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Can Wysolone Cause Insomnia?

Posted on Fri, 21 Oct 2016

Question: my wife was given wysolone 5 mg 2 twice daily for 5 days ,by her dentist .the dentist feels there is some inflammation in her tooth which is not getting alright,the dentist had tried all possible medicines and resorted to this.my wife had been eating amitriptyline 3-4months back for depression and since thd time she started having this wysolone
1.she has not been able to sleep in the night ,what should she do?
2.she has developed flu.
today is her last day of medicine ,
3.should she stop the medicine completely from tomorrow or it needs to be tapered of.
please suggest the above points.

Answered by Dr. Ivo Ditah (2 hours later)

Brief Answer:
It needs no tapering off!

Detailed Answer:
Hi and thanks so much for this query.

I am so sorry to hear about what your wife has been experiencing.

1. Insomnia is a recognized side effect of Wysolone (prednisolone). I am pretty sure this will soon fade away as she comes off this medication. Amitriptyline helps with insomnia and am sure this will help her further. In addition, let her avoid coffee and caffeine containing products. Regular moderate physical exercise and good sleeping environment free of noise and other distractions would be helpful.

2. For the flu, I will want to observe and only treat if it becomes bothersome to her. Is she running any fevers? Are the nostrils completely blocked?

3. The dosage is minimal and the duration of wysolone is short. There is no need to consider tapering off. She can stop as the drug finishes tomorrow without the fear of having any withdrawal effects.

I hope this addresses your worries and you fond it helpful. Feel free to ask of more information and clarifications if need be. I wish your wife a speedy recovery and do keep me updated about her state.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (7 hours later)

she has 101.5 fever,with stuffy nose and some cough,also bodyache..can she take paracetamol?

Answered by Dr. Ivo Ditah (3 hours later)

Brief Answer:
Yes, she can!

Detailed Answer:
Hi,

I will recommend that she takes 1000mg every 8hours. This will be fine. Also, much fluids and fruits will help.

Thanks and keep me updated.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (8 hours later)

she is having alot of heavyness in the chest and especially when she is coughing .she complains of breathlessness then.even after 12 hours fever is 101.2!

Answered by Dr. Ivo Ditah (4 hours later)

Brief Answer:
Continue with tylenol and visit hospital if fever persists another 12hours!

Detailed Answer:
Hi and thanks for this follow up information.

If the fever persists after another 12hours, this might raise the problem of possible lung infections coupled with the notion of breathlessness. At that time, I will request that she gets examined and get at least a chest X-ray done to make sure there is nothing we are missing out on at this time.

For now, same tylenol and fluids. Keep me posted on this.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (6 hours later)

she has been prescribed ,Cefaclor (distaclor)
Doxofylline Ambroxol (ventidox)after eating the antibiotic she had severe stomache pain but is fine now.2.also after paracetamol fever is 101.5.
do you suggest same line of action ?or any test?

Answered by Dr. Ivo Ditah (10 hours later)

Brief Answer:
I mark this plan as correct. Continue treatment for now!

Detailed Answer:
Hi and thanks for this follow up precision.

1. She is on good antibiotics for possible lung infections. No need to panic and all is going to be well.

2. The fever persists meaning there is an ongoing infection. The antibiotic will take care of this and this requires at least 48hours for all to be okay. Monitor only for now.

I hope this helps. Keep me posted on her progress. I wish her a speedy recovery.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (2 hours later)

these are a few reports,we also did chest x ray ,dengue,malaria,typhoid tests which are all normal,the doctor is concerned about the low wbc count??my wife major concern is breathlessness!

Answered by Dr. Ivo Ditah (4 hours later)

Brief Answer:
What are her regular WBC counts?

Detailed Answer:
HI and thanks for this follow up.

Have you ever had a WBC report of your wife before? I will suggest also that we allow the drugs at least 48hours for enough time to act before we evaluate the real impact. Would you say your wife has real difficulties breathing at all times?

Let me k now what you think!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (11 hours later)

Sir this an old report of this year,but i dont think she has any problem breathing otherwise.yes she had herpes in the eyes and has been having issues with her tooth, also she has had eye problem like diplopia which the doctors said was palpalitis,all this has happened in the last 3-4months,she was given wysolone becsuse her tooth was not getting ok,but i really dont know if all this is linked!
To conclude she is better today with no fever.yes she is feeling extremly weak snd is having severe vertigo when shr sits or stands,her cough and breathing is slightly better,but we need help on the weakness part,do you think we check her wbc again?plz also note she is a thal minor.

Answered by Dr. Ivo Ditah (1 hour later)

Brief Answer:
Let her drink and eat more!

Detailed Answer:
Hi,

No need to check the WBC at this time. It is too early. I will recommend that we rather encourage her to eat and drink much fluids.

Keep me posted on this.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar