Steroid reaction?

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Hello,

I’m half way through my 3rd (of 6) cycles of Pola-R-CHP and am just coming out of what I can only describe as a mental nosedive and wanted to know if anyone else has had a similar experience?

Up until now I’ve been managing my treatment fairly well, although I do tend to have a low moment emotionally a couple days after I stop taking my steroids. However, this round I had a complete crash - 5 days of inconsolable sobbing, unable to properly eat and really felt like I couldn’t see an end to all of this. It started two days after I finished the steroids and I can’t help feeling like it might have been related? Has anyone else had a similar reaction?

I’m currently on a fairly low dose of SSRIs for pre existing anxiety and depression but I have never experienced a low like this before, I felt completely unlike myself. Feel like a different person now I’ve come out the other side. 

Any thoughts would be greatly appreciated. X

  • Hi    and a warm welcome to this little corner of the Community.

    I am Mike and I help out around our various Lymphoma groups. 

    I have been on my Lymphoma journey for over 25.5 years first diagnosed way back in 1999 at 44…… with my rare (8 in a million) incurable but treatable type of slow growing Cutaneous T-Cell Non Hodgkin’s Lymphoma (CTCL).

    I eventually reached Stage 4a in late 2013 when a second, also rare (4 in a million) very type of aggressive Peripheral T-Cell Non Hodgkin’s Lymphoma (PTCL-NOS) was then presenting so this triggered 2 years of full on treatment (Late 2013 to Late 2015) with 6 cycles of aggressive R-EPOCH (750+ hrs) 45 radiotherapy zaps and 2 Allograft (donor) Stem Cell Transplants……. so I most definitely appreciate the challenges of this journey rather well.

    I have had significant amounts of steroids over my many years but more so during late 2013 to late 2015.

    The post steroid cliff-edge drop is well recognised……. I have talked with many people on this community over the 8ish years I have been helping out who have had the same experience as yourself…. 

    From day one, when I was put on steroids I was instructed to taper the dosage to prevent the cliff-edge drop…… and I had no issues. 

    You are halfway through…… so you are closer to the end than you were when you were going into treatment…. and remember that this is all temporary and will pass.

    What type of NHL do you have? 

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

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  • Sorry to hear this. A stoppage or decrease in steroids often is linked to sadness and depression. It varies, but generally the higher the dose and the quicker the taper or stoppage, the more profound the mood swing will be. An adjustment to your SSRI dosage may be needed to get you through this. Contact with your team regarding this on-going issue is excellent advice. 

    ______________________________________________________________________
    One cancer (PTCL-NOS) 3 times. Two other cancers: Angioimmunoblastic T-Cell Lymphoma 2 times, and 20q deletion MyeloDysplastic Syndrome) were chemo refractory. All three cancers simultaneously in 2015. Stage IV twice + MDS @ 23% of marrow. 12/22 diagnosed with Squamous Cell Carcinoma. Thus far, 14+ years, 20 drugs, 4 clinical trials, Total Body Irradiation, 1,000+ years of background radiation from scans. 7th remission so far. Haploidentical stem cell transplant, acute > chronic Graft-versus-Host-disease. Currently receiving my 7th GvHD regimen.