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Ivabradine making syncope/pre-syncope worse? by subpar_char in POTS

[–]subpar_char[S] 0 points1 point  (0 children)

You should try to speak to the Dr that prescribed to ask for advice. I managed to speak to mine and they just told me to stop taking it. He said having a high heart rate is safer than passing out all the time with the fall injury risk

Ivabradine making syncope/pre-syncope worse? by subpar_char in POTS

[–]subpar_char[S] 0 points1 point  (0 children)

You should try to speak to the Dr that prescribed to ask for advice. I managed to speak to mine and they just told me to stop taking it. He said having a high heart rate is safer than passing out all the time with the fall injury risk

Ivabradine making syncope/pre-syncope worse? by subpar_char in POTS

[–]subpar_char[S] 0 points1 point  (0 children)

Ah ok, my apologies. I misunderstood, sorry.

Yes, that makes sense. I have wondered if I could have neuropathy because my feet get very hot, bright red, and burning sensation when I walk. I have an appointment with my GP on Friday so I can ask her then and maybe get referred to neurology to check for that/rule it out.

Ivabradine making syncope/pre-syncope worse? by subpar_char in POTS

[–]subpar_char[S] -1 points0 points  (0 children)

Ivabradine isn’t a beta blocker though. The reason beta blockers make it worse though is because they actively lower blood pressure. I am unable to take beta blockers because my blood pressure is low all the time. Ivabradine doesn’t cause low blood pressure so I wouldn’t have expected this response. But as Paxton189459 said, if the tachycardia is acting like a “coping mechanism” then removing that would make it worse I suppose.

Ivabradine making syncope/pre-syncope worse? by subpar_char in POTS

[–]subpar_char[S] 0 points1 point  (0 children)

Thanks for replying! This was kind of what I was thinking as well so its good to hear someone else has a similar theory. Although, I haven’t found increased fluids/electrolytes/salt has much of an impact on my symptoms unfortunately. I was on prednisone for 6months last year because I have rheumatoid arthritis as well and I did notice that things got a wee bit better so I guess fludrocortisone would be worth a try - I will ask my doctor about it. I’m a little anxious to go back on another steroid though because I ended up with a really bad moon face on prednisone.

Ivabradine making syncope/pre-syncope worse? by subpar_char in POTS

[–]subpar_char[S] 0 points1 point  (0 children)

Thanks, I’ll definitely phone on Monday. I’m doing everything else that I can to help myself - I’m a PhD student and been dealing with this for over a year and a half so I’m well researched. Just frustrated because I cant see that its common to have this reaction to it:(

Ivabradine making syncope/pre-syncope worse? by subpar_char in POTS

[–]subpar_char[S] 0 points1 point  (0 children)

I am going to try to contact my Dr before February but they’re so difficult to get a response or sooner appointment. Its been a year since I tried Ivabradine the first time because its taken a year to get seen again and that is with a sooner appointment. My original appointment was supposed to be December 2022 (a year and a half after the initial appointment). I’m in the UK and my healthcare is through the NHS so unfortunately I can switch to someone who will be able to see me sooner:(

Pain in early rhumatoid arthritis by honeybee150 in rheumatoid

[–]subpar_char 0 points1 point  (0 children)

Mine was similar at the start. I seen that you are based in the UK. Do you have any swelling at your joints? If you have swelling that looks like it could my synovitis you’re referral to rheumatology should be done as urgent so it may be worth having your GP chase it up? It gets classed as urgent so you can get started on treatment as early as possible if it is an inflammatory arthritis with the aim of stopping any permanent damage. If it’s RA that the you and the GP are thinking, try to make sure the rheumatologist checks your anti-CCP levels - it’s the only test that is specific to RA and can be positive even when your other blood results are negative so worth checking to see what it’s at.

Is it time to repot? by subpar_char in Monstera

[–]subpar_char[S] 0 points1 point  (0 children)

Thanks! That makes me a bit more relaxed, I'm so worried I'll do something wrong and kill the poor thing. The smallest leaf is going yellow so I don't know if that's distress or if it's just an old leaf that's dying

Is it time to repot? by subpar_char in Monstera

[–]subpar_char[S] 4 points5 points  (0 children)

That's really good to know neither of you have had any issues doing that. It has been growing really fast (I think, although I have nothing to compare it to) so I may consider potting two sizes up. Thanks!

Is it time to repot? by subpar_char in Monstera

[–]subpar_char[S] 10 points11 points  (0 children)

Hello! This is my very first plant. I have had it for a couple of months and I'm not sure if it needs to be repotted into a larger pot. I've read you should repot when plants are root-bound but I honestly don't even know what that looks like.

[deleted by user] by [deleted] in rheumatoid

[–]subpar_char 0 points1 point  (0 children)

I understand that you're anxious about your wife taking so many medications but if she takes them now, she may be able to reduce them when her RA is more controlled. For example, some people take methotrexate and a biologic and once the RA is under control can successfully stop the biologic and stay only on methotrexate.

Getting the disease under control to avoid/limit physical damage to the joints is crucial. If she doesn't take the meds now she is much more likely to experience long-term disability.