Predisilone and knee op

[christine2715]

I have GCA and PMR and am having a knee replacement in October. Have been told to put up my Pred. several days before the operation. I am on 3- 31/2 mg a day. Do you think 5mg would be good

[PMRpro Ambassador]

WHO told you to up your pred? And why? That isn't the usual procedure - it is usually up to the surgeon and, above all, the anaesthetist to make decisions like that.

[christine2715 in reply to PMRpro]

I was told this at the pre operative assessment but I wasn't told by how much. I got the

impression it was up to me. I believe they suggested several days before hand.

[PMRpro Ambassador in reply to christine2715]

Was that a nurse? Or the surgeon?

[DorsetLady PMRGCAuk volunteer]

Ditto to PMRpro's comments ....and you will probably be given extra on the day by anaesthetist - but that's their decision.

[piglette]

I am amazed you were told to put up your pred as most orthopaedic surgeons want people to reduce before an operation. My surgeon agreed at 5mg but would have preferred 0mg!

[Angel_doll]

my pre-op nurse told me not to take my dose on the day of the op! I queried it with the orthopaedic surgeon (I had a new hip) who referred it to the anaesthetist. The reply was to take my normal dose. The anaesthetist gave hydrocortisone during the op, and I believe I also had some administered post op. The advice from rheumatology was to increase after discharge if I needed it, from my 6.5 to 10 for a week, then 7.5 for a further week, then back to 6.5.

[PMRpro Ambassador in reply to Angel_doll]

Crackers - the day you are most likely to need it!!! Which IS why I say NOT a nurse, even specialist ones. The anaesthetist is best and be insistent you tell them - and then tell everyone else just in case.

[christine2715]

It was a nurse at a specialist World class surgery for knee replacements, the Horder Centre. I also now see another post saying they were told to put up dose. Maybe depends on dose you are on.