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I can totally sympathize with your prednisone insomnia. I am someone who LOVES to sleep and am up late at night and early in the morning. My doc yesterday was asking if I was sleeping in and napping due to the anemia and I laughed. I am getting much less sleep than I ever do.

I was diagnosed with hemolytic anemia a month ago. At the time, my hemoglobin level was 6.3 and I had been experiencing symptoms for almost 3 months. I was started on 100 mg of prednisone a day, did that for a week, decreased dose to 60 mg/day, now am being tapered slowly to 20 mg a day. My most recent hemoglobin level was 10.8. The increase in blood count is slowing down as I'm being tapered but it is at least increasing.

Like you, there seems to be no cause to my hemolytic anemia. From what I understand, about 50% of hemolytic anemia cases have no known cause. My blood shows the "warm" antibody type which means it's another autoimmune disorder (I am already hypothyroid due to thyroid antibodies). If I remember correctly, you said that you have MS which is another autoimmune condition. My doc said that people with one autoimmune disorder are predisposed to having another.

My internist has said all along that if I stop responding to prednisone that I should have a splenectomy. I am a member of a group of people with hemolytic anemia and several of them have had their spleens removed. It works in about half the cases.

It seems to me that fixing hemolytic anemia is like nailing jello to a wall. You try something, then something else starts to go wrong. It is so frustrating! I have been taken off a drug that was addressing a pituitary gland issue in the outside chance that the drug caused the hemolysis. So, I now have anemia and an overactive pituitary gland.

Anyway, I share your frustrations. The only treatment I have had for the hemolysis is prednisone and expect that if the treatment continues to be successful that I will be on it for the next 6-8 months. Puffy face and weight gain here I come!

Enjoy your turkey and your holiday. Canadian Thanksgiving was 6 weeks ago and the turkey is only a pleasant memory!

Jackie
Oh Jackie thank you so much for responding to my Messages, yes I am a warm antibody type also. Due to the MS,I was Diagnosed with this in 2000, have been in the hospital twice have had 4 transfusions been on 120, 80,& 70 top dose of prednisone. My Hemotologist does not like to have me on it for to long, We have done the retuxin treatment, which was successfull for 6 months, so this is one of the last steps, It is scarey, but I am not sure what else to do. I really appreciate your responses, thank you!
Deb
[QUOTE=jackie_girl]I can totally sympathize with your prednisone insomnia. I am someone who LOVES to sleep and am up late at night and early in the morning. My doc yesterday was asking if I was sleeping in and napping due to the anemia and I laughed. I am getting much less sleep than I ever do.

I was diagnosed with hemolytic anemia a month ago. At the time, my hemoglobin level was 6.3 and I had been experiencing symptoms for almost 3 months. I was started on 100 mg of prednisone a day, did that for a week, decreased dose to 60 mg/day, now am being tapered slowly to 20 mg a day. My most recent hemoglobin level was 10.8. The increase in blood count is slowing down as I'm being tapered but it is at least increasing.

Like you, there seems to be no cause to my hemolytic anemia. From what I understand, about 50% of hemolytic anemia cases have no known cause. My blood shows the "warm" antibody type which means it's another autoimmune disorder (I am already hypothyroid due to thyroid antibodies). If I remember correctly, you said that you have MS which is another autoimmune condition. My doc said that people with one autoimmune disorder are predisposed to having another.

My internist has said all along that if I stop responding to prednisone that I should have a splenectomy. I am a member of a group of people with hemolytic anemia and several of them have had their spleens removed. It works in about half the cases.

It seems to me that fixing hemolytic anemia is like nailing jello to a wall. You try something, then something else starts to go wrong. It is so frustrating! I have been taken off a drug that was addressing a pituitary gland issue in the outside chance that the drug caused the hemolysis. So, I now have anemia and an overactive pituitary gland.

Anyway, I share your frustrations. The only treatment I have had for the hemolysis is prednisone and expect that if the treatment continues to be successful that I will be on it for the next 6-8 months. Puffy face and weight gain here I come!

Enjoy your turkey and your holiday. Canadian Thanksgiving was 6 weeks ago and the turkey is only a pleasant memory!

Jackie[/QUOTE]





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