More evidence last night that 200mg of thalidomide is enough to take on the dex sleeplessness. I fell asleep in my study chair at about 01:00 and woke up again at 04:00. Straight to bed and back to sleep until the alarm at 08:30.
I put the Furosemide (diuretic) back up to 40mg this morning - already the swelling on the left ankle is less marked and my water balance is in chaos. Urinating copious quantities with great frequency (not straightforward while also having a much-postponed eye test), even more so than when I first started the 40mg dose from nothing. I think this must indicate how big an effect the dex (and possibly other things) is having on fluid retention. Probably accounts for much of the recent weight gain - will be interesting to see if a lot of that disappears over the next few days. In the meantime must be even more careful than usual to drink plenty while a new equilibrium gets established. Don't want to start getting dehydrated, that wouldn't be helpful.
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