me flare a bit, and the risk of c. diff. is just too high for me. I suggest waiting until you actually know you need them as opposed to trying to ward off the risk of the infection if that makes sense.
"For this thing I besought the Lord thrice that it depart from me. He said, My grace is sufficient for thee: for my strength is made perfect in weakness. Most gladly therefore will I rather glory in my infirmities; I take pleasure in infirmities, reproaches, necessities, persecutions, distresses, for when I am weak, then am I strong" 2 Cor

randynoguts
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Date Joined Jan 2003
Total Posts : 6115
   Posted 8/31/2017 1:47 AM (GMT -6)   
sci fi. sometimes prednisone is the only thing that works . maybe abit better now but in the past it was prednisone or sulfasalazine. that was it. I was allergic to sulfa so I did 40-60 mg a day of prednisone for over 3.5 years. it kept me alive. at other times even with remicade when it was still be approved I still had to take 20-30 per day just to be able to work. all the newer drugs are expensive and prednisone is cheap. maybe Samantha has no insurance or whatever country she is in does not provide the expensive drugs. just saying to immediately jump on the DR is a bit premature.

Samantha, in my experience while on prednisone and other immune suppressants, I also would get sinus infections. and tried both ways that you mentioned. letting it slide for a time to see if it cleared up and having mucus tested to see if it was bacterial and get some bug killers. I would try testing first to see if it is not a longstanding virus for which bug killers will do no good. so if the same bacteria show up more than once in your next 2-3 sinus problems and specific antibiotic can be used to target it instead of a broad spectrum one that will harm all bacteria in your body including the good ones, which can then lead to a more dangerous infection in your body. randy

scifigal2k
Veteran Member


Date Joined May 2012
Total Posts : 3257
   Posted 8/31/2017 5:57 AM (GMT -6)   
She posted at the exact same time I did, so I actually never saw her first response - my comment was in response to her original post. smile Although as I read it with hers in the thread, it looks like I am jumping on the doctor, which wasn't my intent at all!!
"For this thing I besought the Lord thrice that it depart from me. He said, My grace is sufficient for thee: for my strength is made perfect in weakness. Most gladly therefore will I rather glory in my infirmities; I take pleasure in infirmities, reproaches, necessities, persecutions, distresses, for when I am weak, then am I strong" 2 Cor

NiceCupOfTea
Veteran Member


Date Joined Jan 2010
Total Posts : 9921
   Posted 8/31/2017 7:52 AM (GMT -6)   
Yeah, even today there just aren't that many drugs for Crohn's. I was allergic not only to sulfa, but to all mesalazines as well - but apparently the mesalazines are barely better than placebo anyway. Azathioprine and 6MP seem to be almost as useless as mesalazine. Biologics are more effective but also hideously expensive and insurance or the NHS won't always fund them. I ended up being on steroids on and off for years, as they were the only thing which worked, at least for a while.

I've had chronic sinusitis for years. Every so often it seems to take a turn for the worse and I get sinus pain behind the eyes and in the cheek bones and upper teeth. Found that olbas oil relieves the pain quite well. But unfortunately it doesn't clear the congestion, so I still take otrivine every night - it's far, far too late to worry about rebound congestion now, given I've been taking the otrivine for a few years.

I dunno how to clear the sinusitis up for good. I've tried a steroid nasal spray, which was useless. Probably should try and get tested and see if it's bacterial or viral at least.
Dx Crohn's in June 2000. (Yay skull)
Tried: 5-ASAs, azathioprine, 6MP, Remicade, methotrexate, Humira, diets.
1st surgery 20/2/13 - subtotal colectomy with end ileostomy.
2nd surgery 10/7/15 - ileorectal anastomosis. Stoma reversed and ileum connected to the rectum.
Current status: Chronic flare. Do I have any other kind?
Current meds: 50mg 6MP; Entyvio (started 3/11/16)
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