I had my first injection of Stelara one month ago. I am currently waiting to get my second. I usually take 600 mg of ibuprofen 2 to 3 times a day to manage my pain. It works fairly well and takes the edge off to allow me to function. I have been taking ibuprofen almost daily for about 2 years. I have noticed recently that I have quite a bit of nausea (very unusual for me). I assume this is related to either the Stelara or the ibuprofen.
About a month ago I had a strange episode in the middle of the night where I woke up with extreme vertigo symptoms when lying down (room spinning, nausea, headache). Over the weekend I took Aleve to take a break from ibuprofen but I had another vertigo episode. This is the 3rd episode I've had total and the first since starting Stelara.
Has anyone else experienced anything like this? Is it related to Stelara, NSAIDs or maybe PsA itself?
I have vertigo as well. Seems like there is a chain around my neck pull me forward and down. For me, NSAIDS makes it worse. Also NSAIDs slur my speech. I stopped taking the NSAIDs, but I still have bad nausea and acid problems when I flare.
I had vertigo, dizziness, and tinnitus with meloxicam, especially when I was on a double dose for 2 or 3 weeks. I still get a bit with piroxicam, had none with diclofenac. Those are all NSAIDs, btw, and I think that class of meds can be problematic in that sense. I'd check with the doctor, though, because those symptoms can also be related to other issues.
I just don't know. I currently take Humira and was previously on Enbrel and the Menier's showed up before I started either of those, I just never had much of a problem with it till the last few years. I have been diagnosed with Menier's Disease as well as PsA. I also had a vertigo incident while I was sleeping, and I don't have many. I am always unsteady. I stopped taking doxycycline thinking it was making me unsteady, but I found that wasn't true. I have new glasses with a prism to stop the double vision that I didn't know I was having, and hardly ever use a biofocal anymore. I find I can see to drive fine without the bifocal, now if I only had the energy. The bifocal may have been part of the problem, and it was suggested to me by my ENT as well as an optometrist on this website who has psoriatic arthritis. I was taking some nuprin for pain, but pretty much stopped that due to the sodium in it making the tinitus worse. I just came off a huge dose run of prednisone for the ear thing, and of course, it helps the joints a lot too! I just have no answers. I get really tired of the "disease de jour" routine. Over Christmas I was feeling great!! It is just hard to know what is Menier's, what is psoriatic arthritis, and what is normal ageing.
I don’t know, Crabbygirl. It could be any number of things. It could be a viral thing that’s messing with your ears. It could be the meds. Discuss it with your doc and maybe s/he will have you do an elimination to rule it out. If it doesn’t resolve, I think a visit to an ENT doc is probably in order, though.
No panic, but it’s just as well to be aware that there is such a beast.
Like Jennyb, I have Meniere’s. My ENT doc has been a tremendous help to me in keeping it under control, and in dealing with the attacks when they come. Vertigo is awful. Really awful.
Maybe you will wake up tomorrow and it will be gone. It happens. Let’s hope.
I'm sure you should ask your Dr. but I have had sinus trouble for years and finally feel like I know it like the back of my hand.
Could that be?
Of course your ibuprofen has stomach issues and Celebrex is better for that and expensive. The headache is my first symptom and is usually from the center of the nose out and above the eyebrow and behind the eyes. When my sinuses can't drain I have pressure in my ears and lose my balance. The pressure and pain causes nausea. I have these once a week, so like the worst best friend ever.
I always take pseudafed at the very first twinge of headache and use the nettie pot and use NSAIDs for the inflammation that causes the trapped liquid at the bridge of the nose, causing the symptoms.
The bad news, if you don't usually have such things it might be a sinus infection, with immune suppressors, definitely a call to the Dr., sinus infections can be very serious. Maybe it's something else entirely. Maybe you rheum will send you to ENT for confirmation.
I think my cartilidge is affected by the Psa sinuses, ears, ribs, etc.
Just wanted to give a follow up to my vertigo issues. I've had a few more episodes and a few trips to doctors. I did end up at the ENT's office. After a hearing test and balance tests, the verdict is bilateral hearing loss and vertigo due to autoimmune disease. My balance test was normal so he feels the vertigo is a symptom of the PsA. He also feels that since my hearing loss is bilateral and equal in both ears it is autoimmune in nature. He wanted to give me a dose of prednisone but it has dairy and I am allergic. So he is going to retest my hearing in six months and we will go from there.