Hysterectomy and steroids

[Sorop]

I am having a hysterectomy and bladder prolapse repair in a few weeks time is it advisable to up my steroids beforehand I am on 13mg at the moment for PMR/GCA

[MrsNails]

No, you must not stop your Medication unless expressly told by your Surgeon but you MUST NOT STOP STEROIDS - you must inform your Surgeon but most importantly the Anaesthetist. I will attach you two leaflets one for Patients on Steroids Undergoing Surgery & one on Sick Day Rules.

Good Luck with Surgery 💐

MrsN

Precautions for Patients Undergoing Surgery

healthunlocked.com/pmrgcauk...

Sick Day Rules

healthunlocked.com/pmrgcauk...

[Sorop in reply to MrsNails]

I meant should I UP my dose not stop it but thank you for links they are very informative and shall talk to consultant too.

[MrsNails in reply to Sorop]

Panic Over! No - you leave your dose as it is & the Anaesthetist will give you hydrocortisone cover in theatre but it’s worth checking with your Rheumatologist what dose you should take Post Operatively as you may well need some additional cover. I went from 7.5mg to 10mg for 2weeks Post Operatively on the recommendation of my Rheumatologist.

Kind Regards & Good Luck 💐

MrsN

[Sorop in reply to MrsNails]

Thank you so much for that it is very reassuring. Kind regards 😀

[piglette]

I should talk to your consultant about it and see what they say.

[Sorop in reply to piglette]

will do. x

[Pippah45]

Thank you for asking the question - I am awaiting a new hip and have seen two orthopods the first was definitely up to speed with increasing the steroids but the second one who I hope will do the keyhole operation seemed only to be considering anti-biotics.

[Sorop in reply to Pippah45]

I hope all goes well for you and get information that will give you confidence. Good luck.🤞

[Pippah45 in reply to Sorop]

Thank you very much and good luck to you too.

[USAGCA]

Hi Sorop. No need to increase your dose preoperatively. The anesthesia provider should be told about your dose and your duration of use of corticosteroids.

[Telian]

As has already been said the Anaesthetist is the one to talk to. I had intravenous hydrocortisone during and after surgery plus my Rheumy was involved in increase of Prednisolone dosage afterwards. I have GCA and PMR. You will be looked after and will have the opportunity to share your anxieties. Best wishes. 🌺

[Sorop in reply to Telian]

Thank you both for the reassurance I am most grateful. x