Nausea & head fog

[SpaghettiWestern99]

I’m being treated for PMR and currently on 15mg of steroids.

Is there any advice on dealing with nausea and head foggy mess?

[DorsetLady PMRGCAuk volunteer]

This was produced following brain fog connected to Covid19 - might be of some help -

wiltshirehealthandcare.nhs....

Is the nausea directly connected to your Pred dose - i.e does it come on at a regular time after you have take it, or is it after food, or just random? Do you take a PPI - like omeprazole or similar?

[SpaghettiWestern99 in reply to DorsetLady]

It seems to be after the Predator dose, but doesn’t always appear and can be intermittment in terms of timings. I take the Pred with breakfast. I am taking Lansprazole, which seemed to be making things better, then suddenly last two days urgh!!!

[PMRpro Ambassador in reply to SpaghettiWestern99]

So the nausea was already there before you started taking lansoprazole? What else do you take?

[SpaghettiWestern99 in reply to PMRpro]

I had no nausea until the Pred and the lansoprazole seemed to be making things better. I don’t take anything else

[DorsetLady PMRGCAuk volunteer in reply to SpaghettiWestern99]

Well then perhaps it’s something completely different…a virus or food poisoning?

[SpaghettiWestern99 in reply to DorsetLady]

I don’t think so, as everyone in the house is eating the same and they are fine. I think it’s the Pred and wondered if there where other strategies / medicines for dealing with it or I have to learn how to cope

[DorsetLady PMRGCAuk volunteer in reply to SpaghettiWestern99]

Okay…. sounds as if it is the Pred then…or the PPI, they can affect some people. Think you need to discuss with GP.

[PMRpro Ambassador in reply to SpaghettiWestern99]

Have you tried taking the pred before bed? That does often help to move unpleasant effects to while you are asleep.

[SpaghettiWestern99 in reply to PMRpro]

I might give that a go. I’ll discuss with the Doctor. I don’t have any physical pain and I’m mobile, just the tiredness, fatigue, foggy head, moods & nausea! I’m hoping this is a good sign to start tapering?

[PMRpro Ambassador in reply to SpaghettiWestern99]

The fatigue bit is the PMR, the foggy head could be or it could be pred, Moods the same - I was worse with untreated PMR than once I was on pred! Nausea is unusual I have to admit.

[SpaghettiWestern99 in reply to PMRpro]

I’ll mention all this to the doc next week. thank you!