prednisone

kepiersch81

0 Posts
Reply prednisone Posted on: Aug 8, 2011 at 2:11am
I'm desperate to keep this baby! I'm on 81 mg aspirin and 5 mg prednisone, and on erythromycin 250 mg 2 times a day. Think this will "keep me at bay" till I can Get into a doctors office Friday? should I increase MT dosage of pred? I was more comfortable with 5 mg daily.....buy wanted to know what you though....hcg is tomorrow....I'm on pins and needles!

Dr. Braverman

2026 Posts
Re: prednisone Posted on: Aug 9, 2011 at 12:42am
without knowing your case in detail I really cant make recommendations on your corrrect dose , but 5mg is a very low dose and the lowest dose I use is 10 and many times we use even 40mg.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

kepiersch81

0 Posts
Reply Re: prednisone Posted on: Aug 12, 2011 at 5:06pm
....guess it doesn't matter any way; got my hcg quant today and it fell to 12.8. Officially 5 gravda 1 para. Thanks for all your help though.

Dr. Braverman

2026 Posts
Re: prednisone Posted on: Aug 12, 2011 at 5:23pm
Please call me I responded to your other post , we need to start from square one with you.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

kepiersch81

0 Posts
Reply Re: prednisone Posted on: Aug 13, 2011 at 4:08am
I was wondering, if my rpl were caused by thrombophilias; studies indicated some sort of factor deficiency or predisposition to clots and I had concurrent (prior to pregnancies-as in, pregnancy was not the cause but the one of two manifestations of clotting issues) either superficial thrombophlebitis or dvt, would I remain on blood thinners indefinitely, or prior to/durin preg?

Dr. Braverman

2026 Posts
Re: prednisone Posted on: Aug 13, 2011 at 2:18pm
Im not sure if I understand your question, but if your asking wtih blood clotting predisposition do you need to stay on blood thinners when not pregnant, it depends on your clinical history and which of the disorders that you have. Most just stay on baby aspirin but again it depends on your findings. Your case is very treatable, I hope youll call so I can help you get past this point.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

kepiersch81

0 Posts
Reply Re: prednisone Posted on: Aug 14, 2011 at 1:00am
I'm sorry-I just re-read my last post, it didn't make much sense did it? Lol-Let me clarify. I think I may have an inherited (can't know for sure as I'm adopted), clotting disorder. All through my childhood I suffered from nosebleeds and easy bruising. Neither of which were very severe. However, as I've gotten older, I've since had a number if different "isolated" (perhaps not in retrospect), events: Blood clot formation after c-section, pain and swelling of legs (on my feet a lot for work-assumed it was from that), especially proximal and medial to the right ankle, and now four miscarriages all ending in the first trimester. Occasional shortness of breath, heart palpitations, and random chest pains here and there prior to taking a deep breath, depression/anxiety. I believe what I was trying to ask was if I was put on blood thinners indefinitely (for inherited clotting problem), when I got pregnant again, is it standard to increase blood thinner dose for the duration of the pregnancy or would being on the daily blood thinners suffice? (in most cases). Sounds like it is pretty common that women don't find out about this until after they've had multiple miscarriages?
I called this last Friday, but was told there were no payment options for the phone consult thus my not being able to schedule a consult.

kepiersch81

0 Posts
Reply Re: prednisone Posted on: Aug 14, 2011 at 1:03pm
--side note, when's best te to draw for thrombophilia panel? Does it male a difference if one is actively misarrying or not? I started miscarrying on Friday, got my thrombo work up drawn; I wend home and then realized they drew my clot tubes prior to my citrate tubes. I know this can skew results, and as a med tech I'm concerned with the quality of the drawn. I can redraw my own speciems again, but since Ill be days into the miscarriage will it affect the results verses obtaining the results at the start of the miscarriage?

kepiersch81

0 Posts
Reply Re: prednisone Posted on: Aug 14, 2011 at 2:24pm
what I mean is is there a "best time" to tests for thrombiphilia <just tests for clotting issues-no other tests I mean. What about testing for immuno issues? those you like to test for during miscarriage right?

Dr. Braverman

2026 Posts
Re: prednisone Posted on: Aug 15, 2011 at 6:27pm
Ok that is a bit more clear. Yes I like testing for immune issues during a miscarraige so we can see what affect the embryo is having on the maternal immune response. Thrombo work up can be drawn at any time, some factors such as S and C may be altered in pregnancy, but still not bad to know the worst possible scenario.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.
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