the evil dex

The late blogger Kevin Drum was under treatment for many years for multiple myeloma, which eventually killed him about a year ago. He wrote often about his medical adventures, and had particularly strong feelings about a medication he was on, a steroid named dexamethasone, which he called "the evil dex."

What exactly was evil about it he never made exactly clear, but it seems that it prevented him from sleeping, leaving him groggy all the time.

I do not have myeloma, but I have been taking intermittent courses of dexamethasone - one to four days each - and have to report differently. It doesn't seem to have caused any disruption in my sleep, which has actually been getting less disrupted lately, and though that may be because I was taking the dex in the mornings, I've had it in the afternoons with no further effect.

What it does cause is a spike in blood sugar, which has to be watched over carefully. And either it or some of the other medications I've been taking at the same time has been causing constipation, about which the less said the better.