I am a 54 year old male with no health issues
In may of 2016 I went to my general practitioner to request cortisone injections in a joint in my foot which suffers from an old injury and arthritis, a condition I had been seeing another Dr for for some years before changing insurance companies. My general decided that it would be best to prescribe MethylPREDNISolone, Pak, 4 MG Oral Tablet Therapy Pack, Taken by mouth as directed on package labeling for duration of 6 days. 21 tablets, thinking it might sort out the issue. I disagreed as I have had scans and been dealing with this for several years, but he said that it was the first step before he could refer me to a podiatrist.
I took the medication and on day one became so ill that I called the ER concerned that I was having an allergic reaction. I was dizzy, sweating, my nose was running, I had difficulty focusing mentally, was salivating and felt terrible. They told me to stay on the taper medication as stopping would cause issues. Day two i called again and they told me the same, still feeling very ill. By day three the symptoms were lessening and I remained on the medication for the full 6 days.
At the end of the 6 days I was ill and thought that I had gotten a flu at the same time as the medication, this got worst for about a week, I had no energy at all and progressively developed chest congestion. after two weeks I went back to my Dr. and he decided that I had pneumonia and prescribed a Z-pack. This cleared up the congestion but the lack of energy remained.
6 weeks after the Methylprednisolone I still had no energy and went back to my Dr. He ran a full blood panel and suspected Testosterone, but everything was within range except vitamin D which was low. He suggested 15000 units a day of D which I took but say no improvement. I returned a month later and they found that my D was now way too high and told me to stop taking D. Still the fatigue persisted.
Fast forward 19 months and a dozen visits, my Dr. seemed tired of seeing me and had no suggestions at all. In that time I gained 40 pounds while going to the gym 4 to 6 times a week and carefully monitoring my calories which average under 2000, often in the 1500 range, so low that my girlfriend and daughter both consume far more than I do - my diet is lean protein, mostly chicken breast, brown rice, vegetables,fruit, eggs and cheese with almonds as a snack. Still I am gaining weight in the upper body and face although not to the point of "moon face" and don't think I have a lump on my back.
my symptoms are as follows
>difficulty focusing mentally
>feeling as though my stomach is full
>feeling very full after eating
>terrible sleep patterns with 8pm to midnight being the only time I have any energy a all, I fall aslkeep at 4pm and have to drag myself out of bed
>total loss of libido and some dysfunction
>Phantom smell of burning comes and goes but is bad enough that I have other people check to make sure nothing is burning in my home.
>odd acne on the back of my head and at times on my chest or shoulders
>I have been nearly constantly sick with colds and flu like symptoms for nearly a year.
I recently contacted my Dr and he referred me to an endocrinologist but the soonest appointment is 8 weeks away. In the mean time I asked him to authorize a 24 hour free urine cortisol test and a late night saliva cortisol test, I am waiting for results on these tests now. I did have my blood cortisol checked at 5pm and it was 7.7 ug/dL
I am concerned that the methylprednisone caused a reaction and has triggered Cushing's Syndrome...