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Prednisolone Indomethacin and Sumitriptan (Read 2093 times)
boggins
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Prednisolone Indomethacin and Sumitriptan
Nov 18th, 2011 at 4:24pm
 
Hi all,
I'm having a particularly bad night and could do with some advice please.  I'm taking Indomethacin as a preventative and i'm on a week's reducing course of Prednisolone which worked for the first few days.  Now the headaches are back with a vengeance and my question is, can I take the Sumitriptan nasal spray at the start of an attack whilst i'm taking the Prednisolone?  I've just tried water, water, water along with two icepacks on my head but the headache still lasted an hour and a quarter.

I'd be really grateful for any advice as I can feel another one coming on Sad
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Imitrex4Breakfast
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Re: Prednisolone Indomethacin and Sumitriptan
Reply #1 - Nov 18th, 2011 at 4:29pm
 
I've never heard of any contradictions between Prednisolone (or any other steroid medication) and the Sumatriptan medications and I have done them both in different forms at the same time many many times.

If the Indomethacin doesn't help fairly quickly (Within 1 - 2 weeks, it probably will never help. Ask your doctor)

As with any medications that you are unsure of, always call your local pharmacist or your doctor for advice. We are not doctors here but try to provide the best advice that we can.
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Guiseppi
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Re: Prednisolone Indomethacin and Sumitriptan
Reply #2 - Nov 18th, 2011 at 5:58pm
 
What Imitrex said. Smiley I've never been told of any issues by my doctor with taking the 2 together, and I've never had any issues while doing so.

Joe
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"Somebody had to say it" is usually a piss poor excuse to be mean.
 
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Bob Johnson
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Re: Prednisolone Indomethacin and Sumitriptan
Reply #3 - Nov 18th, 2011 at 7:47pm
 
If you are still on Pred and the attacks are returning--suggests need to start over again but with a higher initial dose.

Talk to doc.
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boggins
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Re: Prednisolone Indomethacin and Sumitriptan
Reply #4 - Nov 18th, 2011 at 7:58pm
 
Thanks for the advice, fingers crossed for a rest free night over this side of the pond Wink
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anthony g
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Re: Prednisolone Indomethacin and Sumitriptan
Reply #5 - Nov 18th, 2011 at 8:17pm
 
boggins wrote on Nov 18th, 2011 at 4:24pm:
Hi all,
I'm having a particularly bad night and could do with some advice please.  I'm taking Indomethacin as a preventative and i'm on a week's reducing course of Prednisolone which worked for the first few days.  Now the headaches are back with a vengeance and my question is, can I take the Sumitriptan nasal spray at the start of an attack whilst i'm taking the Prednisolone?  I've just tried water, water, water along with two icepacks on my head but the headache still lasted an hour and a quarter.

I'd be really grateful for any advice as I can feel another one coming on Sad

Hello i am a pred taper as WAS on 150 of indo. I was taken off the indo once i started the pred taper , my specialist is very against mixing the 2 meds. I think you should contact your doc. Both the indo and the pred are really tough on the stomach . How much indo are u on? If its not working I suggest looking into another prevent. Im on vearamil up to 480 mg. I am going to introduce lithium 300 mg tonight. I will raise it in 2 weeks after the needed blood work.
best
Anthony
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boggins
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Re: Prednisolone Indomethacin and Sumitriptan
Reply #6 - Nov 19th, 2011 at 7:41am
 
Hi Anthony, I am on 150mg Indometacin, taper on Prednisolone and 10mg on Sumatriptan (spray as and when).

Been to see the on-call doctor this morning and he has added 50 to 100mg of Topamax per day to the cocktail to get me through the weekend.

I just wish they would put me on oxygen, frightens me to death when I read all the side effects  Shocked
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« Last Edit: Nov 19th, 2011 at 7:43am by boggins »  
 
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Bob Johnson
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Re: Prednisolone Indomethacin and Sumitriptan
Reply #7 - Nov 19th, 2011 at 8:07am
 
It's critical for your peace of mind to understand that Federal law requires the listing of side effects. What is almost NEVER expressed here in our messages is the actual rate of occurrence. If you get to the library or drug store and read the PDR (Physicians' Desk Reference) you will see the rate is 1/2% or less and upward.

Rates are POSSIBILITIES, NOT PREDICTIONS. It's a mistake to take every listed side effect as a statement that this WILL occur for you.

Individual biology and our personal medical history is so complex that it's extremely difficult to predict what, if any, reaction you may have to any particular drug or combination of meds that you may be taking. Your single, best protection is to get from your doc/pharmacist, a list of the possibilities and then monitor yourself. Few side effects are life threatening at such speed that you can't respond to signs. Know the signs of a developing issue allows you to contact you doc for advice.

I'm troubled by the number of folks who post comments about side effects, written in such a style that it conveys that this or that side effect is always associated with XX drug. These statement are a disservice to people who have no background in medicine, to new-comers who need information and not fear.

Another self-protection: never accept such a statement which is not given along with some information about degree/frequency of occurrence. Appreciate that we are not medical profs. and confirm what you read here before taking action upon our messages.
------
A message I posted about this same issue re. dogs. The message is the same......

I posted this message on a chat group for dog owners (Vizsla). The issues are the same whether we are talking about animals or humans--so a little translating of words will make it understandable. The core idea: side effects are not an absolute--yes/no--issue. We must always balance potential risk with potential benefit. I'm concerned with the tendency to present comments about medicine side effects in terms which frighten folks away from trying meds which might be of benefit.
--------------------------------------------------------------------------------


This question about side effects from food (allergies) or medications pops up regularly. The problem is, we don't ask the correct questions. The issues are:

1. What is the rate or chance or probability that any particular side effect will develop?

Without information it's easy to assume that the list of side effects is a statement of what will happen if the med is used. In fact, side effects are reported in human medicine/vet literature as a rate of occurrence ranging from less than one percent and ranging upward.

It's important to ask the Vet for two pieces of information: what are the side effects?; what is the rate or chance that a particular effect will occur? Without information it's impossible to make a good judgment about using or not.

2. How serious are the side effects compared to the condition for which the med is being used?

3. How important is my judgment about the risk of side effects vs. the benefit of using this med?

This is a wholly subjective judgment which no one can make for us. We make a decision about how much risk tolerance we have; what are we willing to bear.

Bottom line: A list of side effects is a statement of POSSIBILITIES. It is not a PREDICTION of what will occur. Wisdom calls for knowing both the risk and asking the vet what to look for, i.e., symptoms of side effects. 
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boggins
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Re: Prednisolone Indomethacin and Sumitriptan
Reply #8 - Nov 19th, 2011 at 8:30am
 
Hi Bob, the concerns about side effects are quite justified in my case.

Besides the drugs I am taking for the CH, I am also on a combination of drugs for high blood pressure, triglycerides and cholesterol and knowing how long it took my doctor to get the balance correct with the known side effects (that I did suffer from such as muscular pain) with this combination of tablets, I am always reluctant when trying new drugs.

The combination of drugs I am currently on for CH's has so far given me the side effect of a definite decrease in my energy levels and I am sleeping, on average, more than 2 hours per day as a result of taking them. I can discount the CH's for the first 4 days on Pred because they seemed to fully stop the thing in it's tracks but my energy levels still seem to have gone down. I am a quite active person and get out on the mountain bike at least 3 times per week, so am aware of what I can achieve physically on a regular basis.

My own opinion on the matter of side effects from drugs is that it is important to be fully informed so that you can detect possible changes in the days, weeks and months from starting to digest them Smiley

My own opinion about taking drugs is that I'd rather not! Just hoping that my doctor lets me go down the 02 route as soon as possible.

BTW Bob, you mentioned about asking the "vet" what to look for? Where the hell are you going for your meds?  Wink
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« Last Edit: Nov 19th, 2011 at 8:32am by boggins »  
 
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