Sorry to hear that you're having a flare-up right now. But fortunately, Solumedrol (often called IVSM) is very effective in speeding the resolution of a relapse.
What it does is reduce the inflammation in the central nervous system (CNS) and help to close the blood-brain-barrier which allows the attack in the CNS.
I've done the IVSM treatment (each time over 5 days) three times so far. Here are my thoughts and tips:
* During the IV drip, you will experience a yucky metallic taste in your mouth. Suck on mints and hard candies to mask this.
* If, after the first day, you experience a big headache, ask that the drip be slowed down for the other days. I always have to stretch the drip from 45-60 minutes to 90 minutes.
* You will very likely experience excess stomach acid. Be proactive in protecting your stomach and use an acid reducer such as Zantac. My neuro recommends this for everybody.
* Steroids will deplete potassium in your body and cause you to retain water. Each potassium rich food and avoid salty high-sodium foods such as potato chips.
* Steroids tend to make you very hungry. Try not to eat everything in the fridge.
* IVSM is such a high-dose of steroids that it messes with sleep and can cause insomnia. I often felt like my heart would be pounding out of my chest. Discuss using a sleep aid such as Ambien or Rozerem just for the few days of the IVSM treatment.
* You might experience a burst of energy. Enjoy a clean house but don't over do it.
* It is recommended to use a Prednisone taper after the Solumedrol treatments. That is similar to what Merely Me used alone to treat a relapse.
* Steroids can increase anxiety and/or depression. If you experience these, don't wait to talk to your doctor.
* Lastly, while on the steroids (including the taper), you might be extra emotional. This is completely normal. My advice - do not make any major decisions.
At my first Solumedrol infusion, another patient in the clinic smiled at me when he described that IVSM was like PMS in a liquid bag. I think he was onto something there.
Good luck, and please do share how this goes for you.