Frusemide and pred

[MDT1]

Hi all I'm still here... on 1mg but going for a renogram and they're gonna give me IV frusemide. The advisory letter that came with the appt letter, says to speak to GP if on preds "for inflammatory condition.." as need to adjust dose, however I cannot of course get to speak to my usual GP. Can anyone help?? It may help to say I suffer from just about every side effect of pred and am very sensitive to any meds. Thanks x

[SnazzyD]

I don’t think we can advise what to do with your dose in this specialist situation . What do you mean by you have to “adjust the dose”? Is that the Pred and is that in readiness for the incoming IV? Any GP should be able to help, not just one that knows you so I would call your surgery. It might be a standard letter and “Inflammatory condition” covers many conditions and it may relate to other meds that people take for them that they care about. Talking to a pharmacist might be worth it to ask about the pharmacology around this for your own peace of mind as to the whys and wherefores. Perhaps someone here has had this situation.

Are you still getting lots of side effects from Pred even at 1mg?

[MDT1 in reply to SnazzyD]

Hi thanks, yes the pharmacist was not especially helpful this time. I was hoping for someone on here gaving had this situation

[piglette]

Why can’t you talk to your GP as you have been told to, as you need their advice? Can you leave a message for them? I have trouble with most medicines and injections too. As SnazzyD says you should not have trouble at 1mg of steroids though. What problems are you getting as it may be something else?

[MDT1 in reply to piglette]

Thanks

[PMRpro Ambassador]

I would be surprised if a GP will be of much use in this case. Normally you would be taking both together over a long period and using them together affects potassium levels which will affect how effective the diuretic effect is. This is just a one-off administration so you are unlikely to have that problem but they may need to adjust the dose if they have a particular speed the diuresis should happen at - I don't know of that is the case.

yorkhospitals.nhs.uk/seecms....

You could probably call the unit where the test is to be done and ask for advice, explaining that you cannot contact your GP.

[MDT1 in reply to PMRpro]

Thanks, good point about calling the unit, will give it a go