Originally Posted by
Sangye
Light, the 3-day pulse steroids are only if you're having a severe flare in which you need the massive pred to save your life--eg lung hemorrhage, kidney failure. It's hard to know if you should do the 2 infusions a week apart or the 4 infusions. If you're experiencing a bad flare I suggest doing the 4 infusions. Also, if you're on the heavier side like me, there is a sizeable dose difference between the 2 protocols since the 2-dose protocol uses 1,000mg for each while the 4-dose protocol is weight-based.
Before the infusion you should be given benadryl and at least 80 mg solumedrol. Dr Seo gives me 100 mg solumedrol but said he wouldn't give less than 80 to anyone.
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