Another iron IV/hydro post - been in hospital last night

[Incoguto]

Hey all,I had iron infusion on Monday. During it, I had anaphylactic shock (tight chest, couldn't breathe) and was injected with 100 mg hydrocortisone (thanks to this, they were able to finish the IV).

I woke up on Tuesday morning feeling incredibly warm and with a lot of energy. My vision got sharper, I was in a great mood. My thyroid felt swollen and weird, like my neck was tight and uncomfortable. I felt some jitters too at some point.

Yesterday I felt really warm and in the evening I could barely function. I was sweating, got thirsty, my HR went up and my vision went blurry on the street. Barely made it to the taxi.

I loaded electrolytes in, had food, was very pale. Decided to call the ambulance.

Of course, they checked the usual, heart absolutely fine, respiration rate too (12), oxygen sat 98%, hemoglobin raised a bit with rbcs as per usual etc. Temp 36.6, sodium 137 and potassium 4.0 (that was after 4 packs of electrolytes I took at home and salt...).

They didn't run thyroid labs, they said to do it this week, so I am booked for tomorrow morning.

I don't know what has given me this reaction, whether it was the iron IV or high dose of hydrocortisone (both doing something to my thyroid since I felt it was swollen).

I had my thyroid labwork done before IV iron:

Ft4 21% ft3 53% (24 hrs after meds).

Today I'm in bed, trying to do minimum. I felt thirsty again a lot this morning and afternoon and have palps.

Any ideas very welcome! Thank you 😊

[HealthStarDust]

Gosh! Thats horrible. Also, thank you for sharing as I’ve often wondered if I should have one.

I have no idea, but wished to sympathise.

[Incoguto in reply to HealthStarDust]

Thank you! I am still glad I had it, but curious as to what caused this swing. Steroids can be very dodgy when taken in high doses, not sure would work that fast, but maybe . Only time will tell surely. Also, my thyroid numbers were not high before infusion, so will be interesting what they are tomorrow.. I will post here.

[HealthStarDust in reply to Incoguto]

Have you cortisol checked out.

Good luck on thyroid numbers tomorrow 🫶🏽

[Incoguto in reply to HealthStarDust]

Yes, before the infusion and hydrocortisone IV.Thank you so much

[Batty1]

Pretty interesting read:

drugs.com/mtm/hydrocortison...

[Incoguto in reply to Batty1]

Thank you Batty1, very interesting! It is a serious injection, I mean, I got it straight into my vein, which is even more drastic. But it saved my life.

[Incoguto]

Update: my sodium and potassium came back fine, same with phosphorus (iron IV can apparently drain it real fast). Ft3 has gone up a lot in the last 3-4 days (20%). Ft4 = 0.9 (0.7-1.48) 25%

Ft3 = 3.17 (1.58-3.91) 70%

Tests done 24.5 hours after last dose of 2.375 Armour and 2.5 T3

My hemoglobin is now over range along with high hematocrit and rbcs (too early for them to be up after iron IV). This normally dehydrates me and suggests my dose is a bit high.

I'm going to sit and wait on this for the next few days and potentially cut the t3 a tiny bit smaller.

Still unsure ft4 is good at this level or too low. Time will tell.