UTI and extra prednisone?

[Fishtacoqueen]

Hi,

I’ve just been diagnosed with a UTI. I am currently at 3.75 mg of prednisone after reducing from 4 in the last week. I also just had a blood test and noticed that my C reactive protein count was at 11… slightly above normal values. Not sure if it is a reaction to the infection or that my inflammation is increasing. Would it be advisable to increase prednisone for a few days while taking antibiotics or just continue on? Appreciate any advice.

Thanks!

[DorsetLady PMRGCAuk volunteer]

Your CRP may be affected by the infection as you say … so personally I wouldn’t increase Prep.. others may disagree. Let the ABX do their work, and maybe seek medical advice after weekend.

[Fishtacoqueen in reply to DorsetLady]

Thanks. I'm inclined to think the same.

[PMRpro Ambassador]

The CRP rises with infections too - I doubt you need more pred.

[julesster22]

it's safe to take most antibiotics with steroids—and the combination may even help you recover from infection faster. I’ve been on prednisone since 2017 and have increased when I needed to and reduce when I can. I have my doctor to give me 1mg tabs so I can regulate it. Currently at 2mg but hope to reduce back to 1 mg. Hope this helps! Get better soon!!

[PMRpro Ambassador in reply to julesster22]

"it's safe to take most antibiotics with steroids"

Except the quinolones which in combination with steroids can cause achilles tendinitis. Several on the forum, including me, have been victims!

[abby78]

hi. I had several UTIs while on Pred and Actemra together. Did not change my dosage of Prednisone. Hope you can continue to wean down . Prednisone was life saving for me but I am a reactor and had a lot of side effects.

[Fishtacoqueen in reply to abby78]

Thanks everyone. Confirms what I thought!