My neurologist wants me to do a higher cortisone pulse as trial and error therapy. Dosage shall be 80 mg / day prednisone for 5 days.
The neurologist thinks my illness is autoimmune mediated, but there is no labaratory evidence for that. The immunologist says it is most likely a chronic infection of some kind in my case. So I normally would not take the prednisone, but I told the neurologist already that I'll try it. He gives me tremendous support with everything and I don't want to loose him. As he has asked me several time to try prednisone, I finally said yes. But I have a very bad feeling with that. The immunologist said he would not do this prednisone pulse in my case.
So my question is the following: Lets suppose there is a (unknown) chronic infection as underlying cause for my CFS-like illness. How severely would the prednisone pulse at the given dosage (1 mg per kg body weight) affect my immune response (particular cellular immunity)? How likely is it, that the infection will worsen because of the pulse? How long will the immuno-suppression last?
The neurologist thinks my illness is autoimmune mediated, but there is no labaratory evidence for that. The immunologist says it is most likely a chronic infection of some kind in my case. So I normally would not take the prednisone, but I told the neurologist already that I'll try it. He gives me tremendous support with everything and I don't want to loose him. As he has asked me several time to try prednisone, I finally said yes. But I have a very bad feeling with that. The immunologist said he would not do this prednisone pulse in my case.
So my question is the following: Lets suppose there is a (unknown) chronic infection as underlying cause for my CFS-like illness. How severely would the prednisone pulse at the given dosage (1 mg per kg body weight) affect my immune response (particular cellular immunity)? How likely is it, that the infection will worsen because of the pulse? How long will the immuno-suppression last?