First let me just say that I’m shocked today is the first day of December where did November go and quiet frankly where has the year gone. I have been experimenting the last couple of days with my Raynaud’s and more so my Raynaud’s medicine, Procardia. I had written that my doctor increased my Procardia to 60mg but as soon as I did that my hands and ankles swelled right up causing my hands to be stiff and sore and unable to make fists.
Procardia opens the vessels and releases blood to the extremities, however, it can also cause a certain level of edema. I guess my increase is causing me a medium to high level of edema. I backed down to 30mg a couple of days ago just for 1 day and my swelling went down so yesterday I took a chance and didn’t take any. My hands went right back to normal. My rings weren’t tight and my ankles were actually ankles no longer cankles. The problem is that when I don’t take it I’m purple and sensitive.
The trade off is either deal with the purple and sensitive hands and feet or deal with the swelling of the hands and feet. It is too cold not to use my Procaria and actually use the increased amount but I wanted to experiment for a couple of days to make sure it was the the medicine and not just my typical winter symptoms. Niacin doesn’t seem to have any effect on my swelling which is good but it is also a short term answer since as soon as I take it my vessels open and I feel my hands coming back to life but it only lasts several hours and than I’m ready for another dose. I don’t think I want to take Niacin too many times during the day though.
There is always a trade off for our medications versus our symptoms. If the medications help the symptoms they probably bring on something else to deal with. Being aware is half the battle and experimenting every so often to make sure I understand what is happening makes me feel like a I have a good handle on things.