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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dizziness After Lowering Prednisone Dose. Have Sjogrens Syndrome. Is It Vertigo?

I have a friend who is being treated for sjogrens syndrome . She recently went on a lower dose of her oral prednisone . Not long after she did this she started having dizzyness when she moved her head to the left side. We tried some eply maneuver exercises at home and she did have episodes of dizzyness when we did a few of the positions. I am curious if the dizzyness is vertigo , if its related to the lowered dose of prednisone, or if it is something complely unrelated. Also while doing the exercises noticed a swollen lymph node on one side of her neck
Thu, 20 Sep 2012
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Neurologist 's  Response
Hello,
If there was a difference in the giddiness in different positions of head during Apley's maneuvre then it is likely to be vertigo. However physician doing the maneuvre can best judge it. Lowering dose of prednisolone usually does not cause dizziness, if the dose reduction is slow. Apart from that electrolyte disturbances in blood as result of prednisone can sometimes cause dizziness. She needs to be evalauted by a physician for making a conclusion.
Good luck.
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Dizziness After Lowering Prednisone Dose. Have Sjogrens Syndrome. Is It Vertigo?

Hello, If there was a difference in the giddiness in different positions of head during Apley s maneuvre then it is likely to be vertigo. However physician doing the maneuvre can best judge it. Lowering dose of prednisolone usually does not cause dizziness, if the dose reduction is slow. Apart from that electrolyte disturbances in blood as result of prednisone can sometimes cause dizziness. She needs to be evalauted by a physician for making a conclusion. Good luck.