FROM OUR EXPERTS
After a restful Thanksgiving weekend, I wanted to discuss something with you. Steroid Tapers .
As you know, I have had a recent MS relapse . This one wasn’t one which I just wanted to “wait it out” for. I’ve done that with very minor bumps/relapses along the road during the recent years. In fact since switching drug treatment two years ago, my MS relapses had been more subtle and my MS has been more stable.
So until the last couple of weeks, I had not had a real-life, steroids-requiring MS relapse which sent me to the doctor’s office in search of treatment in a long while. This time around I knew that I would be asking for Solumedrol but it was just a matter of timing. I had concert commitments over the weekend and the Thanksgiving holiday was coming up.
MS was affecting my leg strength and causing foot drop (which is new to me) in my right foot, the same one which had been showing a bit of clonus during yoga sessi...
Opioid medications have a natural property that causes physical dependence. Other medications used to treat high blood pressure , depression , and inflammation can do the same. Common substances, like caffeine, have that property. Because our bodies adapt, it is normal for these chemicals to become "known to us" over the time of exposure. When abruptly or too rapidly taken away, our bodies revolt. That experience can range from uncomfortable to life-threatening, particularly if we have other medical problems such as diabetes or heart disease . Feelings of withdrawal have been reported in varying degrees by signs such as an increase in sweating, rapid heart rate, nausea, diarrhea, goosebumps, headaches, inability to sleep and agitation.
At times, the pain provider may decide that it is advisable in the treatment plan to discontinue opioid therapy. It may be for one of the following reasons:
intolerable or uncontrolled side effects
serious non-adherence to the treatment plan or unsafe pa...
You may have heard rumors that there is a shortage of the opioid pain reliever oxycodone . Or you may have tried to fill your oxycodone prescription only to be told that your pharmacy doesn't have any and doesn't know when they will be getting more. There have been at least two significant recalls of instant release oxycodone in the past few months and the two drug manufacturers involved have completely stopped production of it (as well as a number of other medications) due to quality control issues. Because of its abuse potential, oxycodone is highly regulated and the government only allows each manufacturer to make a specified amount each year. Therefore, other manufacturers cannot just increase their production to make up for the two companies who have stopped production. The shortage seems to affect some parts of the country worse than others, but as the shortage continues the number of areas affected are growing. It largely depends on which manufactur...
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