Prednisolone and surgery

[nicolahg]

I am due to have an op which will involve a general anaesthetic and about three days in hospital. I would welcome some advice on talking to the anaesthetist on how best to manage taking my steroids and PMR. My current dose 12.3.

[PMRpro Ambassador]

Just tell the anaesthetist what your drug regimen is, how long you have been on pred and so on. You will have a pre-op assessment - mention it then and make sure it is noted and also tell the anaesthetist before the op, I have always seen one the day before when they come to check such things.

[maria40 in reply to PMRpro]

You recommended that I should probably take pred the night before or early morning of the procedure - thank you. One further question how do I take account of the fact that I take e/c pred with time lapse in absorption? My appointment time is 12 midday.I'm having my pre assessment this morning and want to know what questions to ask. Think I may be getting a bit paranoid about all this - I haven't been in hospital for over 40 years so perhaps understandable.

[PMRpro Ambassador in reply to maria40]

The tablet will be through and the pred will be working - in fact we often suggest patients on the e/c take it before bed as it is then working nicely by early morning which is when it is needed. You may never go back!!!

[piglette]

I took mine very early when I had my hip done last year. I then dislocated my hip and had an emergency op to put it back so did not have the chance to do anything about the timing! I never thought about it until now.

[MrsNails]

As Pro says mention it to your Anaesthetist when you see them pre operatively. If necessary you will be given hydrocortisone cover in theatre & make sure you take your Meds in with you, particularly your Pred, when l was in the Senior Nurse said for me to be responsible for my own Pred the following morning.

Good Luck with your Surgery 🍀

[nicolahg in reply to MrsNails]

Many thanks all

[Sorop]

I would reiterate what the others have said as that was my experience when I had surgery. Good luck.