Fibromyalgia is a bitch

Things were really good with my health, life, the universe and everything...until last December.

Like a lot of people with fibromyalgia I'd been on low dose endep, a trycyclic antidepressant (amitryptilline) for fibromyalgia pain for the past 10 years. It had been keeping things in check. Then I developed a big problem with a totally dry mouth at night and my teeth were dissolving. Disaster. I had no choice but to come off it. I went to see my GP and she decided that Lyrica was the next drug of choice.

https://www.lyrica.com/fibromyalgia 

I spent 3 months trying to acclimatise to Lyrica and I got some beastly side effects. The worst being blurred vision and seriously unhappy gut and diarrhoea. YUCK!

I started off on 25mg and ended up on 400mg and yet it wasn't working. All I felt was 'fuzzy' so my GP decided it was time to come off it. Little did I realise that coming off Lyrica is like coming off heroin.
OMG!! It was vile. My gut reacted, my body withdrew and I stopped sleeping. It was like a switch had been turned off that stopped me going to sleep. It was horrendous. I knew that if I wasn't sleeping I was likely to get a flare of lupus and the whole thought of that sent me into a tailspin. These are things I wish I'd known before I started Lyrica. Hindsight is a noble thing.

And it gets worse...The Australian government has decided that codeine based painkillers were discontinued as an over the counter prescription. And as a result my GP decided I was coming off my codeine based prescription painkillers too. WTF!! 

https://www.racgp.org.au/download/Documents/Guidelines/Opioid/12Point-Challenge.pdf

This has become political.

People like me are described as Chronic Non-Cancer Pain and basically if we take more than 100mg of opiate equivalent a day we are to be tapered off it. WTF. 

This has all come about because people are taking over the counter codeine/using too much/overdosing and this is impacting us chronic pain lupus/arthritis/fibro people. I'm feeling rather cross about the whole crazy situation. I can't take NSAID as I have reflux and asthma so my options are limited.

I know I'm not an addict because I've never taken more than 2-4 x 30mg codeine tablets a day. I take them mainly at night to sleep and 6 weeks ago I have taken myself off them completely. However since then it has been HELL from a sleeping and functional point of view. I'm sliding back into active lupus and fibro flare and my fibromyalgia is at an all time low point. 

I'm taking herbs and supplements approved by a naturopath, including turmeric, white willow bark etc. and I'm using a TENS machine to distract myself in the day. However, trying to sleep is HELL. Anyone out there who has had chronic pain, fibromyalgia, lupus, arthritis will understand what I'm saying. Do any of these politicians who make these policies really understand what it is like to try and live with this???? I really don't think so. 

https://fedupwithfatigue.com

My GP wrote my a referral for the pain clinic at the hospital and a Psychologist who specialises in CBT (Cognitive Behavioural Therapy). At this point I was totally brow beaten so I took my referrals and left. I certainly don't have depression or anxiety despite what I've been through.

https://www.racgp.org.au/your-practice/guidelines/upscheduling-of-codeine/

https://med.unsw.edu.au/news/codeine-related-deaths-double

So now I feel I'm back where I started with fibromyalgia 12 years ago and I've fallen in a rather painful heap. Fibromyalgia is like a living hell. You're in constant pain, you don't sleep well and I'm sometimes in such pain that I don't sleep till 3am. It literally drives you demented. I'm an active person, go to pilates and hydrotherapy and run a busy small business. 

The medical world has failed me so I have to no choice but to explore the natural complementary route. I'm hoping my naturopath has found the lightbulb factor because I'm really at the end of the road. She thinks I've got a histamine intolerance. It's symptoms are similar to a food allergy and involves the mast cells. I'm embarking on a low histamine (boring) diet for 3 months and getting my DNA tested. 

https://www.histamineintolerance.org.uk/about/

https://www.histamine-sensitivity.com/histamine_joneja.html

Other things I've researched that I'm giving a red hot go are....and btw it's a long list!

• Norflex 100mg x twice a day - muscle relaxant 
• Vitamin D 2 capsules a day
• Magnesium - high dose at night x 1
• Turmeric 1 capsules x 2 x a day
• Quercetin 1 capsule x 3 x a day - has antiinflammatory properties
• D-Ribose
• Bioceuticals pain relief - White willow bark 40mg, skullcap 10mg, black catechu (stem heartwood catechin and epicatechin 21.6mg), kava root 20mg 1 capsule x 3 x a day
• Devils Claw Root 1 capsule x 2 x a day
• Red clover tea infusion 2-3 cups a day

This is on top of all my other meds for lupus, high blood pressure and reflux! And I take fish oils 10g a day. 

I've also heard epsom salts help and low dose naltrexone...

http://www.drliptan.com/blog/2017/11/21/lessons-learned-on-opiates-and-ldn-for-fibromyalgia

https://www.healthrising.org/treating-chronic-fatigue-syndrome-mecfs/drugs-for-chronic-fatigue-syndrome-mecfs-treatment/low-dose-naltrexone-ldn-fibromyalgia-chronic-fatigue-syndrom/

My other friends are a foam roller, a spiky massage ball and a yoga mat. I'm hoping all my research and hard work is going to help me, everything crossed.

Until next time...hasta la vista baby...

How I managed to stay in remission with lupus

I hope you've all had a really good Christmas and a rest.

In my last blog - June 2016 - I wrote about a speed hump and a lupus flare albeit a mild to moderate one. And boy did it give me a reality check. I never ever take remission for granted. Those of you who have read my whole sorry tale of my lupus journey will understand why. It's been a rollercoaster of 12 years. 7 years of methotrexate (chemo), a brain haemorrhage and neurosurgery and gut vasculitis to give you a few of the lowlights of what lupus has meant to me.

I've achieved remission again. Before I went away to the UK I was working ridiculous hours and I paid for it. I had a month of lupus flare. Tsk tsk.

Oh I was PISSED. 

To get myself back into remission I had to sleep. I've learnt that much from the last 10 years. The thought of going back to the UK for 3 weeks and getting sick scared me a lot. So I set to and did 10 hour night sleeps and a 2 hour nanna naps in the day. Which left little time for anything else. The irony of my life as a baby whisperer, where I look after sleep deprived mums and get their babies sleeping too. 

I was so terrified of going back on the methotrexate and starting off gut vasculitis.

When you've been in a very dark place you never ever want to go back there ever again. In the past I'd had to take 7 months off work to heal myself. Shocking. Have a read of this blog and you'll understand my fear.

https://loopylena.blogspot.com.au/search?updated-max=2014-05-28T00:54:00-07:00&max-results=7

It's taken me 2 months to complete this blog bahahahaha says the time poor girl laughing hysterically ;-) as usual work has overtaken my life. It's now 28th December and Christmas has been and gone and it was my usual low key affair at home, with my significant other and a new cat! Yes I am officially a mad cat lady with 4 cats ;-) and very happy with them all. My newest one is Ziggy a 11 month tuxedo boy and a rescue from the RSPCA. I'm finishing off a non-fiction book so I felt it was a purrfect time to get him. 

Here he is in all his loveliness, Ziggy.

My lupus is still in remission but not all is rosy unfortunately. I've got hypertension and it was at 160/110 and I'm now on maximum of one antihypertensive drug (Micardis Plus 80/20) and I got prescribed another (Zanidip 10mg) but had a big side effect so had to stop after just one day! I went food shopping on Christmas Eve and had a fainting attack in the fruit and veg section of Coles. DOH!! So found a GP in the shopping centre to get checked over. My BP had dropped to 120/90 and that was 30 mins after the event. Luckily my significant other was helping me with the shopping so I could go home. The thought of an ambulance trip and hospital stay over Christmas wasn't a great thought. So it's back to the GP next week and a look at these antihypertensives and my BP. I had noticed my feet and ankles were becoming a bit 'fat' and swollen but I just figured it was the heat as we've had some shocking 38C days this month in OZ. After taking just one dose of the Zanidip I know it's not the heat. 

Back to book writing I go and a bit of cat stroking in between...

Remission...how good does it feel!?!!

Well hello and a big Aussie G'day to you all. I hope you've all had a great week.

I'm fast forwarding from my last post nearly 3 years. Yes it's been 3 years since the brain haemorrhage. Amazing. A lot has happened in that time and you'd never know by looking at me that I'd been through all this health debacles with Lupus. I always say that whatever doesn't kill you makes you stronger!

I know how hard those bad days are. I remember saying things like, 'Dying must be easier than this!!!' The pain I was in with my gut vasculitis really drove me to the edge of what I could deal with. It was bad, very bad.

But then I'm in remission now. It feels like such a long way away that all that bad shit was happening.

I hit remission over a year ago now. It feels great but I'm not getting above myself. It could come back. Lupus is a chronic autoimmune disease. There is no cure. You live with it every day.

This is me on the left, taken a month ago on my birthday. I'd hit the big 48!!!

I went to see my Rheumy the other day. BTW don't you just HATE Drs appointments. It's a reminder that you are on a knife edge and it could happen again. I had a flu vaccine in May this year and OMG was I ill for 2 weeks. It was like I was having a flare again. It was so damned scary. I had a headache that was nearly as bad as the brain haemorrhage for 2 days. Nothing relieved it. It was like encephalitis. I was photophobic. The joint pain came back. I was in bed and had no energy. Then it just went. My liver function tests have been really up and down for 3 months. The option of stopping Methotrexate came up because my CRP and ESR are normal which means no active disease. I'm not brave enough to stop it yet. Some of you will understand that. I hate the chemo drug I really do but when you've been soooo sick you don't want to risk it either! Arrrggghhh!!! I drive myself mad at times! Maybe soon. Its crazy I've gone from the no drugs at all mindset to the security blanket of them!!!

In my work life I'm such a risk taker. I run my own business. I'm ridiculously busy and I'm writing 2 books. Yes I'm not content with doing one book at a time!!! When you love writing it seems very sensible to write 2 books and and 2 blogs.

Today I'm having a lazy Sunday. I'm still not dressed and it's nearly midday. That's how I balance my life out. I'm lucky that my 2 cats are fairly undemanding. Simon my partner lets me do my thing and I write.

Life is good...

How many pills!??!!! Too bl%&*y many

G'day, you're back again. Hello and welcome. I hope your week has been kind to you and you've been kind to yourselves :-)

I'm sure at some point you've all found yourselves going, 'how many pills?!!' I know I have. And you know when you take too many pills that you are on first name terms and christmas card lists with your pharmacist!!! LOL.

One of my most hated tasks each week is the pill dispenser. Putting all those little pills into each day slot. Then there's the multi's vitamins and fish oil capsules etc. You'd think as a nurse I'd of sort of embraced it by now?! Nah, not one bit. But I do it and I pop those pills and just get on with it.

I'm on a lot less now. There's some I'll never come off. Here's my little list:

Pariet (Rabeprazole) 40mg for gastritis and reflux
Nizatidine (Tazac, Axid and Nizac) 150mg again for reflux at night time
Plaquenil 200mg daily
Folic Acid 5g the day after my lovely chemo drug, Methotrexate
Methotrexate 20mg once a week. I've been told I'll NEVER come off this. Boohoo. It makes me feel so nauseous the morning after I've taken it. But its suck it up girlfriend and stop moaning.
Endep (Amitryptilline) 50mg at night for Fibromyalgia
Herbal sleepers - Valerian and Tranquil Night from Blackmores
Panadeine Forte as needed each day, can't sleep without it

You don't realise how big your list is until you catch your family watching you taking your pills. My dad takes a pill a day for cholesterol/BP. My mum takes nothing. I was sleeping in the same bed as my sister for 3 weeks a few years ago, when I went home to England, and I kept waking her up when I took my panadeine forte, scrunching the aluminium foil pill packets!!!! How naughty!

I think us Lupies are very organised. You have to be. Drs appointments, keeping on top of your scripts, the pill stash (now in a much larger box) and doling out the pills into the weekly dispenser.

I'm sure many of you get very bored with the pills but we know how important they are to keeping us alive and well. I'm over the resistance stage and I'm at acceptance. I used to be the sort of girl who would resist a paracetamol for a headache. I look at my stash now and can hardly remember that girl. I fought the steroids and the chemo drugs. Once I gave in and admitted defeat and took them and looked at my life I started to get better. It has been a long long road. I'm there...in remission...and I'm praying that I stay there. Every little joint ache and twinge makes you aware that you can't take remission for granted. Its a lifestyle thing and I'm so very careful.

BTW I'm back to my writing and thats a big part of who I am and why I'm well.

Have a good week and I hope your pain days are few and your good sleeps are many XX