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Dr. Pravin~I am glad that you got your money ~there was some…

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Dr. Pravin~I am glad that...
Dr. Pravin~I am glad that you got your money ~there was some mix up in my account~it apparently is fixed now~I have another question at the end of this page regarding withdrawal symptons~hopefully you will see it~I will pay you again!! Martha
Submitted: 8 months ago.Category: Dermatology
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8/5/2017
Dermatologist: Dr. Pravin, Dermatologist replied 8 months ago
Dr. Pravin
Dr. Pravin, Dermatologist
Category: Dermatology
Satisfied Customers: 2,914
Experience: Senior Consultant MBBS DNB (DVD)
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You can ask your query here .

I would be happy to help

Regards

Dr Pravin

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Customer reply replied 8 months ago
I asked how long it would take to get rid of the side effects of going off opo-prednisone~I am off now but only two weeks thus far~it did not help mypyoderma gsngrenosum that I have so now I am on protopic again~it did not work that well either~ is it also a steroid~I am so afraid what will take it a way~plus these side effects are awful since I went off
Customer reply replied 8 months ago
Would a gravol help with my stomach
Dermatologist: Dr. Pravin, Dermatologist replied 8 months ago

Thank you for all the information provided.

Gravol will help with the stomach .

The side effects takes a few more weeks to go in some individuals due to age or other co morbid factors.

Protopic is not a steroid : It is a non steroidal anti inflammatory medication

Please do let me know if you have any further queries.

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Customer reply replied 8 months ago
Would protopic help with my problem~ and why would the pill not work~ I was told once that it was the only treatent
Customer reply replied 8 months ago
the prednisone I mean and is there any way to deal with the tiredness
Dermatologist: Dr. Pravin, Dermatologist replied 8 months ago

Thank you for your reply.

The tiredness can reduce with intake of :

Protein supplements

Co Q 10

Vitamin E

Omega fatty acid supplements

Electrolyte replacement once a week

You can consider the tablets for your treatment however they have to be taken persistently and regularly monitored.

The tablets are Mycophenolate , Prednisolone ( all need prescriptions and have side effects )

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Customer reply replied 8 months ago
He took me off prednisolone and is this causing my symptons~ and I don't want them again~ how long should it be before I feel me again~I was okay on them ~it is now that I am not feeling good and will all this leave eventually~ I was not on them that long~it makes me so afraid when I feel like this as I live alone~will the itchy feeling also go a way~what would be your choice of treatment be for my disorder~ sorry to be bothering you so much!Martha
Dermatologist: Dr. Pravin, Dermatologist replied 8 months ago

My treatment of choice to get you out of your tiredness would be : Anabolic Steroids ( Decadurobolin )

My treatment of choice for pyoderma gangrenosum : long term maintenance with Azathioprone with regular monitoring with hyper barix oxygen therapy

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Customer reply replied 8 months ago
I mean how long should these symptons last~my GP said about 4 6 weeks~you would think the Specialist would tell me and always said it would eventually go a way~ does itch also come with it
Dermatologist: Dr. Pravin, Dermatologist replied 8 months ago

Yes itch also comes with it as the effect of anti itching property of the steroid goes away.

It can last 12 weeks for the symptoms to reduce ( Side effect symptoms )

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Customer reply replied 8 months ago
I hate to ask yet another question but also will the fatique and so on also leave in that time frame~I never got that moon face~I think that you are saying I shall have to wait three months for this to get out of my system~this discourages me
Dermatologist: Dr. Pravin, Dermatologist replied 8 months ago

It will take 3 months without treatment.

If you take the above supplementation it will resolve much faster ( over 3 to 5 weeks )

If you do not have the moon face then it may resolve even earlier than 3 weeks

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Customer reply replied 8 months ago
Thanks ~No I never got that moon face and my dosage was very low~in fact when I asked the Specialist about that He acted surprised that I even asked that~ as the dosage was low and he said maybe if I was on it 6 months or something~I started at a .5 and ended at.3 ~ each visit I had he lowered it~I found that funny as I thought more would be better~you had mentioned protopic and he seems to have faith in that~The Infectious disease Doctor recommended that and last year when I broke my hip and when I was going home from the hospital it was as small as a loonie and almost gone~ The wound Specialist used silver and with that I had no pain at least~ my son is getting frustrated and said I should ask someone else's opinion~in the hospital I had three Specialists working on it~so I was never neglected it~they finally took a biopsy ~all along they assumed what it is was and they were right here~I was not on it very long as I would visit him once every three weeks~this is getting tire some~ he took the biopsy the last of April but kept me on the silver even after that~then he went to the steroids~maybe for a couple of months~when he saw that it was not helping he stopped them~maybe Canadian Doctors are not very smart~ do you have many patients with this disorder as it is very rare here~Marha
Dermatologist: Dr. Pravin, Dermatologist replied 8 months ago

Thank you very much for the reply .

Yes we do see Pyoderma gangrenosum and vasculitis cases very often here . Probably there are cases related to smoking , pollution , stress , autoimmune in nature.

Since your dose was low , then definitely you would get off the side effects faster.

Please do let me know if you have any further queries.

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Customer reply replied 8 months ago
I wonder where you live~ I was under a lot of stress when this happened three years ago~my husband died suddenly and I had to move to a different Province to be near my son~I did not know a soul~anyway the nurse just left and the protopic ran out and the Doctor is a way~ so the nurse put something different on~that I never had before~maybe you would know~she said it had to be removed by water and it worked before for one of her patients~there is a lot of yellow on mine today~I am in a lot of pain and discouraged~ they sure are taking a long time to figure this out!! Martha
Customer reply replied 8 months ago
Why would the Doctor stop steroids if that is supposed to be the best treatment
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