I'm hoping someone out there might have some words of wisdom for me about this!
I've been on sulfasalazine for a number of months now. I can't seem to increase dosage from 2 a day to the standard 4, even if I do it very slowly, because as soon as I get to 3 I start getting horrible migraines and nausea.
I've also noticed that I sometimes will have multiple days in a row where it seems like I'm getting those same side effects from just the 2 pills a day. I've never been able to identify any change right before it happens, though this time I traveled up in altitude. I was willing to chalk it up to altitude sickness for a couple days, but we're going on my 4th day in Denver, now, from OKC, and I'm still nauseous, exhausted, and having headaches that not even Excedrin is completely getting rid of.
I guess my question is if these intermittent side effects are something that's not unheard of, or if I might just be blaming the meds every time I get this specific headache/nausea/exhaustion combo. I'd love to be one of those tough folks who can just gut it out until the side effects go away, but they are bad enough I have trouble even working, so I can't really. I know ssz is one of the most mild medications in its class, and since I'm only 30 I'd just as soon take something mild if I'm going to be on it forever. But... These intermittent side effects, or whatever they are, are really messing with me.
Any wisdom you all have would be most appreciated. I'll talk to my rheumatologist, to, obviously, I just can't right at this moment.