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STEROID USE IN LYME




Remember everything can have it's place and your Lyme Literate doctor will decide when and if steroids are ever needed for an emergency. Sometimes they can be life saving in certain circumstances but general use is usually discouraged. Here is what we can find on the subject.


"Daniel Cameron, MD explains, “An association of steroid use with an increased failure rate or worsening of disease is understandable in view of the well-known effects of these agents on the inflammatory and immune responses.” Dr. Cameron points to several studies that tie steroid use to Lyme disease treatment failure.

My Lyme Literate Medical Doctor (LLMD) has told me that the response to oral steroids is different than inhaled steroids. I have been on inhaled steroids for sinusitis (nasal spray) and for post-COVID-19 lung inflammation (inhaler) and have not had any issues with those."


"An association between corticosteroid use in acute LDFP and worse long-term facial function outcomes has been demonstrated. Care should be taken in differentiating viral or idiopathic facial palsy (e.g., Bell palsy) from LDFP."


"Researchers have found that patients who were prescribed corticosteroids as part of treatment for Lyme disease-associated facial paralysis had worse long-term outcomes of regaining facial function than those who were prescribed antibiotic therapy alone. Based on these findings the researchers urge caution in prescribing corticosteroids to patients with acute Lyme disease-associated facial paralysis."


"But there are short-term uses of steroids that are necessary, such as for a PANS flare, really bad poison oak, or an asthma flare. If we need an acute dose for a short period of time, upwards of three weeks, we can do that; this should not make Lyme worse."


"Immunosuppression secondary to epidural steroid injection (ESI) is a well-documented adverse effect in the medical literature. Reports of systemic effects of immunosuppression resulting from corticosteroid dosages given by ESIs are anecdotal at best. This case report discusses the activation of latent Lyme disease following a lumbar ESI."


Disclaimer: Rise Above Lyme makes no claims about any possible benefit of using any product mentioned within this site. Always consult with your doctor before adding anything. The information shared is based on personal experience, years of accumulated researched resources from Lyme Literate doctors and polls conducted within Lyme groups from actual patient experience using these solution ideas.

 

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