Primary Sclerosing Cholangitis (PSC) - Online Support Group
We are patients living with primary sclerosing cholangitis (PSC), here for you!
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Comment by David Feldman on February 15, 2011 at 12:40pm Deb,
I was on Rifampin before and I wouldn't recommend it. Aside from the odd coloration (which totally happens) its a diesel antibiotic... it made me nauseous and exhausted while I was on it. The trade off wasn't worth it. Now, that doesn't happen to everyone, but it definitely happened to me - and I'm not sensitive to side effects. I've done prednisone, azathoropine and other strong anti inflammatory and immunosuppresive drugs without having side effects.
Colestipol really doesn't have any sort of drowsiness effects. It's by far the best itch treatment I've taken.
Comment by Deb on February 15, 2011 at 11:53am
Comment by David Feldman on February 15, 2011 at 9:36am Deb,
None that I am aware of. Caused virtually nothing for me. Just helped with the itching. Still there, but much less prevalent. I went from scratching myself bloody to the occassional itch (which I think may just be a left over habit from years of itching).
Steve's comment below is the most relevant. I prefer the pill form; he takes the powder, but the important thing to do is to keep the dose stable. I typically take 4 pills in the morning, 4 in the evening. I've found that when i miss doses is when i start to feel itchy again, and it normally takes about 48 hours to return to normal.
Also, you have to take it either an hour after, or 4 hours before other medications (esp URSO) so there is a little bit of timing involved.
Comment by Deb on February 14, 2011 at 7:42pm
Comment by David Feldman on January 23, 2011 at 11:21pm Thanks Steve. Really helpful - now I just need the docs to remove my gall bladder (hey... what's one more organ, right?)
Just a little transplant humor there.
Comment by Stephen Hammond on January 22, 2011 at 2:41pm I got my powder in a can/tub. A full one contains 378g. I typically took one scoop (9 grams per scoop) every morning. When the itching was bad, I'd take it twice a day. I found that if I missed a dose for some reason, it might take a day or two for the itching to get worse and it always took a day or two for it to get better. I got the general sense that what I take (or didn't take) would have an effect on how I felt a day or two later.
The other thing that I found interesting: I had gall bladder problems (let’s call them gall stones to keep it simple) that led to an attack (serious discomfort/pain for 12-18 hours) a couple times a year. I had my gall bladder removed about 18 months ago and I haven't had to take anything for itching since. All the itching is gone! :)
Comment by David Feldman on January 22, 2011 at 12:52am Steve,
Thanks for sharing. Just wondering - how much cholyestramine do you add to the bottle? I was on 12g a day, so three packets.
Comment by Stephen Hammond on January 22, 2011 at 12:07am Dave,
I'm a little late on the topic, but thought I'd throw in my two cents.
Cholyestramine is MUCH better when consumed as follows: use a ~450ml/15oz plastic bottle with a screw on lid, put several ounces of orange juice (the kind with some pulp) in the bottle (it should not be more than half full), add the powder, tighten lid, shake well for 15-30 seconds, and then bottoms up. The shaking is infinitely better at dispersing the powder throughout the liquid (no globs of dry powder) and the pulp helps hide the "grit". I'm glad you found something that works for you.
Cheers,
Stephen Hammond
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