I'm scared: Hi i was dignosed with Tempola... - PMRGCAuk

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I'm scared

shekinah66 profile image
16 Replies

Hi i was dignosed with

Tempola Arteritis a week ago today after having severe head pain so much so that it hurt to lay my head on the pillow. I was given an emergency hospital appointment at a good hospital on Monday whereby my head was scanned and I was confirmed with this condition. The doctor told me I was a complicated case as I have fibramyalgia, poly arthritis, osteo arthritis plus trigeminal neuralgia and now this. I am 54

I was put on 40mgs of predispose and then on Wed my left eye became more blurred so I was immediately advised to go to an eye hospital where they found the left artery in that eye was swollen.

The prednisone was upped to 60mgs and i feel so tired, couldn't stop eating etc.

My right eye by the way i have stigmatise and can hardly see out of that eye anyways.

I feel like I'm falling apart. I was told I would be on this high dose for two weeks and would be eased off after 8 weeks totally.

now i am going to have an injection of 120mgs prednisilone which should last for a few weeks then the steroids will be taken down gradually and was told i should be off them by July next year!

Reading on here I hear otherwise also can you get a relapse at any time. I was scanned again on Monday and my left side of my head was clear but my right side isn't.

I'm scared plus there are so many side affects to steroids but I don't want to go blind or have an aneurysm either

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shekinah66
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16 Replies
SnazzyD profile image
SnazzyD

Hello. Yes, it’s a shocker. I was 54 when GCA flared up and like you I had Fibromyalgia at times but the pillow made of rock feeling was nothing like it.

There is a lot to learn at a time when you are reeling from the shock and Pred. High doses really are a rollercoaster but it will pass so just buckle up for the ride for now and be so easy on yourself.

Eating- get on a super super low carb diet now, you will thank yourself when you are not 3 stone heavier or on a blood sugar boom and bust or diabetic. I didn’t put on weight at all because I did it from the start, though people who have not, do lose weight and regain control of blood sugar. The good thing about low carb diet is that you can eat plenty. By low, I mean no pasta, rice, potato, flours and of course no sugar. The fat in the diet keeps you more sated.

So, for a while you may feel out of control, weak, exhausted (also from GCA) but jazzed up, a little bit mad and emotional. It is temporary and hang on to the fact your sight is being saved. As the dose reduces and you become more accustomed to it, you’ll even out. This is the hardest bit but they don’t tell you so it can freak you out. Some people have stopped their Pred because they’ve read this as a severe reaction rather than par for the course.

You are only a short way in, you’re getting the right treatment and it’ll take time for the GCA to fully settle. Try not to worry.

A year and off the Preds, um, I’d be surprised and hope you aren’t hurried off Pred because a relapse is more likely. However, in a year and at a much lower dose, you’ll not be feeling like this!

You’ll get more replies, so sit tight.

shekinah66 profile image
shekinah66 in reply to SnazzyD

Thank you x

SheffieldJane profile image
SheffieldJane in reply to shekinah66

I couldn’t agree more with SnazzyD. She is spot on! Sending you a big hug. Xx

Dontwannabesick profile image
Dontwannabesick

Stick with this group, you'll find lots of support and a wealth of information and experience from people who really do know what they are talking about. Please don't be scared, be cautious. I think the plan to taper you off steroids so quickly is ridiculous. I have GCA and was told initially by my family doctor it would take minimum 2 years to recover. Well, it's now 1 year 11 months and I'm still gradually reducing my steroids. My rheumatologist has told me I have probably another year at least. However you feel start to feel better over time. Just take it easy and be kind to yourself. I'm sure our trusted experienced friends will be along to talk to you, they can offer expert guidance. X

shekinah66 profile image
shekinah66 in reply to Dontwannabesick

Thank you so much oh and do I have to shield for a long period of time? X

Dontwannabesick profile image
Dontwannabesick in reply to shekinah66

Guidelines are if you are on 5mg or more of prednisolone for more than 2 weeks and have other issues, not sure of all of them now, but if you ho onto the govt website there is a questionnaire you can fill in and if it calculates you need help it will register you. Sorry can't give more details but using phone and useless at multi screening !

PMRpro profile image
PMRproAmbassador in reply to shekinah66

Shielding is probably finishing soon - my daughter is rejoicing she can go back to work on August 1st. In the NHS, just as the second wave arrives probably!

SnazzyD profile image
SnazzyD in reply to shekinah66

Well, if it was me on high dose now, I’d be shielding. Yes, the steroids might help stop the cytokine storm they talk about with Covid19 but your immune system will be rather gagged, so secondary infection is a real risk.

PMRpro profile image
PMRproAmbassador

I think they are a bit optimistic at you being off pred in a year! However - time will tell.

Snazzy has told you the basics - above all, cut your carbs, especially processed ones and fruit, Don't worry - you are on pred, that is protecting your sight as long as you are on enough and if symptoms return it probably means you need some more. Aneurysms are usually a late problem and they should be checking you every couple of years so one would be caught long before it is a problem,

Keep coming back if you have any questions at all

discoballs profile image
discoballs in reply to PMRpro

Absolutely! I was told 1 - 2 years and just over 1 year in I am struggling to get below 10mg of prednisolone :/

discoballs profile image
discoballs in reply to discoballs

I am now down to 9mg of Prednisolone. 10 day struggle but I think I’m going to make it. One of my feet is looking a bit blotchy now. David

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

Hi,

As others have said, a year on Pred is optimistic, and the side effects can all be controlled.

You have to remember the dose you are on will protect your sight - and in your case particularly that is very important.

My Ophthamologist told me - on Pred for at least 2 years, probably 4, maybe for life. It actually turned out to be 4.5.

This is the latest advice on shielding - but you should get a letter explaining YOUR situation in due course.

When you feel up to reading it, this might help - healthunlocked.com/pmrgcauk...

shekinah66 profile image
shekinah66

Thank you everyone for your help and advice this means a lot. The injection takes 4-7 days to kick in plus i have to have another one next week.

My private rheumatologist said i am under the best opthalmic hospital in the country.

I have also been told to lose weight by the doctor I saw today .

I guess the fibro and arthritis won't go away as in poly and osteo arthritis.

X

Skysey profile image
Skysey

I was diagnosed with GCA in January this year after becoming unwell in December.

It sounds like your medical professionals have acted swiftly to safeguard your vision and to reduce the inflammation.

It is natural to feel scared. I felt like this for the first 3 months or so. Just be assured that you have a treatment plan in place and it seems your doctors are being proactive.

I was on 60 mgs of pred for a little while. Over the last 4 weeks I have tapered from 40 mgs to 25 mgs as I am now on Methotrexate a steroid sparing drug. I feel ok at the moment. You are likely to have ups and downs but our friends on this site are so knowledgeable and supportive.

I agree with others when they say be kind to yourself. Rest when you need to and have some gentle exercise. Diet is important too.

Keep us updated as to your progress.

Jeanfkelly profile image
Jeanfkelly

You sound just like me.

I have all the conditions you have plus more.

Yes it's complicated , but it sounds like you've had a very good hospital experience and your doctor(s) are on top of things.

It took me 6 days on 60mg Pred. To get relief from the head/scalp pain. It happen...bear with it.

I have every imaginable side effect from the steroids some of them settled after a while but I still have some and they affect me every day.

It's something we put up with in order to aow the steroids do their job of getting the inflammaton under control.

Speak to your doctor about your side effects. There may be something that can help.

Coming off steroids us a long slow , careful journey don't be tempted to rush it.

The relapses you speak of are akso known as flare ups.

They often happen when we are too impatient and rush the journey down the doses!

Don't be afraid of relapses. Seek medical advice straight away and kep on touch with thjs forum. The support offered here is wonderful and can allay your fears and worries however many times you need to post!

Things will get better.

All the very best

leothecat profile image
leothecat

It's very good that you're under a notable opthalmic hospital. I'd be continuing to shield if I was on a high dose of Pred. Wishing you the very best over the next few weeks.

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