Sinusitis FAQ

okay now what!

Question:

    Isn’t it discouraging?  What difference is he sees no joint progression (and did he take x-ray?) if it hurts that bad something should be done. Peggy

Response:

I had been on the plaquneil only15 days it seemed to be helping, he said couldn’t be that it was way to soon for plaquneil to be kicking in.

I have one question.  Why did you see your RD after only 15 days on Plaquinel?  Did he prescribe it 15 days ago?  As I recall you were talking about going on Plaquinel this past fall.  It is important to take stuff when it is prescribe and not wait months.  Drs won’t take you seriously if you do that. Visit my website: http://www.mzuschlag.com

Response:

I tried it before and they had me go off of it, in then he prescribed it again 4 weeks ago and I had have some dental surgery and said to wait unitl that was over, now it was time again for my appointment,   he has me see him every 4 weeks for some reason. He also was hoping that my new orthodics would have kicked in by then also,w hich they haven’t.  I think the plaquenil is helping my feet, but he said it was to early to tell from that and it was probably me backing off exercise that was making them better. Since I have felt worse since taking the plaquneil, on day 4 a bad sore throat, extreme fatigue, I have never had fatigue before with the RA, and now chonric sinus pain, swollen lumph nodes in neck he thought I should go off it and increase the naproxen, which I already take 1500 mg a day and see him in 4 more weeks, he also prescribed an antibiodic for me if I feel I did it, how am I suppsoe to know.  I really wanted to take something to help but why take one thing that makes the feet feel a little better but the rest of your body feel like crap!  Ithink that I am just going to give up on all doctors and take nothing and then if this gets worse, oh well, at this point in my life Ireally truly don’t care anymore I am just plain tired of dealing with it all! Thanks for those who wrote, Becky

– Hide quoted text — Show quoted text – I had been on the plaquneil only15 days it seemed to be helping, he said couldn’t be that it was way to soon for plaquneil to be kicking in. I have one question.  Why did you see your RD after only 15 days on Plaquinel?  Did he prescribe it 15 days ago?  As I recall you were talking about going on Plaquinel this past fall.  It is important to take stuff when it is prescribe and not wait months.  Drs won’t take you seriously if you do that. Visit my website: http://www.mzuschlag.com

Response:

I posted about frustration with the drug plaquenil, anyway saw the RD today, I have felt terrible since on this stuff, now have a full blown sinus infection, anyway the doc said that the plaquenil can make some people have extreme fatigue, which I was having but not usually, anyway I asked what should we do next?  He said increase the naproxen, I hate to put you on stuff that can destroy your liver! I explained how my feet were really hurting and even though I had been on the plaquneil only15 days it seemed to be helping, he said couldn’t be that it was way to soon for plaquneil to be kicking in. I asked about MTX or the antibiotic treatment or anything else out there and he again stated you have had no joint progression in over a year, that is good, but I exampled the pain has gotten a lot worse and I know see joint swelling, he said take more naproxen!  I have already seen 3 docs! Just had to post to grip, I am really about at my wits end with frustration, I really thought that today was going to be the answer to my questions, oh well guess I was wrong. Thanks for letting me vent Becky

Response:

Becky, It is really too soon to have seen results with plaquenil.  It is also too soon to say after 15 days if the fatique was from the plaquenil especially since you have a sinus infection.  I would give it a bit longer personally. Is it only your feet bothering you?  How about hands?  Both feet or more one?  Toes or ankles?  How much naproxen are you taking? What about morning stiffness.  All of these things need to be taken into consideration.  Does icing your feet make a difference?  Are you always wearing your shoes with orthotics even when walking around the house? Are you taking the naproxen all the time and not missing any doses – it does build up in your system. Depending on your answers he could be right.  Unfortunately it takes a while for plaquenil to kick in but takes just as long for mtx or antibiotic to kick in as well.  If only your feet are affected and only minor with little visible joint swelling (and if he is a rd he will be able to tell if it is joint or tendon swelling upon examination usually) maybe he wants to try the lessor drugs first.  To give him his due for some people with minor RA this works. If you are not comfortable with this you need to again document everything.  Try drdoc page and go over the information. If all 3 doctors though are saying the same thing it might just take time to do the increased naproxen and the plaquenil and then let them see the results. Wish I could say more but without the above information what more can a person say.  What does your primary doctor think? {{hugs}} Kelly

– Hide quoted text — Show quoted text – I posted about frustration with the drug plaquenil, anyway saw the RD today, I have felt terrible since on this stuff, now have a full blown sinus infection, anyway the doc said that the plaquenil can make some people have extreme fatigue, which I was having but not usually, anyway I asked what should we do next?  He said increase the naproxen, I hate to put you on stuff that can destroy your liver! I explained how my feet were really hurting and even though I had been on the plaquneil only15 days it seemed to be helping, he said couldn’t be that it was way to soon for plaquneil to be kicking in. I asked about MTX or the antibiotic treatment or anything else out there and he again stated you have had no joint progression in over a year, that is good, but I exampled the pain has gotten a lot worse and I know see joint swelling, he said take more naproxen!  I have already seen 3 docs! Just had to post to grip, I am really about at my wits end with frustration, I really thought that today was going to be the answer to my questions, oh well guess I was wrong. Thanks for letting me vent Becky

Response:

Oh Becky. I had this kind of crap for years until my wrist collapsed and then they could point to joint destruction. Idiots. Here is a really big Maybe calling his office every week because you are in pain will get through to this guy that you need something to help. While I am at it, begin to ask every nurse, doctor, tech, etc you know — who they would send their mother to if they needed a RD. You might get lucky and find a really good doctor. That is how I found my latest RD. Duckie – Hide quoted text — Show quoted text – I posted about frustration with the drug plaquenil, anyway saw the RD today, I have felt terrible since on this stuff, now have a full blown sinus infection, anyway the doc said that the plaquenil can make some people have extreme fatigue, which I was having but not usually, anyway I asked what should we do next?  He said increase the naproxen, I hate to put you on stuff that can destroy your liver! I explained how my feet were really hurting and even though I had been on the plaquneil only15 days it seemed to be helping, he said couldn’t be that it was way to soon for plaquneil to be kicking in. I asked about MTX or the antibiotic treatment or anything else out there and he again stated you have had no joint progression in over a year, that is good, but I exampled the pain has gotten a lot worse and I know see joint swelling, he said take more naproxen!  I have already seen 3 docs! Just had to post to grip, I am really about at my wits end with frustration, I really thought that today was going to be the answer to my questions, oh well guess I was wrong. Thanks for letting me vent Becky

Response:

Filed under: Sinus Pain

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