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Wednesday, November, 11, 2009
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Prednisone, the Dirty Little Secret, Becomes More Respectable

Mark Borigini, M.D.
Mark Borigini, M.D.
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Rheumatologist

Mark James Borigini, MD, graduated from Hahnemann University (now...

Mark Borigini, M.D.

Friday, February 16, 2007
View All of Mark Borigini, M.D.'s Posts
Many rheumatologists at least verbalize a reluctance to use “cortisone”-like drugs such as prednisone in the treatment of rheumatoid arthritis; but many, if not most, rheumatologists do use prednisone. Prednisone, even in low dosages, can cause high blood sugar, cardiovascular disease, weight ga...
  1. Untitled Comment
    Judith Lukas
    Monday, February 19, 2007 at 06:02 AM
    I have had RA for 14 years. I am constantly trying to reduce my dose of prednisone. I can get as low a 2mg per day and then have a flare and go back up to 5. Your article made me feel a little safer.
    Reply
  2. methotraxate
    Anonymous
    Thursday, October 09, 2008 at 10:27 AM

    The doctor prescribed mtx.....i became paranoid and had hallucinations.....

     

    prednisone was prescribed for RA (have had since age 2).....now 19 yrs.

     

    many side effects..still trying to wean down to 1mg with anxiety and depression symptoms....never take prednisone long term...it is debilitating and ravages too many other parts of your anatomy.

    Reply
  3. prednisone
    Debby
    Monday, February 23, 2009 at 06:04 AM

    I have been on 10mg for the last three days and feel like a new person. I am also on Humira but was having a bad flare up. I can't bellieve how much difference the little pill is making. I am on it for six weeks and will hoefully only need it when my RA flares up and Humira isn't enough. Side effects scare me but quality of life and the ability to move out weighs it.

    Reply
  4. Cortisone in micro-doses
    WittyGlib
    Friday, March 27, 2009 at 10:33 PM

    Doing some follow up research.  Has anyone heard of this?

       Went to a seminar today promoting cortisone treatments for RA by the Helen Foundation.  It may be well known that cortisol (natural in the body) can be the answer, and you all seem to have had some success with cortisone-drugs.  What these folks were "selling" was an expensive tracking and monitoring program, real life doctor or nurse to patient interaction along with computer analysis of your diary to rate daily changes in symptoms.  Their theory is that with better tracking you can learn when to expect flare ups, and take low dose prednisone (or similar) for a day or two only.  You can take it up to five days if the flare up is severe or you catch it too late.  They claim an average of 80% relief in nine years.  The low dosage-booster type treatment keeps side effects at bay.

       Any thoughts--or where, besides helenfoundation.com I can find more info?

     

    Reply
    re: Cortisone in micro-doses
    macsmart
    Wednesday, June 17, 2009 at 03:24 PM

    I have been taking 5 mg prednisone daily and have heard about the microdose program. I would much rather just take the prednisone during flares and then stop. Any help on this would be appreciated.

    Reply
    re: Cortisone in micro-doses
    Rita
    Thursday, August 06, 2009 at 12:36 PM

    I have read that the adrenal glands naturally releases cortisol and having RA depletes and drains our adrenal glands.  When we load up on cortisol it affects our adrenal glands and that it's not safe to decrease it in large quantaties and its best to decrease it a little at a time until your adrenal glands kick in.  I have been on prednisone 25 mg for some time and went down by 5 mg over 3 weeks time and I felt really fatigued and blue for about a week each time the dose was lowered.

    Reply
    re: Cortisone in micro-doses
    Anonymous
    Saturday, October 03, 2009 at 10:07 PM

    Yes, I attended the same seminar. I was told that it is EFFECTIVE for 80% of the people. The "come-on" was the $4000 or so they want you to give them to do a "work-up" which would include which foods you need to avoid in your life which may be triggering the arthritis. The list could be quite extensive, they said, and if you don't adhere you will fall into the 20% who are not helped. Also, you are taught to assess 50 areas of your body each day to decide how to micro-dose. There is no guarantee that anyone will benefit any greater from this than low-dose management without the bloodwork to assess "allergies".

    Reply
    re: re: Cortisone in micro-doses
    Joe Vivonia
    Monday, October 05, 2009 at 04:11 PM

    There is no come on. Six thousand people have tried Microdose Therapy. Food allergies are only a small part of what we do.This is a VERY labor intensive program.

    Would anyone like to try FOR FREE!!!!!

    Joe Vivonia

    Director Clinical Development

    Helen Foundation

    (480)983-8376 

    Reply
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