I am 42 years old ( male), suffering from polymyositis since 15 years ago, the level of CPK start to increase to very high level before two monthes and was (10000), I took pridnosolone 200 mg per day ( tablets) for 5 days after then I took  pridnosolone 40mg ( 8 tablet of 5mg per day )  for month,and cellcept 500 (two tablets twice in a day, 2x2 ) for 7 days only , I tested the CPK and it was 580, but the test of WBC level was high , is 14200.I reduced the pridnoselone to 35mg ( 7 tablets of 5mg per day), what is the procedure ,should I follow to reduce the WBC level?Should I taking cellcept for another course?what is the preferd treatment instead of pridnosolone if its available?
Hi, The high WBC count is most likely related to recent steroid intake and will stabilize once it is tapered. So don't worry about it as long as you have no infection or any other new symptoms, for which you would have to see your doctor immediately.