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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Gaining Weight After Taking Decdan, Practin. Feeling Weak After Stopping Medication. Give Me Suggestion

hi sir ply suggest me sumthing for my better health,,oz i was using decdan and practin from last 3 months,i also gained weight,but after leaving those tablets,i use to feel weakness ,twice in a week i use to get fever,is it the reson for using those tablets,,plz suggest me is there any side effect of it,n how shud i recover it back..thank you..
Wed, 20 Nov 2013
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General & Family Physician 's  Response
Hello there!
Thank you for asking. I read you query and i want you to know that Decdan( dexamethasone) and practin 4mg (cyproheptadin) used together in case like hypersensitivities or allergic reactions. former are corticosteroids and later are anti histamines. The weaknes obesity all are explained by their intake. SO is the fever as these drugs compromise the immune status and odds of infection increase.
The reason of fatigue and not feeling well is because of the imbalance in hormones the inbuilt glucocorticoids which get suppressed by exogenous use. That needs to be handled very seriously . That is the reason we advise to taper steroids very slowly. You can not leave these medication abruptly. you will have to stop them very slowly over the period of weeks gradually reducing the dosages. Use morning times for administration only. The sooner in the morning the better.
I would recommend to see the nearby GP and Endocrinologist to avoid complications like Addisonian crisis secondary to steroid discontinuity and to assess the febrile state and respective treatment of infection secondary to compromised immune status.

i wish you good luck and take care. Stay in touch with you GP to be out of woods.

Regards
Dr S khan
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Gaining Weight After Taking Decdan, Practin. Feeling Weak After Stopping Medication. Give Me Suggestion

Hello there! Thank you for asking. I read you query and i want you to know that Decdan( dexamethasone) and practin 4mg (cyproheptadin) used together in case like hypersensitivities or allergic reactions. former are corticosteroids and later are anti histamines. The weaknes obesity all are explained by their intake. SO is the fever as these drugs compromise the immune status and odds of infection increase. The reason of fatigue and not feeling well is because of the imbalance in hormones the inbuilt glucocorticoids which get suppressed by exogenous use. That needs to be handled very seriously . That is the reason we advise to taper steroids very slowly. You can not leave these medication abruptly. you will have to stop them very slowly over the period of weeks gradually reducing the dosages. Use morning times for administration only. The sooner in the morning the better. I would recommend to see the nearby GP and Endocrinologist to avoid complications like Addisonian crisis secondary to steroid discontinuity and to assess the febrile state and respective treatment of infection secondary to compromised immune status. i wish you good luck and take care. Stay in touch with you GP to be out of woods. Regards Dr S khan