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How long does it take?

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tammykrumrey

Guest
Sorry it's been while since I have been on! My girls sure do keep me busy!! But, I always know where to come when I need help, don't I <img src="i/expressions/face-icon-small-smile.gif" border="0">

Well, Kayla (12 years old) was in the hospital in Aug/Sept. They were suspecting ABPA was causing her problems. But the test they sent off to Mayo Clinic came back negative (although the ige and something else done in the hospital lab was positive). And since she responded so well to the IV meds, they decided not to treat for ABPA.

Well in October she started getting sick again, but this time the cough was much different and she kept telling me something was seriously wrong and that she was afraid something new had taken over her lungs (heartbreaking to say the least). No improvement after oral antibiotics. Went in for a Cayston/Cepacia Study appt, and her PFTs had dropped from 97% to 49% in a month. Ige levels again were high. Xrays had worstened in that month as well. So, treatment started for ABPA.

She has now been on Prednisone (15 mg every other day) and Vfend (200 mg a day) for almost two months. Her FEV1 has went back to baseline, but her ige levels are not only un-improved, but they are higher!! What the heck?! And her cough had improved greatly over the last month, but of course, it is back too. Although, this time I think it is more from bacteria (just sounds different).

How long does it take for this stuff to work? We were hoping that she would get to start coming off both of them, especially the prednisone...she hates it of course. And I am so worried about the side effects. What has others experienced? I am now nervous that when we try to take her off, her FEV1 is going to come back down. Just don't know what to think! Ughhhhh <img src="i/expressions/face-icon-small-sad.gif" border="0">
 
T

tammykrumrey

Guest
Sorry it's been while since I have been on! My girls sure do keep me busy!! But, I always know where to come when I need help, don't I <img src="i/expressions/face-icon-small-smile.gif" border="0">

Well, Kayla (12 years old) was in the hospital in Aug/Sept. They were suspecting ABPA was causing her problems. But the test they sent off to Mayo Clinic came back negative (although the ige and something else done in the hospital lab was positive). And since she responded so well to the IV meds, they decided not to treat for ABPA.

Well in October she started getting sick again, but this time the cough was much different and she kept telling me something was seriously wrong and that she was afraid something new had taken over her lungs (heartbreaking to say the least). No improvement after oral antibiotics. Went in for a Cayston/Cepacia Study appt, and her PFTs had dropped from 97% to 49% in a month. Ige levels again were high. Xrays had worstened in that month as well. So, treatment started for ABPA.

She has now been on Prednisone (15 mg every other day) and Vfend (200 mg a day) for almost two months. Her FEV1 has went back to baseline, but her ige levels are not only un-improved, but they are higher!! What the heck?! And her cough had improved greatly over the last month, but of course, it is back too. Although, this time I think it is more from bacteria (just sounds different).

How long does it take for this stuff to work? We were hoping that she would get to start coming off both of them, especially the prednisone...she hates it of course. And I am so worried about the side effects. What has others experienced? I am now nervous that when we try to take her off, her FEV1 is going to come back down. Just don't know what to think! Ughhhhh <img src="i/expressions/face-icon-small-sad.gif" border="0">
 
T

tammykrumrey

Guest
Sorry it's been while since I have been on! My girls sure do keep me busy!! But, I always know where to come when I need help, don't I <img src="i/expressions/face-icon-small-smile.gif" border="0">
<br />
<br />Well, Kayla (12 years old) was in the hospital in Aug/Sept. They were suspecting ABPA was causing her problems. But the test they sent off to Mayo Clinic came back negative (although the ige and something else done in the hospital lab was positive). And since she responded so well to the IV meds, they decided not to treat for ABPA.
<br />
<br />Well in October she started getting sick again, but this time the cough was much different and she kept telling me something was seriously wrong and that she was afraid something new had taken over her lungs (heartbreaking to say the least). No improvement after oral antibiotics. Went in for a Cayston/Cepacia Study appt, and her PFTs had dropped from 97% to 49% in a month. Ige levels again were high. Xrays had worstened in that month as well. So, treatment started for ABPA.
<br />
<br />She has now been on Prednisone (15 mg every other day) and Vfend (200 mg a day) for almost two months. Her FEV1 has went back to baseline, but her ige levels are not only un-improved, but they are higher!! What the heck?! And her cough had improved greatly over the last month, but of course, it is back too. Although, this time I think it is more from bacteria (just sounds different).
<br />
<br />How long does it take for this stuff to work? We were hoping that she would get to start coming off both of them, especially the prednisone...she hates it of course. And I am so worried about the side effects. What has others experienced? I am now nervous that when we try to take her off, her FEV1 is going to come back down. Just don't know what to think! Ughhhhh <img src="i/expressions/face-icon-small-sad.gif" border="0">
 
T

TonyaH

Guest
Andrew has ABPA and we have only ever treated it with prednisone. Right now he is being treated for mycobacterium abcessus and I guess that prednisone has a bad affect with a mycobacterium infection, so we have had to take him off of it. His attitude and outlook have been much better off the prednisone, but he is having alot more shortness of breath, cough is different,,,he just sounds 'inflamed' if that makes any sense.

I have spoken to our doctors about using antifungals to treat him. But they really want to wait and use steroids for now. So, I can't give you my experience with the antifungals but I can tell you that prednisone makes a very quick difference for him. Usually within a few days he is breathing easier and not as winded.

Good luck, Tammy. It's nice to hear from you. Wish under better circumstances, but still nice to hear from you.
 
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TonyaH

Guest
Andrew has ABPA and we have only ever treated it with prednisone. Right now he is being treated for mycobacterium abcessus and I guess that prednisone has a bad affect with a mycobacterium infection, so we have had to take him off of it. His attitude and outlook have been much better off the prednisone, but he is having alot more shortness of breath, cough is different,,,he just sounds 'inflamed' if that makes any sense.

I have spoken to our doctors about using antifungals to treat him. But they really want to wait and use steroids for now. So, I can't give you my experience with the antifungals but I can tell you that prednisone makes a very quick difference for him. Usually within a few days he is breathing easier and not as winded.

Good luck, Tammy. It's nice to hear from you. Wish under better circumstances, but still nice to hear from you.
 
T

TonyaH

Guest
Andrew has ABPA and we have only ever treated it with prednisone. Right now he is being treated for mycobacterium abcessus and I guess that prednisone has a bad affect with a mycobacterium infection, so we have had to take him off of it. His attitude and outlook have been much better off the prednisone, but he is having alot more shortness of breath, cough is different,,,he just sounds 'inflamed' if that makes any sense.
<br />
<br />I have spoken to our doctors about using antifungals to treat him. But they really want to wait and use steroids for now. So, I can't give you my experience with the antifungals but I can tell you that prednisone makes a very quick difference for him. Usually within a few days he is breathing easier and not as winded.
<br />
<br />Good luck, Tammy. It's nice to hear from you. Wish under better circumstances, but still nice to hear from you.
 
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TonyaH

Guest
I should have added that prednisone is not something Andrew will really be taken off of. Once this myco is under control I guess he will go back on. His maintenance dose is 10 mg every other day. When he needs a burst he starts at 60 mg daily for 5 days and weens down from there over the course of a few weeks until he is back to his maintenance dose.
 
T

TonyaH

Guest
I should have added that prednisone is not something Andrew will really be taken off of. Once this myco is under control I guess he will go back on. His maintenance dose is 10 mg every other day. When he needs a burst he starts at 60 mg daily for 5 days and weens down from there over the course of a few weeks until he is back to his maintenance dose.
 
T

TonyaH

Guest
I should have added that prednisone is not something Andrew will really be taken off of. Once this myco is under control I guess he will go back on. His maintenance dose is 10 mg every other day. When he needs a burst he starts at 60 mg daily for 5 days and weens down from there over the course of a few weeks until he is back to his maintenance dose.
 
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