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This patient support community is for discussions relating to autoimmune hepatitis.
Sarad
I have a paternal first cousin that has RA
The other forum Sarad's referring to is under Autoimmune Disorders....there's a post that she started that we've been talking on for a while...come join us!
Erin
I'm the 3rd member of the group on the other website that Sarad referred too... Welcome!!!
Please some one help me to help my mother.
Thanks..
Sorry, but I don't understand. Are you saying she was diagnosed with Autoimmune Hepatitis? I believe in order to be properly diagnosed, she would need a biopsy. Have her enzyemes been high or what??? Before my diagnosis, I did have upper body arthritis to the point I couldn't dress my upper body. Are there others in your family with any autoimmune diseases??
Jo
In response to your question over in the other forum about getting off prednisone. I've been on it since Nov 07 and my body has responded such that my LFT's went immediately back to normal after starting the prednisone. My GI began tapering the dosage as soon as we saw that my enzyme levels had dropped. I was told from the very beginning that they would get me off the prednisone as soon as possible and switch to another immunosuppressant, which I'm on now too (Imuran).
My question for you would be, how are your LFT's? Are they still really high, or stable in the normal range? Since everyone is different, it may take longer for certain people to get off the prednisone. I would definitely talk to your doctor about it b/c you don't want to stay on it for a long time.
Thanks for the info. All my blood work has always came bk fine. I see a hepatologist annually but he has never suggested that I would ever go off the prednisone. I also take the Imuran & have since the beginning. Perhaps it is due to I did have HCV & they are afraid of a relapse of one of the diseases. I don't know but I will ask on my next visit which is in May. I do appreciate you letting me know this, I am making a list of questions to ask about this on my next visit. Jody
AST: 42
ALT: 32
I get to drop to 5mg Pred today and I'll recheck LFT's in 2 wks. He said at that point, if all is normal, I'll drop to 2.5mg for 10 days and recheck one more time.....then I'll be off it finally!
Jody, my GI mentioned today that some people have to stay on a low 'maintanence' dose of prednisone, like 2.5mg, but he didn't say if that was a permanent thing. He told me today that I'll always have to take Imuran for it (as long as my body reacts correctly).
Erin
I remember last yr when I was there complaining to his asst about something but can't remember what. She said if necessary she would talk to him about trying to get me down to 2.5 mgs of prednisone but we discovered something else was the problem. The only thing I do know is that the AIH was active for about 5 yrs before it was discovered & that damage had been done, not sure how much, another question to ask when I go bk, & maybe that is the reason being damage, just don't know. They have never said anything to me about removing the prednisone though. Guess I need to find out why. Anbody else out there still on prednisone for long periord of time? jo
Thanks for any imput please. Jo
Jody515...I have been on prednisone since March,07. My Dr. told me the max he would want me on the prednisone is a year. Well, it turns out my disease is a lot more aggressive then he hoped, but he told me the other day his goal is to get me to at least a "maintenance dose" anywhere from 1 mg to 5 mg. It depends on the person. I would say you need to definitely discuss w/your Dr. I am currently down to 10 mg, they are going to check me in 2 weeks. If all goes well the next drop is 7.5 and he said it just becomes a body game at that point. They have to see what your body will allow. His hope though is to just be on the immunosuppressent. Definitely talk to your Dr.
By the way, my Dr. told me my disease was probably active for about 2-3 years before we discovered it as well. May be why my disease is so aggessive, much like yours. I did have some liver damage as well, but he won't discuss how much. He tells me to focus on the recovery, and he will deal w/the rest..
Good Luck talking to your Dr....
Kim: If I remember correctly you mentioned that you went down on the prednisone. Way to go. You must be so happy.
Well I have been feeling better lately less nausea.
Jody: You have been on prednisone for a long time. I started May 1, 2007 and from the begining my liver Dr. said that the goal is to get me of prednisone with a year or less. I am now off of it 9 month later.I am also on imuran from the begining 75 mg and hopefully I will go down to 50 mg by the end of March. Then I will probably stay on it for a long time.
You will really have to check this with your Dr. I know that being on prednisone for so long is not very good but I am not a Dr. Wish you lots of luck and keep us posted.
Take care ladies and be strong. Sara