The Count

17 and 1/2 pills.  I hadn’t counted in a while, and I was a little surprised.  It is truly distilled to a minimum: 

1.  Prednisone takes five tablets right now, a 5 mg and four 1 mg, to make up my 9 mg dosage.  I am on a very slow, gradual taper.  In two more weeks I can decrease by 1 mg.

2.  Three vitamins, B12 for my mostly meatless intake, folic acid for the two medicines that deplete it from my system, and D to replace the action of the sun that I must avoid.

3.  One nonsteroidal anti-inflammatory, for my osteoarthritis.  Helps with pain, too.

4.  A low-dose diuretic for the swelling, and potassium to replace what it depletes.

5.  A beta blocker for the chronic tachycardia that I’ve had since my diagnosis.

6.  Two antidepressants, one of which helps tremendously with the lupus and fibromyalgia pain.

7.  Over-the-counter antihistamine.  I am allergic year-round, crazy when you consider I’m on prednisone daily.

8.  One pain pill, still on minimum dosage with as-needed use.

9.  Low-dose aspirin to prevent the crazy blood-clotting that I experienced a few years ago. 

Periodically I need to lay it out, pill by pill, and convince myself that every bit of this regimen is necessary.  The alternative is to start dropping off pills and wait for the consequences, something my training and experience discourages.  I understand the aversion most people have to taking so much medicine.  This is not, however, polypharmacy.  Polypharmacy refers to mindlessly throwing prescriptions at problems without considering necessity, interactions, or possible alternative therapies. 

That’s the pills, folks, just the pills.  Still on weekly injections of methotrexate, and the rituximab infusions every four to six months.  Also on diet with very few animal products, as much exercise as I can tolerate (including our new Wii), and positive thinking. 

This inventory will have to do.  I have to go deal with a stinky, disobedient dog.

Peace.

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2 Responses

  1. I would just like to thank you for your blog. It is one of the few that i read. I just read your pill count one. It gave me inspiration to keep take my long list of meds. Lately i have been discouraged and your blog helped me . Thank You….

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