Managing meds etc.

[dragonrider]

Hello everyone head is is clear today so brief question?

How to organise taking meds and food ?

Meds at present:

Alendronic acid 1 per wk

Adcal 2 twice a day

20mg omeprozole 1x per day

20mg prednisolone

Oh and what can you eat with ADCAL seen lots of variations but finding the brain fog means I cant remember - even when I have written it down a million times .

🤪Confused !

[PMRpro Ambassador]

Alendronic acid is easy: once a week, first thing in the morning before ANYTHING else and half to 3/4 hour before next installment. And remain sitting/standing upright.

AdCal not with rhubarb or spinach or other oxalates but it helps taking it with a meal - lunch and dinner seem suitable - as fat is required to absorb the vit D better. Not more than 500mg calcium at a time so 2x daily usually.

Omeprazole - for us it probably doesn't make much difference when, take it when it works best for you, but if you have reflux that is made worse by activity you should take it in the morning, if it is night-time reflux you should take it at night:

ncbi.nlm.nih.gov/pubmed/882...

Pred should be taken all at once as early in the morning as possible - then it has less to do and so works sooner. If the antiinflammatory effect doesn't last a full 24 hours many people split the dose and take about 2/3 in the morning and the rest later at a time that works for symptom relief until next morning. If you take it too late it MAY interfere with your sleep. At the latest you need to take the second installment 1-2 hours before you would expect the pain to return.

So basically: pred for early breakfast except the day you take AA when it happen first, Adcal for lunch and dinner, omeprazole before bed perhaps so it is working well next morning when the pred hits your stomach.

[dragonrider in reply to PMRpro]

Thank you appreciate the swift response. Interesting the splitting preds. The pain is often so unpredictable - will have to monitor and try. Pleased to see that my thoughts on this pattern was forming so really positive to have confirmation. Been so confused struggled t make sense of all information. So glad everyone around to give me words of wisdom and experience - wow and what experiences - Thank you