7.  Insomnia.  Each time I’ve undergone a round of IVSM, my heart wants to pound right out of my chest and I can’t sleep.  Rather than suffer with less than 3 hours of shut-eye each night while on the drip, I’ve taken advantage of sleep medications such as Ambien and Rozerem.

8.  Mood Swings.  Remember the MS patient who called IVSM - PMS in a bag?  Mood swings and increased irritability, ok - RAGE, are very common side effects during treatment.  In addition, I usually feel cognitively deficient, almost downright dumb.  This is NOT the time to make big decisions, but a good time to avoid confrontation.

9.  Depression.  Corticosteroids may aggravate existing emotional instability or psychotic tendencies.  If you suffer from depression, keep a close eye on your mood.  Knowing in advance that your depression might become exaggerated helps tremendously when you feel the tug of that dark hole.  Reassure yourself that it’s just a temporary condition and will pass.

10.  Weakened Immunity.  Solumedrol is a powerful immunosuppressant.  Your body will be vulnerable to infection during and after treatment.  Avoid contact with people who have symptoms of a cold or virus and do not receive any vaccinations.  If you do begin to exhibit signs of infection, such as increased fever, chills, rash, and respiratory distress, contact your doctor immediately. 

These are just some of the things I’ve learned during multiple 5-day rounds of IV Solumedrol.  With experience comes knowledge.  What are some of your tips for a smooth Soly ride?

Lisa Emrich is author of the blog Brass and Ivory: Life with MS and RA and founder of the Carnival of MS Bloggers.