Posts belonging to Category 'bronchial asthma treatment'

Determining Adequacy Of Current Meds

Question:

-snip- You said in your original post that you were bicycling a lot, not once in a while. That was my concern that you were going to take albuterol on a regular basis while taking serevent which is just a slow acting version of albuterol. It doesn’t hurt to take a double dose of aspirin once in a while but I wouldn’t recommend doing it on a regular basis.

Just to be clear, I do bicycle a lot but I only take Albuterol before particularly difficult efforts which, for me, means a few times a year. I thought I said this in my original posting. !! I bicycle a lot.  When I know I have an especially hard ride coming up !! and the weather is yucky (which, for me, means it’s humid), I will take !! 1 puff of Albuterol before I go out. During training for a very tough ride I did two days ago, I used it once for the hardest training ride and once at the beginning of the event. In short, I don’t need it regularly, even for "normal" exercise, but I do find it makes a difference when I’m asked to perform near the limit of my abilities.  What I’m trying to ascertain is if that’s indicative of an inadequacy in my long-term medications or not. – Hide quoted text — Show quoted text –  As far as I know neither is a stimulant and should not be banned at sporting events for obvious reasons. Albuterol and Serevent are stimulants. Expand the bronchial tubes and speed up the heart. Beta2 antagonist Not an atheletic stimulant The olympic committee allows the use of albuterol. No, no sports association allows it without a doctor’s prescription that I know of.  In other words, if you have asthma, you’re allowed to take it; if you don’t, you’re not. In the US you cannot legally obtain albuterol without a perscription.

That’s my point.  Many performance-enhancing drugs have legitimate uses but it’s not terribly difficult to obtain them solely for the purpose of enhancing performance. – Hide quoted text — Show quoted text – I can absolutely testify to the stimulant effect of Albuterol and I don’t think it’s even really at issue – it’s is well known and well documented and, as E says, that’s part of the reason it works. If you have asthma of course your going to feel an effect but thats not the case with normal people. I double checked the web on this and could find nothing, but there were some atheletes that were abusing the drug but not as a stimulant but something to do with long term effects. Do a search on albuterol sports. -snip- A small percentage of people with severe asthma take it on a regular basis, its not recommended if its not needed. Now to your question about your meds. If your feeling better when you take albuterol then yes your regular meds may not be sufficient and an increase could be in order. With asthma meds a little trial and error is the only way to tell for sure. Let me know if you do find something on the stimulant effect (athletes) and I will do like wise, I just never heard of it before.

From <http://www.asiamedicinenet.com/script/main/Art.asp?li=AMN&ArticleKey=855 || Use of albuterol together with other stimulant medications I just did a Google search on    albuterol stimulant I have no idea how authoritative a site this may or may be, though. -S- – Hide quoted text — Show quoted text – Lane

Response:

– Hide quoted text — Show quoted text – Serevent is just a slow acting version of albuterol and they should not be taken at the same time. Albuterol can be used as needed, for symptoms or exercise. Serevent is limited to 2 puffs in 12 hr. They can be used concurrently. Not in the way the poster was talking about, why don’t go back and read the original thread. I believe E understands the original question.  I, too, am under the impression that it’s OK to use Albuterol once in a while, as needed, while taking Serevent 2x/day.  The larger issue, about which I asked (and about which neither of you have commented so far, by the way) is whether this is considered indicative of the overall inadequacy of a patient’s normal, non-emergency medications.

You said in your original post that you were bicycling a lot, not once in a while. That was my concern that you were going to take albuterol on a regular basis while taking serevent which is just a slow acting version of albuterol. It doesn’t hurt to take a double dose of aspirin once in a while but I wouldn’t recommend doing it on a regular basis.  As far as I know neither is a stimulant and should not be banned at sporting events for obvious reasons. Albuterol and Serevent are stimulants. Expand the bronchial tubes and speed up the heart. Beta2 antagonist Not an atheletic stimulant The olympic committee allows the use of albuterol. No, no sports association allows it without a doctor’s prescription that I know of.  In other words, if you have asthma, you’re allowed to take it; if you don’t, you’re not.

In the US you cannot legally obtain albuterol without a perscription. I can absolutely testify to the stimulant effect of Albuterol and I don’t think it’s even really at issue – it’s is well known and well documented and, as E says, that’s part of the reason it works.

If you have asthma of course your going to feel an effect but thats not the case with normal people. I double checked the web on this and could find nothing, but there were some atheletes that were abusing the drug but not as a stimulant but something to do with long term effects. Do a search on albuterol sports. – Hide quoted text — Show quoted text –  Sometimes those asthma sufferers taking steroids can get in trouble with sporting officials as the steroids show up in tests. You are confusing anabolic steroids with corticosteroids. I’m not confusing anything. I mentioned that the steroids can show up in tests which they do. You are correct here.  For better or for worse, most athletic associations ban all steroids, even though corticosteroids do nothing to enhance performance.  If either kind shows up in a drug test, unless prior permission has been granted for the corticosteroid (which does happen), the drug test would be considered failed. So back to your original question, if you want to take albuterol you should not be using serevent. Not true. See previous answer.  You could switch from advair to just flovent then it would be OK to use albuterol which may work better for you. This is particularly bad advice from what I know about these medicines. Modern wisdom suggests that long-acting medications should be used so that Albuterol useage is minimal.  It is not good to take Albuterol on a regular basis.  Granted, many people did for many years, but with the newer medicines available today, there is no reason for this practice to continue that I’m aware of.

A small percentage of people with severe asthma take it on a regular basis, its not recommended if its not needed. Now to your question about your meds. If your feeling better when you take albuterol then yes your regular meds may not be sufficient and an increase could be in order. With asthma meds a little trial and error is the only way to tell for sure. Let me know if you do find something on the stimulant effect (athletes) and I will do like wise, I just never heard of it before. Lane

Response:

- Hide quoted text — Show quoted text – Serevent is just a slow acting version of albuterol and they should not be taken at the same time. Albuterol can be used as needed, for symptoms or exercise. Serevent is limited to 2 puffs in 12 hr. They can be used concurrently. Not in the way the poster was talking about, why don’t go back and read the original thread.

I believe E understands the original question.  I, too, am under the impression that it’s OK to use Albuterol once in a while, as needed, while taking Serevent 2x/day.  The larger issue, about which I asked (and about which neither of you have commented so far, by the way) is whether this is considered indicative of the overall inadequacy of a patient’s normal, non-emergency medications.  As far as I know neither is a stimulant and should not be banned at sporting events for obvious reasons. Albuterol and Serevent are stimulants. Expand the bronchial tubes and speed up the heart. Beta2 antagonist Not an atheletic stimulant The olympic committee allows the use of albuterol.

No, no sports association allows it without a doctor’s prescription that I know of.  In other words, if you have asthma, you’re allowed to take it; if you don’t, you’re not. I can absolutely testify to the stimulant effect of Albuterol and I don’t think it’s even really at issue – it’s is well known and well documented and, as E says, that’s part of the reason it works.  Sometimes those asthma sufferers taking steroids can get in trouble with sporting officials as the steroids show up in tests. You are confusing anabolic steroids with corticosteroids. I’m not confusing anything. I mentioned that the steroids can show up in tests which they do.

You are correct here.  For better or for worse, most athletic associations ban all steroids, even though corticosteroids do nothing to enhance performance.  If either kind shows up in a drug test, unless prior permission has been granted for the corticosteroid (which does happen), the drug test would be considered failed. So back to your original question, if you want to take albuterol you should not be using serevent. Not true. See previous answer.  You could switch from advair to just flovent then it would be OK to use albuterol which may work better for you.

This is particularly bad advice from what I know about these medicines. Modern wisdom suggests that long-acting medications should be used so that Albuterol useage is minimal.  It is not good to take Albuterol on a regular basis.  Granted, many people did for many years, but with the newer medicines available today, there is no reason for this practice to continue that I’m aware of. -S- – Hide quoted text — Show quoted text – Again not true. Serevent could be added or the inhaled steroid increased. Albuterol should not be used for maintenance. See National Asthma Treatment Guidelines ‘97 from NIH. He’s already taking serevent in the advair. And I never suggested he use albuterol as maintenance. He wanted to use it only when bicycling. Before you comment on peoples post I suggest you read the whole thread. Lane

Response:

Serevent is just a slow acting version of albuterol and they should not be taken at the same time.

Albuterol can be used as needed, for symptoms or exercise. Serevent is limited to 2 puffs in 12 hr. They can be used concurrently.  As far as I know neither is a stimulant and should not be banned at sporting events for obvious reasons.

Albuterol and Serevent are stimulants. Expand the bronchial tubes and speed up the heart.  Sometimes those asthma sufferers taking steroids can get in trouble with sporting officials as the steroids show up in tests.

You are confusing anabolic steroids with corticosteroids. So back to your original question, if you want to take albuterol you should not be using serevent.

Not true.  You could switch from advair to just flovent then it would be OK to use albuterol which may work better for you.

Again not true. Serevent could be added or the inhaled steroid increased. Albuterol should not be used for maintenance. See National Asthma Treatment Guidelines ‘97 from NIH.  Check with your doctor first.

Always a good idea. – Hide quoted text — Show quoted text – Lane

Response:

Serevent is just a slow acting version of albuterol and they should not be taken at the same time. Albuterol can be used as needed, for symptoms or exercise. Serevent is limited to 2 puffs in 12 hr. They can be used concurrently.

Not in the way the poster was talking about, why don’t go back and read the original thread.  As far as I know neither is a stimulant and should not be banned at sporting events for obvious reasons. Albuterol and Serevent are stimulants. Expand the bronchial tubes and speed up the heart.

Beta2 antagonist Not an atheletic stimulant The olympic committee allows the use of albuterol.  Sometimes those asthma sufferers taking steroids can get in trouble with sporting officials as the steroids show up in tests. You are confusing anabolic steroids with corticosteroids.

I’m not confusing anything. I mentioned that the steroids can show up in tests which they do. So back to your original question, if you want to take albuterol you should not be using serevent. Not true.

See previous answer.  You could switch from advair to just flovent then it would be OK to use albuterol which may work better for you. Again not true. Serevent could be added or the inhaled steroid increased. Albuterol should not be used for maintenance. See National Asthma Treatment Guidelines ‘97 from NIH.

He’s already taking serevent in the advair. And I never suggested he use albuterol as maintenance. He wanted to use it only when bicycling. Before you comment on peoples post I suggest you read the whole thread. Lane

Response:

Serevent is just a slow acting version of albuterol and they should not be taken at the same time. As far as I know neither is a stimulant and should not be banned at sporting events for obvious reasons. Sometimes those asthma sufferers taking steroids can get in trouble with sporting officials as the steroids show up in tests. So back to your original question, if you want to take albuterol you should not be using serevent. You could switch from advair to just flovent then it would be OK to use albuterol which may work better for you. Check with your doctor first. Lane

– Hide quoted text — Show quoted text – The problem is that Advair already has Albuterol in the powder so you may be taking a double dose. I would tell the doctorwhat you are experiencing and maybe a med change would help. Also I don’t think that albuterol is a stimulant, if you are experiencing an effect when using it, you would require a med change. Thank you for your reply, but Advair does not contain Albuterol, it contains Serevent which, I understand, is similar but it’s not the same thing. Albuterol is a banned substance for anyone without a doctor’s prescription for it at most athletic competitions because of its stimulant properties. -S- Lane I take a pretty common pile of asthma meds: 100/50 Advair 2x/day, Singulair 10 mg 1x/day, Allegra 60 2x/day, Nasonex 1x/day.  I have noticed that, whenever I use my Albuterol inhaler, usually just a single puff, I always feel like I breathe better, but I don’t use it very often.  Still, I use it now and then as a preventative and that’s what’s gotten me thinking. I bicycle a lot.  When I know I have an especially hard ride coming up and the weather is yucky (which, for me, means it’s humid), I will take 1 puff of Albuterol before I go out.  Always, if I don’t, I’ll feel a certain tightness in my chest that I don’t feel with the Albuterol in me.  I save the Albuterol for important occasions – I have a long and hard, very hilly bike rally coming up, so I used it before the hardest training ride I took and am planning on using it again before the ride starts this Saturday morning.  I don’t compete as a cyclist; if I did, I expect I’d want to use it before every race. And that’s my question.  Is my subjective reaction, namely that I breathe better, sufficient reason to ask my doctor about altering my medications?  Is it possible that the stimulant effect from the Albuterol is all I’m really experiencing?  I own a peak flow meter but I’ve not found it terribly helpful – my peak flow differs little depending on medicine, and is relatively low (from what I understand) for a person of my size, anyway – I get about 450-500 with no meds and about 500-550 with them, and I’m a 150 lb. male. Should I continue with my current meds as they are?  Should I not use the Albuterol as an occasional preventative? Thanks in advance.

Response:

Salmeterol is Serevent.  My understanding is that is a slightly different chemical than Albuterol – the modification is to make it act/release more slowly.  The Fluticasone… is Flovent.  100/ or 250/ or 500/50, they all contain the same two medicines. -S- – Hide quoted text — Show quoted text – Advair 250/50 contains fluticasone propinate 250 mcg salmeterol mcg in powder form.  Don’t know the brand names of these reading off the inhaler. UM MOM Susan The problem is that Advair already has Albuterol in the powder so you may be taking a double dose. I would tell the doctorwhat you are experiencing and maybe a med change would help. Also I don’t think that albuterol is a stimulant, if you are experiencing an effect when using it, you would require a med change. Thank you for your reply, but Advair does not contain Albuterol, it contains Serevent which, I understand, is similar but it’s not the same thing. Albuterol is a banned substance for anyone without a doctor’s prescription for it at most athletic competitions because of its stimulant properties. -S- Lane I take a pretty common pile of asthma meds: 100/50 Advair 2x/day, Singulair 10 mg 1x/day, Allegra 60 2x/day, Nasonex 1x/day.  I have noticed that, whenever I use my Albuterol inhaler, usually just a single puff, I always feel like I breathe better, but I don’t use it very often.  Still, I use it now and then as a preventative and that’s what’s gotten me thinking. I bicycle a lot.  When I know I have an especially hard ride coming up and the weather is yucky (which, for me, means it’s humid), I will take 1 puff of Albuterol before I go out.  Always, if I don’t, I’ll feel a certain tightness in my chest that I don’t feel with the Albuterol in me.  I save the Albuterol for important occasions – I have a long and hard, very hilly bike rally coming up, so I used it before the hardest training ride I took and am planning on using it again before the ride starts this Saturday morning.  I don’t compete as a cyclist; if I did, I expect I’d want to use it before every race. And that’s my question.  Is my subjective reaction, namely that I breathe better, sufficient reason to ask my doctor about altering my medications?  Is it possible that the stimulant effect from the Albuterol is all I’m really experiencing?  I own a peak flow meter but I’ve not found it terribly helpful – my peak flow differs little depending on medicine, and is relatively low (from what I understand) for a person of my size, anyway – I get about 450-500 with no meds and about 500-550 with them, and I’m a 150 lb. male. Should I continue with my current meds as they are?  Should I not use the Albuterol as an occasional preventative? Thanks in advance.

Response:

Advair 250/50 contains fluticasone propinate 250 mcg salmeterol mcg in powder form.  Don’t know the brand names of these reading off the inhaler. UM MOM Susan

– Hide quoted text — Show quoted text – The problem is that Advair already has Albuterol in the powder so you may be taking a double dose. I would tell the doctorwhat you are experiencing and maybe a med change would help. Also I don’t think that albuterol is a stimulant, if you are experiencing an effect when using it, you would require a med change. Thank you for your reply, but Advair does not contain Albuterol, it contains Serevent which, I understand, is similar but it’s not the same thing. Albuterol is a banned substance for anyone without a doctor’s prescription for it at most athletic competitions because of its stimulant properties. -S- Lane I take a pretty common pile of asthma meds: 100/50 Advair 2x/day, Singulair 10 mg 1x/day, Allegra 60 2x/day, Nasonex 1x/day.  I have noticed that, whenever I use my Albuterol inhaler, usually just a single puff, I always feel like I breathe better, but I don’t use it very often.  Still, I use it now and then as a preventative and that’s what’s gotten me thinking. I bicycle a lot.  When I know I have an especially hard ride coming up and the weather is yucky (which, for me, means it’s humid), I will take 1 puff of Albuterol before I go out.  Always, if I don’t, I’ll feel a certain tightness in my chest that I don’t feel with the Albuterol in me.  I save the Albuterol for important occasions – I have a long and hard, very hilly bike rally coming up, so I used it before the hardest training ride I took and am planning on using it again before the ride starts this Saturday morning.  I don’t compete as a cyclist; if I did, I expect I’d want to use it before every race. And that’s my question.  Is my subjective reaction, namely that I breathe better, sufficient reason to ask my doctor about altering my medications?  Is it possible that the stimulant effect from the Albuterol is all I’m really experiencing?  I own a peak flow meter but I’ve not found it terribly helpful – my peak flow differs little depending on medicine, and is relatively low (from what I understand) for a person of my size, anyway – I get about 450-500 with no meds and about 500-550 with them, and I’m a 150 lb. male. Should I continue with my current meds as they are?  Should I not use the Albuterol as an occasional preventative? Thanks in advance.

Response:

The problem is that Advair already has Albuterol in the powder so you may be taking a double dose. I would tell the doctorwhat you are experiencing and maybe a med change would help. Also I don’t think that albuterol is a stimulant, if you are experiencing an effect when using it, you would require a med change.

Thank you for your reply, but Advair does not contain Albuterol, it contains Serevent which, I understand, is similar but it’s not the same thing. Albuterol is a banned substance for anyone without a doctor’s prescription for it at most athletic competitions because of its stimulant properties. -S- – Hide quoted text — Show quoted text – Lane I take a pretty common pile of asthma meds: 100/50 Advair 2x/day, Singulair 10 mg 1x/day, Allegra 60 2x/day, Nasonex 1x/day.  I have noticed that, whenever I use my Albuterol inhaler, usually just a single puff, I always feel like I breathe better, but I don’t use it very often.  Still, I use it now and then as a preventative and that’s what’s gotten me thinking. I bicycle a lot.  When I know I have an especially hard ride coming up and the weather is yucky (which, for me, means it’s humid), I will take 1 puff of Albuterol before I go out.  Always, if I don’t, I’ll feel a certain tightness in my chest that I don’t feel with the Albuterol in me.  I save the Albuterol for important occasions – I have a long and hard, very hilly bike rally coming up, so I used it before the hardest training ride I took and am planning on using it again before the ride starts this Saturday morning.  I don’t compete as a cyclist; if I did, I expect I’d want to use it before every race. And that’s my question.  Is my subjective reaction, namely that I breathe better, sufficient reason to ask my doctor about altering my medications?  Is it possible that the stimulant effect from the Albuterol is all I’m really experiencing?  I own a peak flow meter but I’ve not found it terribly helpful – my peak flow differs little depending on medicine, and is relatively low (from what I understand) for a person of my size, anyway – I get about 450-500 with no meds and about 500-550 with them, and I’m a 150 lb. male. Should I continue with my current meds as they are?  Should I not use the Albuterol as an occasional preventative? Thanks in advance.

Response:

The problem is that Advair already has Albuterol in the powder so you may be taking a double dose. I would tell the doctorwhat you are experiencing and maybe a med change would help. Also I don’t think that albuterol is a stimulant, if you are experiencing an effect when using it, you would require a med change. Lane

– Hide quoted text — Show quoted text – I take a pretty common pile of asthma meds: 100/50 Advair 2x/day, Singulair 10 mg 1x/day, Allegra 60 2x/day, Nasonex 1x/day.  I have noticed that, whenever I use my Albuterol inhaler, usually just a single puff, I always feel like I breathe better, but I don’t use it very often.  Still, I use it now and then as a preventative and that’s what’s gotten me thinking. I bicycle a lot.  When I know I have an especially hard ride coming up and the weather is yucky (which, for me, means it’s humid), I will take 1 puff of Albuterol before I go out.  Always, if I don’t, I’ll feel a certain tightness in my chest that I don’t feel with the Albuterol in me.  I save the Albuterol for important occasions – I have a long and hard, very hilly bike rally coming up, so I used it before the hardest training ride I took and am planning on using it again before the ride starts this Saturday morning.  I don’t compete as a cyclist; if I did, I expect I’d want to use it before every race. And that’s my question.  Is my subjective reaction, namely that I breathe better, sufficient reason to ask my doctor about altering my medications?  Is it possible that the stimulant effect from the Albuterol is all I’m really experiencing?  I own a peak flow meter but I’ve not found it terribly helpful – my peak flow differs little depending on medicine, and is relatively low (from what I understand) for a person of my size, anyway – I get about 450-500 with no meds and about 500-550 with them, and I’m a 150 lb. male. Should I continue with my current meds as they are?  Should I not use the Albuterol as an occasional preventative? Thanks in advance.

Response:

I take a pretty common pile of asthma meds: 100/50 Advair 2x/day, Singulair 10 mg 1x/day, Allegra 60 2x/day, Nasonex 1x/day.  I have noticed that, whenever I use my Albuterol inhaler, usually just a single puff, I always feel like I breathe better, but I don’t use it very often.  Still, I use it now and then as a preventative and that’s what’s gotten me thinking. I bicycle a lot.  When I know I have an especially hard ride coming up and the weather is yucky (which, for me, means it’s humid), I will take 1 puff of Albuterol before I go out.  Always, if I don’t, I’ll feel a certain tightness in my chest that I don’t feel with the Albuterol in me.  I save the Albuterol for important occasions – I have a long and hard, very hilly bike rally coming up, so I used it before the hardest training ride I took and am planning on using it again before the ride starts this Saturday morning.  I don’t compete as a cyclist; if I did, I expect I’d want to use it before every race. And that’s my question.  Is my subjective reaction, namely that I breathe better, sufficient reason to ask my doctor about altering my medications?  Is it possible that the stimulant effect from the Albuterol is all I’m really experiencing?  I own a peak flow meter but I’ve not found it terribly helpful – my peak flow differs little depending on medicine, and is relatively low (from what I understand) for a person of my size, anyway – I get about 450-500 with no meds and about 500-550 with them, and I’m a 150 lb. male. Should I continue with my current meds as they are?  Should I not use the Albuterol as an occasional preventative? Thanks in advance.

Response:

Parents with asthmatic chldren?

Question:

I would love for my son to see a specialist! His doctor doesn’t think this is necessary, and I need a referrel! Brandy, I’d insist and even call the HMO if he refuses.  Sometimes the doctor is following some managed care protocol and has to go through all the steps before offering a referral.

This is really not common these days. Chances are he is just being stubborn about it. The suggestion to call the HMO is a good one. They are usually pretty responsive to complaining clients. I’ve had several instances where the HMO denied my request for things but approved it when the patient got on t he line with them. They usually try to put it back on me by saying things like, "of course you can have it, all your doctor needed to do was…..". They can be pretty aggressive about evaluating the need for expensive tests, drugs, and equipment but I have never had them deny a referral to an in network specialist. — CBI, MD

Response:

I would love for my son to see a specialist! His doctor doesn’t think this is necessary, and I need a referrel!

If you think you need it and he is unwilling to give it change docs or complain to the HMO. — CBI, MD

Response:

I would love for my son to see a specialist! His doctor doesn’t think this is necessary, and I need a referrel!

Brandy, I’d insist and even call the HMO if he refuses.  Sometimes the doctor is following some managed care protocol and has to go through all the steps before offering a referral. I had childhood asthma, and they didn’t believe in using inhalers for children much in those days, so they just kept me out of the cold weather at recess and gym.  I got sick more (flu, pneumonia) even without taking drugs. Then I mostly grew out it, although I had some severe allergy thing when I was 12 and could hardly keep my eyes open one summer.  We figured it must have to do with the interstate highway they were building near our home (burning, clearing, dust, etc.).  Until I turned 50, I had only occasional bouts, generally set off by colds or sinus infections. I’ve always had chronic post-nasal drip, though, and when the barometric pressure changes or when I drive up and down hills, I can get some pretty severe sinus headaches. Good luck! –Jane

Response:

I would love for my son to see a specialist! His doctor doesn’t think this is necessary, and I need a referrel!

You only need a referral if the HMO is to pay for the visit. If YOU pay for the visit, you can go to any doctor you want, without a referral. I’ve had to do this several times. Joan

Response:

I would love for my son to see a specialist! His doctor doesn’t think this is necessary, and I need a referrel! The only asthma specialist around doesn’t see ANY patients if they are not referred by a doctor in his HMO. I think it is awful. My son was just hospitalized for 3 days with an intestinal infection. An illness that most people would have had a belly ache, but his white cell count was tripled, belly pain that caused him to not be able walk. We honestly thought he had appendicitis. That’s just one of the many illnesses he has gotten this year that caused quite a scare. He’s had scarlett fever twice, the Flu almost kills him, etc. We don’t know what to do anymore. He has an appointment with his pediatrician this month, and I am going to ask why is his immune system so out of whack. Did I mention he also has exzema! Thanks for listening to me ramble on and on. Sincerely, Brandy

Response:

There is no question that your child needs a better treatment plan than just albuterol with symptoms such as those.  At age 5, I would not personally recommend a steroid inhaler.  It may be best to start with a non-steroidal approach since he seems to get sick so easily. Have you tried Singulair, Intal, or Tilade?  If his current doctor is only giving him albuterol for these symptoms on a daily basis, I would highly suggest you see a specialist, at least until the symptoms are well controlled. Take care, Emad Kowatli, MD, FCCP

– Hide quoted text — Show quoted text – Hello everybody. My 5 year old son has asthma and allergies. He has such an array of symptoms, that sometimes it is hard to tell if he is having an asthma attack. I am wondering if there are parents out there expeiencing the same thing? He is currently on an Albuterol inhaler. At least twice a year his left lung swells completely shut, and he has to be on liquid steriods for 5 days. We had his asthma under control over the summer. Now with winter not too far off, I am worried about everything starting all over again. Does anyone have any tips and suggestions? We live in Pennsylvania, and the cold air seems to bother him a bit. We got him a skimask, for outside and it helped alot last year. Has anyone else noticed how easy they get sick after they have been on steriods???? Not just a little cold either, seems like full blown flu! I just hate to see him suffer, and if anyone could help m, I would appreciate it!! Sorry if it’s all jumbled, I am not quite sure what to write. I just have 5 hundred questions running through my mind! Thank you for your time, and any replies would be greatly appreciated! Than you, Brandy

Response:

Hello everybody. My 5 year old son has asthma and allergies. He has such an array of symptoms, that sometimes it is hard to tell if he is having an asthma attack. I am wondering if there are parents out there expeiencing the same thing? He is currently on an Albuterol inhaler. At least twice a year his left lung swells completely shut, and he has to be on liquid steriods for 5 days.

Ask for a referral to a pediatric allergist [or pediatrician familiar with current asthma treatment guidelines]. It sounds like he needs to be prescribed a steroid inhaler to control his asthma. This results in a much lower dose of steroid than oral, since it goes directly to the lungs; it treats the bronchial inflammation, which albuterol does not. High dose oral steroids are an immunosuppressant. Ellis  We had his asthma under control – Hide quoted text — Show quoted text – over the summer. Now with winter not too far off, I am worried about everything starting all over again. Does anyone have any tips and suggestions? We live in Pennsylvania, and the cold air seems to bother him a bit. We got him a skimask, for outside and it helped alot last year. Has anyone else noticed how easy they get sick after they have been on steriods???? Not just a little cold either, seems like full blown flu! I just hate to see him suffer, and if anyone could help m, I would appreciate it!! Sorry if it’s all jumbled, I am not quite sure what to write. I just have 5 hundred questions running through my mind! Thank you for your time, and any replies would be greatly appreciated! Than you, Brandy

Response:

Hello everybody. My 5 year old son has asthma and allergies. He has such an array of symptoms, that sometimes it is hard to tell if he is having an asthma attack. I am wondering if there are parents out there expeiencing the same thing? He is currently on an Albuterol inhaler. At least twice a year his left lung swells completely shut, and he has to be on liquid steriods for 5 days. We had his asthma under control over the summer. Now with winter not too far off, I am worried about everything starting all over again. Does anyone have any tips and suggestions? We live in Pennsylvania, and the cold air seems to bother him a bit. We got him a skimask, for outside and it helped alot last year. Has anyone else noticed how easy they get sick after they have been on steriods???? Not just a little cold either, seems like full blown flu! I just hate to see him suffer, and if anyone could help m, I would appreciate it!! Sorry if it’s all jumbled, I am not quite sure what to write. I just have 5 hundred questions running through my mind! Thank you for your time, and any replies would be greatly appreciated! Than you, Brandy

Response:

My 5 year old son has asthma and allergies.  We live in Pennsylvania, and the cold air seems to bother him a bit. We got him a skimask, for outside and it helped alot last year.

I also grew up in Pennsylvania, and my first few years of primary school were pretty miserable.  Every fall and winter I would get colds, and when I would get colds I would have terrible asthma, sometimes requiring a hospitalization.  The good news is that my asthma got better as I grew older, and by the time I hit puberty I was pretty much symptom-free.  So hang in there!  Kids are resilient and if your son’s asthma is medically well-controlled, his long-term prognosis is good. Note the use of the words "medically well-controlled," implying a treatment plan. Standard (and sound) advice is to see a specialist such as a pulmonologist or allergy specialist if your health plan will permit.  Many GPs and pediatricians don’t seem to be boned up on the latest asthma treatments. — (650) 236-2231 [daytime]        http://www.wsrcc.com/alison/ No doubt the dissatisfaction has been exaggerated in the historical accounts, since spoilsports cry out loudly, while on the opposite side good losers are silent, being dead.  – William Vollmann, _The Ice-Shirt_

Response:

The steroids weaken your immune system, that is why he tends to get sick after taking them. I agree with Alison, he needs to see a good specialist. sue – Hide quoted text — Show quoted text – Hello everybody. My 5 year old son has asthma and allergies. He has such an array of symptoms, that sometimes it is hard to tell if he is having an asthma attack. I am wondering if there are parents out there expeiencing the same thing? He is currently on an Albuterol inhaler. At least twice a year his left lung swells completely shut, and he has to be on liquid steriods for 5 days. We had his asthma under control over the summer. Now with winter not too far off, I am worried about everything starting all over again. Does anyone have any tips and suggestions? We live in Pennsylvania, and the cold air seems to bother him a bit. We got him a skimask, for outside and it helped alot last year. Has anyone else noticed how easy they get sick after they have been on steriods???? Not just a little cold either, seems like full blown flu! I just hate to see him suffer, and if anyone could help m, I would appreciate it!! Sorry if it’s all jumbled, I am not quite sure what to write. I just have 5 hundred questions running through my mind! Thank you for your time, and any replies would be greatly appreciated! Than you, Brandy

Response:

Advertisment for Buteyko as a Treatment for Asthma

Question:

Newsgroups: alt.support.asthma He has no information on his site, other than advertising or links – and guess whose link is at the top of the links page ? You’ve guessed it – Peter Kolb’s.

He obviously recongized a good site Peter Kolb http://x45.deja.com/[ST_rn=ap]/getdoc.xp?AN=597487775 We’re all enthusiastic amateurs, and instead of sending money to Africa where 5% goes to help the needy and the rest goes to perpetuating the wars, we make our contribution by volunteering time, effort and energy for what is really a very worthwhile cause. "I lived in South Africa for a long time", Peter Kolb "There’s really nothing you can do about bigotry: "a bigot strutting the stage with very little knowledge, very little insight "Well, I used to think I was a nice guy until I started reading all that stuff about me on the alt.support.asthma news group. read about a nice guy http://x41.deja.com/[ST_rn=ap]/getdoc.xp?AN=600862793 This message was posted via one or more anonymous remailing services. The original sender is unlogged.  The address shown in the From header, if any, is unverified and maybe wrong.        - Widow Anonymous Remailer –

Response:

I didn’t tink even some of the low life on this group would stoop so low.  That’s right, just pick on someone whose native tongue is not English but who has taken the trouble to try to learn YOUR language.

Actually we pick on people who promote snakeoil. One example of snakeoil is people who claim that overbreathing causes asthma, but are completely unable to provide references that tested and proved the hypothesis. It’s a terrible responsibility – but somebody has to be the Americans.

Response:

Actually, Peter Kolb sent me a note pointing me to his site at http://www.wt.com.au/~pkolb/buteyko.htm.  It contains several references to articles describing the treatment techniques in fairly good detail. It’s sad that the "official" Buteyko site is so commercially oriented that it doesn’t present such information.

Be very careful at this site.  For example, he presents the Brisbane trial without noting that the authors lied about relevant facts, and that the Russian trial is misrepresented. Note to Peter:  Several years ago you forwarded me the text of the Russian ‘trial’ – why is what is now on your site substantially different?  Did you edit this to leave out the parts you did not want us to see? The described treatments at least seem, for the most part, both straight-forward and safe.  There is a small amount of hokum, but not as much as I expected.

This is what Peter wants.  He uses the right buzzwords and scientific sounding words to fool people who do not really know the subject.  I suggest that you have an actual professional evaluate the material he presents. It’s a terrible responsibility – but somebody has to be the Americans.

Response:

I’ve searched the net over and over for any semi-detailed description of the Buteyko treatment and have not found anything, only ads for video tapes and courses.  Where did you find any descriptions of the Buteyko treatment methods? You buy the tape or pay for the course of course.  Remember that the purpose of buteyko is to make money for the promoters by making false promises of treatment.

Actually, Peter Kolb sent me a note pointing me to his site at http://www.wt.com.au/~pkolb/buteyko.htm.  It contains several references to articles describing the treatment techniques in fairly good detail. It’s sad that the "official" Buteyko site is so commercially oriented that it doesn’t present such information. The described treatments at least seem, for the most part, both straight-forward and safe.  There is a small amount of hokum, but not as much as I expected.

Response:

Newsgroups: alt.support.asthma I didn’t tink even some of the low life on this group would stoop so low.  That’s right, just pick on someone whose native tongue is not English but who has taken the trouble to try to learn YOUR language. %$&**)! Idiots! Peter Kolb read about a low life http://x41.deja.com/[ST_rn=ap]/getdoc.xp?AN=600862793 FAQ Peter Kolb Buteyko Basher v0.70 "Well, I used to think I was a nice guy until I started reading all that stuff about me on the alt.support.asthma news group.  Now I’m not so sure This message was posted via one or more anonymous remailing services. The original sender is unlogged.  The address shown in the From header, if any, is unverified and maybe wrong.        - Widow Anonymous Remailer –

Response:

I didn’t hear any pejorative statement in Penmart’s reply.  He merely defined a word… are you sure that your umbrage isn’t just a straw man? – Hide quoted text — Show quoted text – Why would I be skeptical about a Belief System that is led by Disciples? Because a disciple is one who blindly/unquestioningly accepts and promotes the doctrines of another.  Skeptical… actually you should be frightened, very frightened. "Merriam Webster Thesaurus" disciple (noun)      Synonyms:  FOLLOWER, adherent, cohort, henchman, partisan, satellite, sectary, sectator, supporter      Related words:  enthusiast, fanatic, zealot —— It is the people who worked with Buteyko many years. They are his disciples. Jaroslav. I didn’t tink even some of the low life on this group would stoop so low.  That’s right, just pick on someone whose native tongue is not English but who has taken the trouble to try to learn YOUR language. %$&**)! Idiots! Peter Kolb Free information provided by grateful ex-asthmatics     http://www.wt.com.au/~pkolb/buteyko.htm

Response:

I must to say about list of ilnesses in our site. This list was wrote by Buteyko. It is not ours inventions. Unfortunately the most of information in Russian, but we will make it also in English.

So you are saying that this is information that has not been subjected to peer review? Informaton will be added gradulally. We have copies of official (Russian’s) document about treatment AIDS, Radiation sickness and I hope this documents will be publised in our site. You can’t to cure AIDS but you can stop the progress of sickness.

These are ‘official’ in what sense?  If they were actually ‘official’ then you should be able to produce a citation reference. The basic problem here is that we have no way of knowing if the information is accurate or even truthful. Of course the results of it never will not be recognized by official medicine in Russia but we hope It will be recognized in the West if somebody to try repeat it.

No problem.  Expose yourself to about 500 rads then try buteyko.  Wait about 30 days before you post your results. It’s a terrible responsibility – but somebody has to be the Americans.

Response:

– Hide quoted text — Show quoted text – Why would I be skeptical about a Belief System that is led by Disciples? Because a disciple is one who blindly/unquestioningly accepts and promotes the doctrines of another.  Skeptical… actually you should be frightened, very frightened. "Merriam Webster Thesaurus" disciple (noun)      Synonyms:  FOLLOWER, adherent, cohort, henchman, partisan, satellite, sectary, sectator, supporter      Related words:  enthusiast, fanatic, zealot —— It is the people who worked with Buteyko many years. They are his disciples. Jaroslav.

I didn’t tink even some of the low life on this group would stoop so low.  That’s right, just pick on someone whose native tongue is not English but who has taken the trouble to try to learn YOUR language. %$&**)! Idiots! Peter Kolb Free information provided by grateful ex-asthmatics     http://www.wt.com.au/~pkolb/buteyko.htm

Response:

Chris,  the symptoms of chronic hyperventilation consist of a very large number of  unrelated illnesses.

Claims of treatment of vastly unrelated illnesses is the hallmark of quackery…  The symtpom list I’ve posted and referenced  many times was derived from peer reviewed articles in quality medical journals.  For example, what is the common link between asthma, migraines, hiatus hernia,  spastic colon, anxiety……?

The relationship appears to be your imagination, since you didn’t provide any references to those articles… An independent Russian source claims that Buteyko therapy has  been successfully used on victims of the  Chernobyl disaster.  I guess those who were chronically hyperventilating would have had their natural defensive mechanisms enhanced.  I can’t give you any details on this work, but I’m sure it will come out one day.

Which independent Russian source?  How do you verify the reliability?  If you can’t give details, why even bring it up?  You seem to make many scattershot pronouncements–each one erodes your credibility even more.

Response:

I must to say about list of ilnesses in our site. This list was wrote by Buteyko. It is not ours inventions. Unfortunately the most of information in Russian, but we will make it also in English. Informaton will be added gradulally. We have copies of official (Russian’s) document about treatment AIDS, Radiation sickness and I hope this documents will be publised in our site. You can’t to cure AIDS but you can stop the progress of sickness. Of course the results of it never will not be recognized by official medicine in Russia but we hope It will be recognized in the West if somebody to try repeat it. — Jaroslav Egorov Information about Buteyko. http://www.geocities.com/mbuteyko

Response:

Why would I be skeptical about a Belief System that is led by Disciples?

Because a disciple is one who blindly/unquestioningly accepts and promotes the doctrines of another.  Skeptical… actually you should be frightened, very frightened. "Merriam Webster Thesaurus" disciple (noun)       Synonyms:  FOLLOWER, adherent, cohort, henchman, partisan, satellite, sectary, sectator, supporter       Related words:  enthusiast, fanatic, zealot —— It is the people who worked with Buteyko many years. They are his disciples. Jaroslav.

Sheldon On a recent Night Court rerun, Judge Harry Stone had a wonderful line: "I try to keep an open mind, but not so open that my brains fall out."

Response:

Why would I be skeptical about a Belief System that is led by Disciples?

 It is the – Hide quoted text — Show quoted text -people who worked with Buteyko many years. They are his disciples. Jaroslav.

Response:

Chris,  the symptoms of chronic hyperventilation consist of a very large number of  unrelated illnesses.  The symtpom list I’ve posted and referenced  many times was derived from peer reviewed articles in quality medical journals.  For example, what is the common link between asthma, migraines, hiatus hernia,  spastic colon, anxiety……?  Yet they are all recognized symptoms of chronic hyperventilation.  Of course, it is only those doctors who understand the condition that recognize it.

Really?  Can you post some citation references that demonstrate ‘chronic hyperventilation as a cause of asthma? An independent Russian source claims that Buteyko therapy has  been successfully used on victims of the  Chernobyl disaster.  I guess those who were chronically hyperventilating would have had their natural defensive mechanisms enhanced.  I can’t give you any details on this work, but I’m sure it will come out one day.

Let me guess, you cannot give any details because this is an urban legend? It’s a terrible responsibility – but somebody has to be the Americans.

Response:

Please visit on my page. http://www.geocities.com/mbuteyko In this page you can see information about method and links to other sites. Take in the mind to try method recommend only with certified methologist. If you don’t know Buteyko’s theory you risk to make worse yourself ! There is many people who tryed to method, after that they scream-"Buteyko is liar !". By the way. Experienced methologists you can find only in Russia. It is the people who worked with Buteyko many years. They are his disciples. Jaroslav.

Response:

Please visit on my page. http://www.geocities.com/mbuteyko

Complete and utter tripe. This guy claims that Buteyko can "remove" a whole number of unrelated illnesses. As well as all the usual suspects, he also claims it cures haemorroids, diabetes, irregular menstrual cycles, Cervical erosion, sterility, impotency, cystitis, obesity, duodenal ulcer, epilepsy, glaucoma, cataracts, viral hepatitis and AIDS – not to mention radiation sickness. So, when your local nuclear power station just blew up, remember your Maximum Pause :-) He has no information on his site, other than advertising or links – and guess whose link is at the top of the links page ? You’ve guessed it – Peter Kolb’s. Chris — Chris King http://www.csking.demon.co.uk

Response:

Please visit on my page. http://www.geocities.com/mbuteyko Complete and utter tripe. This guy claims that Buteyko can "remove" a whole number of unrelated illnesses.

Chris,  the symptoms of chronic hyperventilation consist of a very large number of  unrelated illnesses.  The symtpom list I’ve posted and referenced  many times was derived from peer reviewed articles in quality medical journals.  For example, what is the common link between asthma, migraines, hiatus hernia,  spastic colon, anxiety……?  Yet they are all recognized symptoms of chronic hyperventilation.  Of course, it is only those doctors who understand the condition that recognize it. As well as all the usual suspects, he also claims it cures haemorroids, diabetes, irregular menstrual cycles, Cervical erosion, sterility, impotency, cystitis, obesity, duodenal ulcer, epilepsy, glaucoma, cataracts, viral hepatitis and AIDS – not to mention radiation sickness. So, when your local nuclear power station just blew up, remember your Maximum Pause :-)

An independent Russian source claims that Buteyko therapy has  been successfully used on victims of the  Chernobyl disaster.  I guess those who were chronically hyperventilating would have had their natural defensive mechanisms enhanced.  I can’t give you any details on this work, but I’m sure it will come out one day. As far as haemorrhoids are concerned, I too thought that was ridiculous….. until someone phoned me up one day and told me that he could’nt understand why his haemorrohoids had disappeared following Buteyko treatment for his asthma.  He had to cancle his operation! And if you look through the symptom list of CHVS listed in peer reviewed articles in quality medical journals, you might not find haemorrohoids, but you will find mitral prolapse.  As you would know, they both affect  valves of the vascular system. I think that the Russians are so far ahead of us in their understanding of the importance of CO2 as Ray Peat points out, is what this group finds really hard to swallow. He has no information on his site, other than advertising or links – and guess whose link is at the top of the links page ? You’ve guessed it – Peter Kolb’s.

He obviously recongized a good site!  Jaroslav actually lives in St.Petersburg. Instead of giving him a hard time it would be a lot more productive taking this opportunity to get more information from the home of Buteyko. Peter Kolb Biomedical Engineer Free information provided by grateful ex-asthmatics     http://www.wt.com.au/~pkolb/buteyko.htm

Response:

I’ve searched the net over and over for any semi-detailed description of the Buteyko treatment and have not found anything, only ads for video tapes and courses.  Where did you find any descriptions of the Buteyko treatment methods?

You buy the tape or pay for the course of course.  Remember that the purpose of buteyko is to make money for the promoters by making false promises of treatment. It’s a terrible responsibility – but somebody has to be the Americans.

Response:

Scooby RCP, EMT-P Perinatal-Pediatric Respiratory Specialist This mail is a natural product.  The slight variations in spelling and grammar enhance its individual character and beauty and in no way are to be considered flaws or defects.

Response:

I’ve searched the net over and over for any semi-detailed description of the Buteyko treatment and have not found anything, only ads for video tapes and courses.  Where did you find any descriptions of the Buteyko treatment methods? – Hide quoted text — Show quoted text – I was a chronic allergic bronchial asthmatic and I took all the usual medicines in order to make my life manageable, but it was a very limited life, I was frequently overtired, rarely able to smell, in need of medicine after exercise of almost any kind, and all those other things many visitors to this group will be familiar with. I was open to "alternatives" because it was plain to me that I could not expect a great improvement in my health with the help of normal medicine…perhaps some new drug would be introduced that would ease one or other aspect of my illness but overall as I looked back over my 35 years of asthma I couldn’t see any radical changes for the better in my health. So at irregular intervals I tried one or other alternative medicine with average zero effect, which wasn’t a very motivating factor when someone told me it might be worth looking into something called the Buteyko method, but it had been a couple of years since homeopathy had failed me so I had just about enough spirit to have a go at something new. I managed to find enough information on the internet to piece together an improvised version of the method. There were no practitioners in the area and I didnt want to send money off for a tape which would I couldn’t afford and might never arrive. What I realised was that the Buteyko method boils down to is this: breath less and your asthma will get better. It sounded just as crackpot/reasonable as any other theory All of the exercises are based on this premise…you can accept the experience of others, or you can find some new ways for yourself. There are tips and tricks which helped me establish a good routine for myself, and I revert to them if I feel my health deteriorating, but over the last 18 months I have developed ways of my own to control my breathing. Whatever suits you best. But take it as fact that if you teach yourself to breath less you will get better. I remember I was about 3 days into my first experiments with my version of buteyko and it suddenly dawned on me that I really was getting better – that I was making myself better – and I experienced a sudden feeling of euphoria which was quickly displaced by one of sheer panic. And I stopped for a while because I felt like I was on the edge of a precipice. I didn’t know if I could go on. Then I realised that I was scared of losing my asthma. It was so much a part of my life, so much part of my identity that I had doubts about whether I could re-create myself without it. Of course I carried on, I’m not that stupid,and I havent changed that much apart from feeling a lot better most the time but it did illustrate to me something which I have seen many times since: I was almost willing to accept the manageable misery of my illness rather than risk facing another bitter disappointment. I’m not the most disciplined of people, the idea of building a strict routine into my life and for the rest of my life seems daunting, and I am not as strict with myself with regard to my breathing as I should be. So I sometimes gradually forget about the exercises, and my breathing gets worse, and my nose gets blocked up and I feel more tired in the mornings and I have to kick myself back into gear, force myself to be more aware and better in control of my breathing for a day or so. And then I feel better again. I’m sure this is not the recommended way but it does serve to prove to me time and time again that with some application and effort it works. I have read that it is advisable to have an expert teach you the method and if there had been one around the corner I would have attended any reasonably priced course but there wasn’t and I didn’t. Tips I found on the web were invaluable and I suggest that if you have any intention of trying it out you should at least try to get as much information on the subject as possible in advance, for the sake of using it efficiently if nothing else. I have been following both this and the buteyko newsgroup for some time, and I know that by contributing this I may be entering into a confrontation I have no interest in. All I want is to make clear that in my experience if applied sensibly the Buteyko method is one that you as an asthmatic can  use to limit it’s effect on your life. I am not cured but I am a lot better. If you dont know where to find information about this method of asthma treatment then post a message to this group and I am sure there will be someone who can point you in the right direction

Response:

I was a chronic allergic bronchial asthmatic and I took all the usual medicines in order to make my life manageable, but it was a very limited life, I was frequently overtired, rarely able to smell, in need of medicine after exercise of almost any kind, and all those other things many visitors to this group will be familiar with. I was open to "alternatives" because it was plain to me that I could not expect a great improvement in my health with the help of normal medicine…perhaps some new drug would be introduced that would ease one or other aspect of my illness but overall as I looked back over my 35 years of asthma I couldn’t see any radical changes for the better in my health. So at irregular intervals I tried one or other alternative medicine with average zero effect, which wasn’t a very motivating factor when someone told me it might be worth looking into something called the Buteyko method, but it had been a couple of years since homeopathy had failed me so I had just about enough spirit to have a go at something new. I managed to find enough information on the internet to piece together an improvised version of the method. There were no practitioners in the area and I didnt want to send money off for a tape which would I couldn’t afford and might never arrive. What I realised was that the Buteyko method boils down to is this: breath less and your asthma will get better. It sounded just as crackpot/reasonable as any other theory All of the exercises are based on this premise…you can accept the experience of others, or you can find some new ways for yourself. There are tips and tricks which helped me establish a good routine for myself, and I revert to them if I feel my health deteriorating, but over the last 18 months I have developed ways of my own to control my breathing. Whatever suits you best. But take it as fact that if you teach yourself to breath less you will get better. I remember I was about 3 days into my first experiments with my version of buteyko and it suddenly dawned on me that I really was getting better – that I was making myself better – and I experienced a sudden feeling of euphoria which was quickly displaced by one of sheer panic. And I stopped for a while because I felt like I was on the edge of a precipice. I didn’t know if I could go on. Then I realised that I was scared of losing my asthma. It was so much a part of my life, so much part of my identity that I had doubts about whether I could re-create myself without it. Of course I carried on, I’m not that stupid,and I havent changed that much apart from feeling a lot better most the time but it did illustrate to me something which I have seen many times since: I was almost willing to accept the manageable misery of my illness rather than risk facing another bitter disappointment. I’m not the most disciplined of people, the idea of building a strict routine into my life and for the rest of my life seems daunting, and I am not as strict with myself with regard to my breathing as I should be. So I sometimes gradually forget about the exercises, and my breathing gets worse, and my nose gets blocked up and I feel more tired in the mornings and I have to kick myself back into gear, force myself to be more aware and better in control of my breathing for a day or so. And then I feel better again. I’m sure this is not the recommended way but it does serve to prove to me time and time again that with some application and effort it works. I have read that it is advisable to have an expert teach you the method and if there had been one around the corner I would have attended any reasonably priced course but there wasn’t and I didn’t. Tips I found on the web were invaluable and I suggest that if you have any intention of trying it out you should at least try to get as much information on the subject as possible in advance, for the sake of using it efficiently if nothing else. I have been following both this and the buteyko newsgroup for some time, and I know that by contributing this I may be entering into a confrontation I have no interest in. All I want is to make clear that in my experience if applied sensibly the Buteyko method is one that you as an asthmatic can  use to limit it’s effect on your life. I am not cured but I am a lot better. If you dont know where to find information about this method of asthma treatment then post a message to this group and I am sure there will be someone who can point you in the right direction

Response:

Asthma — don't judge elites too quickly

Question:

Enjoy this article! http://espn.go.com/gen/columns/farrey/01302403.html

Response:

I can simpathize.  I often have upper respiratory problems as a direct result of training.  Cold weather, ozone, polution, enhanced susceptability to allergies and colds do cause me more problems than I would have if I didn’t do this triathlon thing.  My medication intake is rare to minimal.  But I don’t hesitate to use a nasal spray when I race, when I know I will develop some nasal congestion after the swim.  If I have been fighting a cold, I will take some pseudoephedrine (suda-fed) which I believe is on the banned substance list.  I certainly don’t have to worry about winning and drug testing. I don’t condone drug use to enhance performance, but we should all sympathize when medication is needed to allow participation. Frank "achoo" Wallace Share what you know. Learn what you don’t.

Response:

Here is an interview with Tom Dolan covering a discussion on his asthma and what triggers it. He states that he is far more susceptible to asthma as a result of his elite-level training, than he would otherwise be. This raises in my mind the possibility that elite triathletes are perhaps far more susceptible to exercise induced asthma than they would normally be, and are non-elite triathletes. — MB. Interview with Tom Dolan With kind permission of Asthma Magazine (printed in May/June1997 issue). Tom Dolan is the 1996 Olympic gold medalist in swimming in the 400-meter Individual Medley. He was the first American to capture a gold medal in last summer’s games. He broke the world record in the same event at 1994 World Championships on his way to becoming World Champion. Tom also suffers from asthma, which he has to manage diligently in order to compete successfully at a world-class level. When did you first discover that you had asthma? TD: I was 12 years old. I was running outside in the cold and had tightness in my chest. This happened a couple of times. At first I didn’t think anything of it, but my doctor diagnosed it as asthma. What triggers your asthma? TD: Exercise is my main trigger. I also have allergies to the typical things – dust, leaf molds, pollen. My allergies and my breathing are worse during the fall and spring. Has your asthma remained stable over the years? TD: It has actually gotten worse, but it is still only really a problem when I exercise. Doctors have told me if I weren’t in a sport that took so much exertion, I wouldn’t have asthma to this degree. I get faster every year because I’m training at a higher rate and doing a more intense workout. But, because my asthma is triggered by exercise, it gets worse because of the higher intensity of that exercise. When did you start swimming competitively? TD: At around 5 years old. Did you also participate in other sports growing up? TD: As a kid, I played pretty much every sport possible. By high school though, I was just swimming and playing golf. Then, I stopped playing golf in my junior year in high school. Have there been many times when your performance in competition has been affected by your asthma? TD: I think that it’s always affected, although sometimes more than others. It depends where the meet is being held and what the air quality is in the pool and the surrounding area. There are a lot of different factors that can contribute to my asthma, such as the level of chlorine in the pool and the other types of chemicals being used. Almost everything in and around the pool is not good for my breathing. But doctors often recommend that asthmatics swim as a form of exercise since the warm, humid air is less likely to trigger their asthma. TD: Right, but they’re talking about a very different level of swimming. It’s good to exercise if you have asthma; exercise is encouraged at a recreational level. I think at an elite level, however, whether you’re an asthmatic or not, it’s difficult to keep up such a intense pace. The way I deal with it is that I try to do everything I can to control my asthma in terms of taking the appropriate medications and knowing my triggers. But beyond that, I try not to worry too much about my asthma when I go to meet. I’m there to swim and that’s what I worry about. At what point did the Olympics become a serious goal for you? TD: I think for any little kid growing up in a sport, it is always a goal to go to the Olympics and represent your country. It’s just a matter of when it can become a reality. That happened for me when I was about 15 or 16 years old. That is when I first thought I had a decent shot at making it. Was there ever a point when either your doctor or parents tried to discourage your vigorous approach to training because of your asthma? TD: If they tried, I wouldn’t have listened. In swimming, and in general, I’m a very competitive and determined person. Whatever I do 100 percent. There’s no half-way point for me and my parents know that. But, I think that’s no half-way point for me and my parents know that. But, I think that’s one of the reasons I’ve gotten to where I am today. I had a close relationship with my doctor, so he knows that also. That doesn’t mean, however, that I can’t still work hard to control my asthma. There have been times when other people have suggested that swimming isn’t the thing for me to be doing, but it’s what I love to do. What kind of asthma treatment plan do you use to control your asthma? TD: I take a inhaled bronchial steroid three times a day, which is an anti-inflammatory, preventative medication. I also use a bronchodilator and a nasal spray. Do you change your treatment plan prior to competition as you’re training harder? TD: Not really, I keep it fairy consistent. Prior to the Olympics, what was your training regimen and did you change it from what you had been doing for other events? TD: I actually kept it pretty much the same. Before a meet like the Olympics, I think you have to go with what you know and what you’ve done before. The circumstances before the Olympic trials were somewhat different, however, because I had chronic fatigue. But, except for that, I tried to stick to the same training regimen. I train in the water between four and five hours a day, along with "dry lands", lifting weights, medicine balls and things like that, of about an hour a day. Did you feel that the talk in the media, which favored you to win a gold medal, put additional pressure on you? TD: I think I’ve gotten used to that kind of outside pressure. I first made the national team when I was 17. When I was 18, I broke the world record in the 400-meter Individual Medley at the World Championships. From that point on, I was sort of pegged as the "young gun" of the US team. That was good in a way because it taught me to deal with the pressure, so I was used to it by the time the Olympis rolled around. Obviously though, it was still in the back of my mind that, as the world-record-holder I was expected to win. Also, having the Olympics in your home country brings additional pressure. In your first race at the Olympics, when you won the gold medal, did you know that you won as soon as you touched the wall? TD:Yes, I pretty much knew. I knew where everyone else was, and it was just a matter of getting my hand on the wall. That race was a tough experience for me. I felt terrible the whole time. I was definitely not 100 percent healthy at any time during the Olympics. But that also made it all the sweeter – to not have my best stuff and to have to dig down deep, and to still be able to win the gold medal. In addition to your asthma, do you think there were problems left over chronic fatigue? TD: It’s hard to tell. A large part of the problem was the air in Atlanta. It was really bad for me. It was so thick; there was so much humidity down there. It’s hard to tell whether the chronic fatigue played a role, too. Doctors don’t really know when it fully goes away, so it’s hard to know when your body is ready to go again. Are you planning to compete in the 2000 Olympics? TD: Yes, right now I am. I’m going to take it season by season. Right now I’m looking toward the world championships, which are next January in Perth, Australia. That is my next goal. As you look toward the world championships, will you do anything differently than you did for the Olympics, either in your training or asthma management? TD: Probably not. I have had success up to this point, so I’ll continue to train the way ‘ve been training. Hopefully, as far as the asthma is concerned, I can have a little better luck that I did in Atlanta. I went to Australia this past Christmas for training and the air is much, much better there. It’s a lot dryer. That should make a significant difference. You’re spokesperson for The American Lung Association, and you have just begun working with Rhone Polenc-Rhorer (RPR) Pharmaceuticals to help educate others with asthma. Why did you decide to get involved in the RPR Asthma Education Campaign? TD: It’s a great opportunity. Winning an Olympic gold medal puts me in a position to be a role model. In addition, because I accomplished that goal while dealing with asthma, I hope I can be a positive role model for asthmatics, particularly young kids.I am someone who struggles with asthma, as they do, and who has been able to go out there and accomplish his goals. If I can achieve my goals, then they can achieve their goals as well. We are going to go around the country from city to city talking to asthmatics and those involved with them, like coaches, doctors and family members, to provide education about the importance of controlling asthma. It’s an opportunity for me to be able to share my experience and hopefully shed a positive light on something that, unfortunately, isn’t so positive. Interview by Rachel Butler

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asthma not being controlled…

Question:

I have to deal with whoever is at Health Services at the time.

<snip No, I haven’t got much confidence in Health Services, but I’m at college and have no choice.

This is so true. Some years ago I was a member of the student health services of a *very* prestigious university with a *very* presitgious medical school. You would expect the *very* best of care. Unfortunately, you were at the mercy of the nurse at the front desk.  I went in one morning with a sore and inflamed eye that had kept me awake all night. Naturally, I registered to see someone in the ophthalmology area.  This seemed straightforward to me, but not to the keeper of the gate. She said "You must have been using some new eye makeup," and "Oh, you’ve just been rubbing it," and quite a number of other similar scientific observations for about ten minutes. She did not think I needed to see an eye doctor, or any doctor at all. I tried the broken record approach ("I’m not leaving until I see an eye doctor." Finally she harrumphed and signed my chit. It turns out that I had a sliver of steel embedded in my cornea. Emily M.

Response:

Most of your suggestions on treating asthma sound pretty damn arrogant, too.

duhhh…. "Evironmental control of allergens?" Gee, I certainly would like to tear the carpet out in my room and wear a bubble whenever I go outside. Unfortunately, I have to live my life.

What about tannic acid spray? It neutralizes the protein of dust mites and danders, and is just like spritzing air freshner or something. My daughter has asthma triggered by dust mites and noticed a change in her breathing when I sprayed her rug and all her stuffed animals. It only has to be done every 3 months or so. There are mildew retardant sprays, also, and other things which DO help environmentally. But, one MUST know what one is allergic to. Skin tests find this out.  "Anti leukoterine medications." It’s just Singulair. ..allergy shots." Can be given by a nurse at an allergist’s office and are not expensive. why don’t you give her some information that she will actually *use?*

Doesn’t seem all that useless to me. (I’m not a doctor, and neither are you.)

Neither am I. She can’t determine if she is going to use information she never gets. Meerkat

Response:

- Hide quoted text — Show quoted text – I have to deal with whoever is at Health Services at the time. <snip No, I haven’t got much confidence in Health Services, but I’m at college and have no choice. This is so true. Some years ago I was a member of the student health services of a *very* prestigious university with a *very* presitgious medical school. You would expect the *very* best of care. Unfortunately, you were at the mercy of the nurse at the front desk.

Not just the front desk – here it’s the revolving, mostly incompetent, doctors.  We have 5 doctors from the community, one for each day of the week.  They see patients from 8-9 am  and from 4-5 pm.  It’s on a first-come first-served basis, no appointments (except for the GYN clinic, but that’s due to the scheduling of it and the lack of female students here).  Luckily, my insurance covers doctors here, so I have "real" doctors who mostly do an excellent job.   There’s a reason the infirmary’s nickname here is "student death" – mostly because we believe you’re lucky they haven’t killed you when think they’re dying……. janet

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I have to deal with whoever is at Health Services at the time. When I get home for break in another week I’m seeing my normal provider. AS it is, because they decided I have mild pneumonia, they put my on erithromycin (sp?), though I had to go back and have them stop it because it was making my stomach so badly upset. Also on Flovent 44 but I haven’t started that yet cause I just got the perscription filled today. No, I haven’t got much confidence in Health Services, but I’m at college and have no choice. – Hide quoted text — Show quoted text – [deleted] : Now, the doctor at Health Services falls into the moron class, she refuses to : beleive inhaled steroids can have side effects, doesn’t know the new guidlines : for albuterol, and *insists* the peak flow chart gives an accurate personal : best for me (so that when I got 380 instead of the predicted 420 she wanted to : prescribe me inhaled steroids on the spot.) Luckily being 18, I can refuse : that. Which I realized when I put my foot down and got away with it. It would appear that you are not getting along with your doctor. This should be remedied, either by better communication, or by changing doctors, whichever is more practical.  Also, make sure that you are being treated by only _one_ doctor… I have experienced having more than one doctor treat me, and it just does not work—they all have their own ideas, and no memory as a collective. : Anyway, I intend to go back to them tomorrow, find the nurse who actually has : asthma, and try to talk her into giving me a peak flow inhaler and Intal (or : some other nonsteroid inhaler) until I get home for break and can see a : specialist. Hopefully that’s wise. Tho I can’t see that it’s worse than what : I’m doing now, which is taking albuterol when I absolutely have to (I get : really bad systemic effects even with a spacer) and frequently letting it go to : long, or than letting them put me on steroids. : *Do you people here think this is a good idea or not? : *Does anyone have any other suggestions for what I can do until I can get to : the specialist? Well, the steroids are not all that dangerous except in large quantities. They do require some care, persistance and adaptation (ie. you have to get used to the idea of the rinsing after use etc), but generally, they are quite safe.  You could, if your doctor thinks it reasonable, try the non-steroidals, but the fact that they are non-steroidal does not mean that they are all that much safer than the steroidal anti-inflammatories. They still have side-effects, just different ones.  I suspect that in any case, a few months on a steriod inhaler would probably be more pleasant than a week on prednisone, or worse, in hospital. You might want to talk to your doctor about the blood test (is that the RAST?) or other tests for allergies (especially if you are covered for such things by your health fund) before starting any therapy as it might tell you what you are presently reacting to.  I have found this to be important, as it meant that I could reduce my exposure to the allergens, and thus reduce my need for inhaled steroids.  Seeing as the steriods etc. are supposed to reduce inflammation, I would suspect that they can affect allergy test results. : *Does anyone know why my asthma would be getting so dramatically and : continously worse over a period of only a few months? This, you should be discussing with your doctor and/or specialist. There is a staggering number of tests (for allergies etc) which can be useful in finding the reason, although not always, and only the doctor treating you could guess as to which ones would be suitable (there are lots and lots and lots of tests they could waste much time doing). Cheers, Kin Hoong

– Emily …delete SPAMSTOP to email.

Response:

[deleted] : Now, the doctor at Health Services falls into the moron class, she refuses to : beleive inhaled steroids can have side effects, doesn’t know the new guidlines : for albuterol, and *insists* the peak flow chart gives an accurate personal : best for me (so that when I got 380 instead of the predicted 420 she wanted to : prescribe me inhaled steroids on the spot.) Luckily being 18, I can refuse : that. Which I realized when I put my foot down and got away with it. It would appear that you are not getting along with your doctor. This should be remedied, either by better communication, or by changing doctors, whichever is more practical.  Also, make sure that you are being treated by only _one_ doctor… I have experienced having more than one doctor treat me, and it just does not work—they all have their own ideas, and no memory as a collective. : Anyway, I intend to go back to them tomorrow, find the nurse who actually has : asthma, and try to talk her into giving me a peak flow inhaler and Intal (or : some other nonsteroid inhaler) until I get home for break and can see a : specialist. Hopefully that’s wise. Tho I can’t see that it’s worse than what : I’m doing now, which is taking albuterol when I absolutely have to (I get : really bad systemic effects even with a spacer) and frequently letting it go to : long, or than letting them put me on steroids. : *Do you people here think this is a good idea or not? : *Does anyone have any other suggestions for what I can do until I can get to : the specialist? Well, the steroids are not all that dangerous except in large quantities. They do require some care, persistance and adaptation (ie. you have to get used to the idea of the rinsing after use etc), but generally, they are quite safe.  You could, if your doctor thinks it reasonable, try the non-steroidals, but the fact that they are non-steroidal does not mean that they are all that much safer than the steroidal anti-inflammatories. They still have side-effects, just different ones.  I suspect that in any case, a few months on a steriod inhaler would probably be more pleasant than a week on prednisone, or worse, in hospital. You might want to talk to your doctor about the blood test (is that the RAST?) or other tests for allergies (especially if you are covered for such things by your health fund) before starting any therapy as it might tell you what you are presently reacting to.  I have found this to be important, as it meant that I could reduce my exposure to the allergens, and thus reduce my need for inhaled steroids.  Seeing as the steriods etc. are supposed to reduce inflammation, I would suspect that they can affect allergy test results. : *Does anyone know why my asthma would be getting so dramatically and : continously worse over a period of only a few months? This, you should be discussing with your doctor and/or specialist. There is a staggering number of tests (for allergies etc) which can be useful in finding the reason, although not always, and only the doctor treating you could guess as to which ones would be suitable (there are lots and lots and lots of tests they could waste much time doing). Cheers, Kin Hoong

Response:

Serevent is nothing but a long acting version of albuterol.  it does not treat asthma, it only suppresses the symptoms.

You pompous jerk. Serevent is not the same thing as the albuterol inhaler she’s taking. It is a bronchodilator, but two puffs of it a day can do wonders. If she’s only taking albuterol at this point and not willing to take a glucocorticosteroid inhaler (woo woo), Serevent sounds like the way to go (to me). Most of your suggestions on treating asthma sound pretty damn arrogant, too. "Evironmental control of allergens?" Gee, I certainly would like to tear the carpet out in my room and wear a bubble whenever I go outside. Unfortunately, I have to live my life. "Anti leukoterine medications…allergy shots." Colin, why don’t you give her some information that she will actually *use?* luv, Marc (I’m not a doctor, and neither are you.)

Response:

Most asthmatics don’t need to see a specialist. Was the prescription for inhaled steroids prompted by your history, exam, or the peakflow meter ? If you gave a history of frequent use of albuterol or were wheezing in the office, while claiming to be asymptomatic, then prescribing an anti-inflammatory was correct no matter what your peak flow at the time. From reading your post it is not clear that the doctors involved did anything inappropriate. It sounds to me like your concerns about inhaled steroids are based more on fear than facts. While it is true that all medicines have side effects, low to moderate doses of inhaled steroids are generally well tolerated by all but a few patients. When considering the side effects of medications one must take into account the effects of incomplete responses to the treatments and the resultant course of systemic steroids when an acute exacerbation occurs. The Intal that you request is a weak anti-inflammatory. It must be taken four times per day to be maximally effective. It is a rare individual that can remember to take a medicine this often consistently, even rarer among college students. If your asthma is mild enough to be controlled on Intal chances are you would only need low doses of inhaled steroids which are unlikely to produce lasting side effects. — Good Luck, CBI, M.D. – Hide quoted text — Show quoted text – [deleted] : Now, the doctor at Health Services falls into the moron class, she refuses to : beleive inhaled steroids can have side effects, doesn’t know the new guidlines : for albuterol, and *insists* the peak flow chart gives an accurate personal : best for me (so that when I got 380 instead of the predicted 420 she wanted to : prescribe me inhaled steroids on the spot.) Luckily being 18, I can refuse : that. Which I realized when I put my foot down and got away with it. It would appear that you are not getting along with your doctor. This should be remedied, either by better communication, or by changing doctors, whichever is more practical.  Also, make sure that you are being treated by only _one_ doctor… I have experienced having more than one doctor treat me, and it just does not work—they all have their own ideas, and no memory as a collective. : Anyway, I intend to go back to them tomorrow, find the nurse who actually has : asthma, and try to talk her into giving me a peak flow inhaler and Intal (or : some other nonsteroid inhaler) until I get home for break and can see a : specialist. Hopefully that’s wise. Tho I can’t see that it’s worse than what : I’m doing now, which is taking albuterol when I absolutely have to (I get : really bad systemic effects even with a spacer) and frequently letting it go to : long, or than letting them put me on steroids. : *Do you people here think this is a good idea or not? : *Does anyone have any other suggestions for what I can do until I can get to : the specialist? Well, the steroids are not all that dangerous except in large quantities. They do require some care, persistance and adaptation (ie. you have to get used to the idea of the rinsing after use etc), but generally, they are quite safe.  You could, if your doctor thinks it reasonable, try the non-steroidals, but the fact that they are non-steroidal does not mean that they are all that much safer than the steroidal anti-inflammatories. They still have side-effects, just different ones.  I suspect that in any case, a few months on a steriod inhaler would probably be more pleasant than a week on prednisone, or worse, in hospital. You might want to talk to your doctor about the blood test (is that the RAST?) or other tests for allergies (especially if you are covered for such things by your health fund) before starting any therapy as it might tell you what you are presently reacting to.  I have found this to be important, as it meant that I could reduce my exposure to the allergens, and thus reduce my need for inhaled steroids.  Seeing as the steriods etc. are supposed to reduce inflammation, I would suspect that they can affect allergy test results. : *Does anyone know why my asthma would be getting so dramatically and : continously worse over a period of only a few months? This, you should be discussing with your doctor and/or specialist. There is a staggering number of tests (for allergies etc) which can be useful in finding the reason, although not always, and only the doctor treating you could guess as to which ones would be suitable (there are lots and lots and lots of tests they could waste much time doing). Cheers, Kin Hoong

Response:

- Hide quoted text — Show quoted text – ok, just discovered tonight that my asthma is not controlled enough… was feeling like crap (pardon my language), and suddenly realized my chest was tight and I could not get a full deep breath (by a full deep breath, I mean a breath with more than just the top part of your lungs..I’m a French horn player, that’s what I was taught was the best deep breath, I’m sure any singers here have heard the same thing). I took my albuterol for it because all I HAVE is albuterol, and it cleared up. As most of you may recall, I had a real bad attack a week or two ago, from exercise; I haven’t gone back to excercising since then (it’s finals anyway now so they’re cutting off practices). A couple days ago I also got a bad attack from breathing smoke, that I had to take albuterol for. It seems like my asthma is getting worse and worse since when it was diagnosed this summer…I’m not sure if it’s moving to my dorm in Providence (from suburban Connecticut), or frequently triggering the exercise induced component of my asthma, or what, but it is. Now, the doctor at Health Services falls into the moron class, she refuses to beleive inhaled steroids can have side effects, doesn’t know the new guidlines for albuterol, and *insists* the peak flow chart gives an accurate personal best for me (so that when I got 380 instead of the predicted 420 she wanted to prescribe me inhaled steroids on the spot.) Luckily being 18, I can refuse that. Which I realized when I put my foot down and got away with it. Anyway, I intend to go back to them tomorrow, find the nurse who actually has asthma, and try to talk her into giving me a peak flow inhaler and Intal (or some other nonsteroid inhaler) until I get home for break and can see a specialist. Hopefully that’s wise. Tho I can’t see that it’s worse than what I’m doing now, which is taking albuterol when I absolutely have to (I get really bad systemic effects even with a spacer) and frequently letting it go to long, or than letting them put me on steroids. *Do you people here think this is a good idea or not?

Not a good idea. Why don’t you try the steroid inhaler recommended by the doctor, it certainly seems appropriate at Low Dose. Calling your doctor a moron is not helpful to solving the problem. If predicted peak flow is 420, your personal best is probably higher since you play a wind instrument; which means your actual peak flow is an even lower percent of normal. Side effects of steroids are dose dependent. The dose you get in a steroid inhaler is typically 30 times less than what you get with oral prednisone. Asthmatics who are successful in their asthma treatment stay off oral steroids by increasing their inhaled steroids during an exacerbation; which is still a smaller dose than going on prednisone. *Does anyone have any other suggestions for what I can do until I can get to the specialist? If they won’t give me a non-steroid one I’m going to just have to use albuterol, and I really hate doing that cause I shake for at least a half hour and am nervous just as long.

Try following the doctor’s suggestion for a change. I suspect she knows more about asthma than you and has probably treated many asthmatics. Most Mild and Moderate asthma is treated by a GP, not a specialist. I have Moderate asthma, for many years treated by a family doctor; under managed care referral to a specialist would normally come only after treatment by the GP fails to control the asthma; if you aren’t willing to co-operate and follow the GPs advice she may not refer you to a specialist You seem to have an irrational fear of steroids. True oral steroids like prednisone, when taken over long time periods, can have serious side effects; even High Dose inhaled steroids can have some side effects. But Low Dose inhaled steroids over a few weeks certainly shouldn’t have any significant side effects (but use spacer and rinse with water). There are consequences of not controlling your asthma during an exacerbation, including remodeling of the lungs leading to emphesema later in life. *Does anyone know why my asthma would be getting so dramatically and continously worse over a period of only a few months?

There are many possibilities; in my case a bad case of bronchitis appears to have caused some lung damage (remodeling?) bringing on perennial asthma, which was only seasonal before. Some of the winter triggers include cold dry air and viruses. Please let me know… — Emily

Emily, your best bet is to follow the recommendations in the Expert Panel Report 2 from National Inst. of Health. These have been frequently referenced in this NG. They would recommend you go on inhaled steroids–to control the inflammation of the bronchial tubes and prevent remodeling of the lungs. Other drugs could be tried, like Intal, but you first need to get the asthma under control–then see whether its possible to back off onto something like Intal. Using a Peak Flow Meter would be a good idea–you will need more inhaled steroids when peak flows drop below 80% of personal best. Good luck, Ellis

Response:

370 isn’t that scary…the predicted is only 420, because I’m 18, female, and only 5′4". Ran the numbers through my calculator, that’s an 88% of predicted. I was under the impression that 88% isn’t so bad. says… – Hide quoted text — Show quoted text – Take the steroids! I agree. You should really be taking something besides albuterol. If you absolutely won’t use an steroid inhaler (believe me, I use them sparingly for the same reasons as you), then I woould suggest using a long-term bronchodilator like Serevent. Right now you’re only treating your asthma *attacks*. It’s not going to get any better until you realize what’s required to properly control asthma, and it really sounds like you need to be taking a stronger med. Yes, your attacks may be triggered by the radiator. They may also be occuring more frequently due to the season. Unfortunately, there are some irritants which can’t be avoided. And a peak flow reading of 370 is downright scary. Good luck, Marc

– Emily …delete SPAMSTOP to email.

Response:

Emily, One of the best approaches to treating new asthma is overmedicate until control is achieved, then start reducing the meds until you’ve reach a control equilibrium. The bronchilators (long and short term) are a short term fix, because the underlying inflamation will only get worse and harder to treat.  Yes there are long term side effects, but thats mostly with the high dose inhaled corticosteriods and oral steroids over long periods of time.  AND there are long term side effects of not controlling asthma:  "airway remodelling" basically your airways become thick and lose their elasticity permanently. I would choose door number 1. So try a low dose corticosteriod (take 3-4 weeks) to work, see how you feel? You can always stop, no harm done.   To minimize your steroid exposure, always use a spacer and gargle after each dosage. Good Luck -Kevin

Response:

I agree. You should really be taking something besides albuterol. If you absolutely won’t use an steroid inhaler (believe me, I use them sparingly for the same reasons as you), then I woould suggest using a long-term bronchodilator like Serevent. Right now you’re only treating your asthma *attacks*. It’s not going to get any better until you realize what’s required to properly control asthma, and it really sounds like you need to be taking a stronger med.

Serevent is nothing but a long acting version of albuterol.  it does not treat asthma, it only suppresses the symptoms. What is needed is some form of treatment that affects causes rather than symptoms. Things to consider are: 1) Inhaled corticosteroids (you may not like them, but they are safer than uncontrolled asthma). 2) Environmental control of allergens (can help, but cannot be successful on its own). 3) Anti leukoterine medications (which are still not recommended as primary asthma therapy). 4) Desensitizations therapy (allergy shots). 5) Use of a mast cell stabilizer, such as Intal (considered to have few to no side effects, but frequently no effects either).

Response:

*Do you people here think this is a good idea or not? IMHO, you need to do whatever you have to do to keep your asthma under control. Have you tried contacting (or having someone) contact your specialist? They could call in a ’sript for you.

I haven’t got a specialist yet. A few more weeks, then I should. But in the meantime I’m in a pretty bad situation. – Hide quoted text — Show quoted text -*Does anyone have any other suggestions for what I can do until I can get to the specialist? If they won’t give me a non-steroid one I’m going to just have to use albuterol Have you tried rinsing out your mouth after taking the puffs? If you get the white residue on your tongue, it can make you VERY hyper. The spacer should help reduce this. My son uses Vanceril (Double strenght) as a preventive, and it works really well. *Does anyone know why my asthma would be getting so dramatically and continously worse over a period of only a few months? My sons asthma is triggered by allergies and/or colds. A runny noseis usually followed by increased symptoms. Maybe this is happening to you. I would suggest getting your OWN Peak flow and do it 3-4 times a day. If you fall belowe 10% of what the chart predicts, then take something. Often you can tell an episode is coming on, because you’ll see a slow decrease inyour peak flow. But you need to it regularly, not just at the office. Chris

– Emily …delete SPAMSTOP to email.

Response:

Take the steroids!

I agree. You should really be taking something besides albuterol. If you absolutely won’t use an steroid inhaler (believe me, I use them sparingly for the same reasons as you), then I woould suggest using a long-term bronchodilator like Serevent. Right now you’re only treating your asthma *attacks*. It’s not going to get any better until you realize what’s required to properly control asthma, and it really sounds like you need to be taking a stronger med. Yes, your attacks may be triggered by the radiator. They may also be occuring more frequently due to the season. Unfortunately, there are some irritants which can’t be avoided. And a peak flow reading of 370 is downright scary. Good luck, Marc

Response:

– Hide quoted text — Show quoted text – ok, just discovered tonight that my asthma is not controlled enough… was feeling like crap (pardon my language), and suddenly realized my chest was tight and I could not get a full deep breath (by a full deep breath, I mean a breath with more than just the top part of your lungs..I’m a French horn player, that’s what I was taught was the best deep breath, I’m sure any singers here have heard the same thing). I took my albuterol for it because all I HAVE is albuterol, and it cleared up. As most of you may recall, I had a real bad attack a week or two ago, from exercise; I haven’t gone back to excercising since then (it’s finals anyway now so they’re cutting off practices). A couple days ago I also got a bad attack from breathing smoke, that I had to take albuterol for. It seems like my asthma is getting worse and worse since when it was diagnosed this summer…I’m not sure if it’s moving to my dorm in Providence (from suburban Connecticut), or frequently triggering the exercise induced component of my asthma, or what, but it is. Now, the doctor at Health Services falls into the moron class, she refuses to beleive inhaled steroids can have side effects, doesn’t know the new guidlines for albuterol, and *insists* the peak flow chart gives an accurate personal best for me (so that when I got 380 instead of the predicted 420 she wanted to prescribe me inhaled steroids on the spot.) Luckily being 18, I can refuse that. Which I realized when I put my foot down and got away with it. Anyway, I intend to go back to them tomorrow, find the nurse who actually has asthma, and try to talk her into giving me a peak flow inhaler and Intal (or some other nonsteroid inhaler) until I get home for break and can see a specialist. Hopefully that’s wise. Tho I can’t see that it’s worse than what I’m doing now, which is taking albuterol when I absolutely have to (I get really bad systemic effects even with a spacer) and frequently letting it go to long, or than letting them put me on steroids. *Do you people here think this is a good idea or not? *Does anyone have any other suggestions for what I can do until I can get to the specialist? If they won’t give me a non-steroid one I’m going to just have to use albuterol, and I really hate doing that cause I shake for at least a half hour and am nervous just as long. *Does anyone know why my asthma would be getting so dramatically and continously worse over a period of only a few months?

Emily, asthma is an inflammatory disease.  The purpose of the inhaled steroids is to quell the inflammation.  Yes, they have side-effects, but nothing compared to the long-term damage caused by not controlling the inflammation and using albuterol as your primary medication.  Your asthma is getting worse because the inflammation isn’t controlled.  [See how this all hangs together?].  Take the steroids! Chris Owens

Response:

*Do you people here think this is a good idea or not?

IMHO, you need to do whatever you have to do to keep your asthma under control. Have you tried contacting (or having someone) contact your specialist? They could call in a ’sript for you. *Does anyone have any other suggestions for what I can do until I can get to the specialist? If they won’t give me a non-steroid one I’m going to just have to use albuterol

Have you tried rinsing out your mouth after taking the puffs? If you get the white residue on your tongue, it can make you VERY hyper. The spacer should help reduce this. My son uses Vanceril (Double strenght) as a preventive, and it works really well. *Does anyone know why my asthma would be getting so dramatically and continously worse over a period of only a few months?

My sons asthma is triggered by allergies and/or colds. A runny noseis usually followed by increased symptoms. Maybe this is happening to you. I would suggest getting your OWN Peak flow and do it 3-4 times a day. If you fall belowe 10% of what the chart predicts, then take something. Often you can tell an episode is coming on, because you’ll see a slow decrease inyour peak flow. But you need to it regularly, not just at the office. Chris

Response:

it is my first semester…didn’t someone say water heating could be bad? we have the old water radiator system… says… – Hide quoted text — Show quoted text – It seems like my asthma is getting worse and worse since when it was diagnosed this summer…I’m not sure if it’s moving to my dorm in Providence (from suburban Connecticut), or frequently triggering the exercise induced component of my asthma, or what, but it is. *Does anyone know why my asthma would be getting so dramatically and continously worse over a period of only a few months? Could it be something you are allergic to where you are living or in a classroom? Or has your diet changed? Is this your first semester at school? Perhaps the stress of being at school is contributing to it. ..diane

– Emily …delete SPAMSTOP to email.

Response:

Since you say you are having systemic reactions to an albuterol inhaler even with a spacer, ask your doctor to switch you to an atrovent inhaler. Atrovent is a bronchodialator which is not a beta stimulator. In the hospital I work in this is usual practice for patients who experience problems with albuterol.

Response:

It seems like my asthma is getting worse and worse since when it was diagnosed this summer…I’m not sure if it’s moving to my dorm in Providence (from suburban Connecticut), or frequently triggering the exercise induced component of my asthma, or what, but it is. *Does anyone know why my asthma would be getting so dramatically and continously worse over a period of only a few months?

Could it be something you are allergic to where you are living or in a classroom? Or has your diet changed? Is this your first semester at school? Perhaps the stress of being at school is contributing to it. ..diane

Response:

<snip I’m not a doctor, but I play one on TV.  Well, no, I don’t. I can understand your reluctance to use inhaled steroids, but if you use a low dosage of them, you do get fewer side effects.   You could try Singulair.  It doesn’t work for everyone, but if it worked for you, you could use it with a low dose of inhaled steroids.  Even if you don’t have many attacks, there is the risk of airways remodeling, which is permanent damage to the airways. Inhaled steroids can prevent that.   It’s a good idea to get your own peak flow meter.  My doc had me take my peak flow 3 times a day for two weeks to get an idea about what my personal best is.  From there, you can get a general idea of what your levels are.  I have found that my personal best is 370.  When my peak flow dips below 340, I have mild symptoms.  When I asked my doc about this (‘cuz technically I’m in my green zone when it’s 330), he told me to trust my perception, because he knows I’m very aware of my symptoms. Anyways, see a good doctor that knows about asthma.  The doc at your campus may not know about Singulair yet, especially if she’s a gp.  But you should see a doctor, ‘cuz if you’re having attacks and can’t exercise, you need more than just albuterol. Woodinat Joel: What do you want for Christmas, Crow? Crow: I wanna decide who lives and who dies Joel: Oh, I don’t know…

Response:

ok, just discovered tonight that my asthma is not controlled enough… was feeling like crap (pardon my language), and suddenly realized my chest was tight and I could not get a full deep breath (by a full deep breath, I mean a breath with more than just the top part of your lungs..I’m a French horn player, that’s what I was taught was the best deep breath, I’m sure any singers here have heard the same thing). I took my albuterol for it because all I HAVE is albuterol, and it cleared up. As most of you may recall, I had a real bad attack a week or two ago, from exercise; I haven’t gone back to excercising since then (it’s finals anyway now so they’re cutting off practices). A couple days ago I also got a bad attack from breathing smoke, that I had to take albuterol for. It seems like my asthma is getting worse and worse since when it was diagnosed this summer…I’m not sure if it’s moving to my dorm in Providence (from suburban Connecticut), or frequently triggering the exercise induced component of my asthma, or what, but it is. Now, the doctor at Health Services falls into the moron class, she refuses to beleive inhaled steroids can have side effects, doesn’t know the new guidlines for albuterol, and *insists* the peak flow chart gives an accurate personal best for me (so that when I got 380 instead of the predicted 420 she wanted to prescribe me inhaled steroids on the spot.) Luckily being 18, I can refuse that. Which I realized when I put my foot down and got away with it. Anyway, I intend to go back to them tomorrow, find the nurse who actually has asthma, and try to talk her into giving me a peak flow inhaler and Intal (or some other nonsteroid inhaler) until I get home for break and can see a specialist. Hopefully that’s wise. Tho I can’t see that it’s worse than what I’m doing now, which is taking albuterol when I absolutely have to (I get really bad systemic effects even with a spacer) and frequently letting it go to long, or than letting them put me on steroids. *Do you people here think this is a good idea or not? *Does anyone have any other suggestions for what I can do until I can get to the specialist? If they won’t give me a non-steroid one I’m going to just have to use albuterol, and I really hate doing that cause I shake for at least a half hour and am nervous just as long. *Does anyone know why my asthma would be getting so dramatically and continously worse over a period of only a few months? Please let me know… — Emily …delete SPAMSTOP to email.

Response:

new here and question about drug interactions

Question:

I’m taking Singulaire and a beta blocker (atenolol). There are cases where a person with asthma will also be taking a beta blocker. I’m one of those cases. I don’t find it cancels out my albuterol, which works just fine when I need a rescue medicine. BTW, I don’t suffer all of those unpleasant side effects from albuterol. Joan – Hide quoted text — Show quoted text – I agree. — Good Luck, CBI, M.D. I wrote to Ellis privately to explain this, but I have a very pronounced arrythmia and the beta-blocker, at this point is more necessary than any asthma meds. -Emily Emily wrote me explaining she doesn’t want to take any steroids; has tried theophylline, is now on Proventil albuterol tables, 4mg; and is taking a beta blocker (Atenolol) because she has arrythmia she thinks was caused by asthma medications. Emily, I want to reemphasize the point about beta blockers (Atenolol) and beta agonists (Proventil tablets) canceling each other out. http://www.rxlist.com/cgi/generic/albut1.htm albuterol (Proventil) Excerpt: "

Response:

I agree. — Good Luck, CBI, M.D. – Hide quoted text — Show quoted text – I wrote to Ellis privately to explain this, but I have a very pronounced arrythmia and the beta-blocker, at this point is more necessary than any asthma meds. -Emily Emily wrote me explaining she doesn’t want to take any steroids; has tried theophylline, is now on Proventil albuterol tables, 4mg; and is taking a beta blocker (Atenolol) because she has arrythmia she thinks was caused by asthma medications. Emily, I want to reemphasize the point about beta blockers (Atenolol) and beta agonists (Proventil tablets) canceling each other out. You mentioned you had heart beat irregularities when on theophylline. This can happen with any beta agonist bronchodilator; both theophylline and albuterol (Proventil) are in this class of drugs. The solution is cut back or go off the beta agonist, not add a beta blocker. The fact you presently have arrythmia is most likely caused by the side effect of the Proventil tabs you are now taking. See http://www.rxlist.com/cgi/generic/albut1.htm albuterol (Proventil) Excerpt: "Adverse Reactions: Oral Forms Tablets and Extended-Release Tablets: The adverse reactions to albuterol are similar in nature to those of other sympathomimetic agents. The most frequent adverse reactions to albuterol tablets were nervousness and tremor, with each occurring in approximately 20 of 100 patients (20%). Other reported reactions were headache, 7 of 100 patients (7%); tachycardia and palpitations, 5 of 100 patients (5%); muscle cramps, 3 of 100 patients (3%); insomnia, nausea, weakness, and dizziness, each occurred in 2 of 100 patients (2%). Drowsiness, flushing, restlessness, irritability, chest discomfort, and difficulty in micturition each occurred in fewer than 1 of 100 patients (less than 1%)." Note that the dose from an albuterol inhaler (Proventil/Ventolin) is much lower than the oral dose; 90 mcg (.09 mg) per puff versus 4 mg for the tablet. The side effects of most drugs are dose-dependent; the higher the dose the worse the side effects. Your high dose of albuterol is most likely what is causing your arrythmia/palpitations tachycardia. (theophylline could do this too, but not when you aren’t taking it). Now let’s check the side effects of Atenolol: http://www.rxlist.com/cgi/generic/atenolol.htm atenolol Excerpts: "Warnings: Bronchospastic Diseases: PATIENTS WITH BRONCHOSPASTIC DISEASE SHOULD, IN GENERAL, NOT RECEIVE BETA BLOCKERS. " Quoting from The Asthma Sourcebook, Francis Adams, MD "As a rule, all beta-blockers should be avoided by asthma patients." So conventional medicine would say the correct way to treat your asthma is to stop the high dose beta agonists (Proventil tabs or theophylline) and treat with other asthma drugs. If you still have arrythmia, treatment should be tried with cardiac drugs that are not beta-blockers. The conventional treatment for asthma is Low Dose inhaled steroids. I just want to point out that the side effects of steroids are dose-dependent. The inhaled steroids are typically 30 times smaller than the oral form (prednisone). Therefore Low Dose inhaled steroids are considered quite safe. In addition they help prevent lung remodeling which can lead to permanent lung damage as you get older. Using only Proventil allows the lung damage to continue to occur. There are some other nonsteroidal drugs that could be tried. The new drug Singulair would be a good candidate. Side effects are minimal in most patients. However most asthmatics end up using some inhaled steroids, but the minimum dose based on an Action Plan to adjust meds based on symptoms and peak flows. Ellis

Response:

I wrote to Ellis privately to explain this, but I have a very pronounced arrythmia and the beta-blocker, at this point is more necessary than any asthma meds. -Emily

Your problems are very complex, many different sorts of arrhythmias, some very serious, some of the drugs used to treat them have complex interactions with other meds. Even if someone here had the expertise to provide sound advice, the information you have provided is very sparse, partly out of neccessity as you have probably had some studies (ecg etc…) which we are not privy to. You need to discuss this with your current doc, get a second opinion or find another one altogether. There are just some things that cannot be dealt with appropriately or safely in this forum.

Response:

I wouldn’t consider a tremor a good enough reason to use a beta blocker in an asthmatic. I’d reserve them for cases where they’re the best drug available and lack of treatment with the drug carries risks for the patient. I think Volmax is one of the oral albuterol preparations. Most of the patient’s I’ve seen on the oral beta agonists had unacceptable side effects like tremors, tachycardia, and nervousness. – Hide quoted text — Show quoted text – Re your second sentence, "…all…oral beta agonists (…albuterol)", i didn’t realize there is an albuterol tablet.  Is that what you refer to?  I believe my mdi is albuterol. There is no doubt in my mind that if i use an albuterol MDI prior to running, i can sense the effects.  My strength is diminished, hills make the effect even more apparent, and i feel "wobbly".  I believe it is a cardiovascular effect, and after putting up with it for perhaps 5 minutes, it seems to diminish to insignificance.  It is far better to time Accolate one or two hours prior,  Azmacort at least 30 minutes prior, and avoid the albuterol MDI for an hour prior.  The accolate is far more effecting on an empty stomache (darn, timing an aerobic workout and the meds gets complicated!). Also, because of asthma, my doc (internal med) would not consider for a moment a beta blocker for a sometimes very annoying phenomena which I think is called "benign familial tremor".  If he is being overly cautious, i’d certainly like to have a citation from a peer reviewed source. Most inhaled beta agonists, when used with a spacer to prevent absorption by the stomach, are well tolerated and many patients use them with no cardiac effects. Cardiac effects are very common, however, on all of the oral beta agonists (Brethine, albuterol) and are very common with theophylline products. Columbia, SC http://www.midcarolina.org

Don Elton Columbia, SC http://www.midcarolina.org

Response:

- Hide quoted text — Show quoted text – Most inhaled beta agonists, when used with a spacer to prevent absorption by the stomach, are well tolerated and many patients use them with no cardiac effects. Cardiac effects are very common, however, on all of the oral beta agonists (Brethine, albuterol) and are very common with theophylline products. Don, Can you provide a reference to support your statement that beta blockers are well tolerated by asthmatics. I provided 2 references to the contrary in the previous post. (Dr. Francis Adams, and the PI for atenolol.)  Here is another: http://www.sunderland.ac.uk/~hs0dad/profile/atenolol/prec.htm Excerpt: "Beta blockers should not be given to patients with bronchospasm  or asthma or to those with a history of obstructive airway disease. This applies even if it is a cardioselective (beta 1) blocker. " From previous post http://www.rxlist.com/cgi/generic/atenolol.htm atenolol Excerpts: "Warnings: Bronchospastic Diseases: PATIENTS WITH BRONCHOSPASTIC DISEASE SHOULD, IN GENERAL, NOT RECEIVE BETA BLOCKERS. " Quoting from The Asthma Sourcebook, Francis Adams, MD "As a rule, all beta-blockers should be avoided by asthma patients."

These are not references from medical literature (journals) but opinions based upon these doctors interpretation of the literature. Important info but I can attest to the fact that some cardiologists consider asthma to be only a relative contraindication to beta blockers as long as monitored very closely initially.

Response:

Re your second sentence, "…all…oral beta agonists (…albuterol)", i didn’t realize there is an albuterol tablet.  Is that what you refer to?  I believe my mdi is albuterol. There is no doubt in my mind that if i use an albuterol MDI prior to running, i can sense the effects.  My strength is diminished, hills make the effect even more apparent, and i feel "wobbly".  I believe it is a cardiovascular effect, and after putting up with it for perhaps 5 minutes, it seems to diminish to insignificance.  It is far better to time Accolate one or two hours prior,  Azmacort at least 30 minutes prior, and avoid the albuterol MDI for an hour prior.  The accolate is far more effecting on an empty stomache (darn, timing an aerobic workout and the meds gets complicated!). Also, because of asthma, my doc (internal med) would not consider for a moment a beta blocker for a sometimes very annoying phenomena which I think is called "benign familial tremor".  If he is being overly cautious, i’d certainly like to have a citation from a peer reviewed source. – Hide quoted text — Show quoted text – Most inhaled beta agonists, when used with a spacer to prevent absorption by the stomach, are well tolerated and many patients use them with no cardiac effects. Cardiac effects are very common, however, on all of the oral beta agonists (Brethine, albuterol) and are very common with theophylline products. Columbia, SC http://www.midcarolina.org

Response:

- Hide quoted text — Show quoted text – Any doctor who prescribes this combination of beta agonist and beta blocker doesn’t know what he’s doing, correct me if I’m wrong. So I suggest you find a different doctor, you shouldn’t have to ‘educate’ your doctor this way. So your first priority is find a new doctor. Ellis As I noted elsewhere, there are patients in whom it may be desirable to use a beta blocker and a beta agonist simultaneously. Most beta blockers in use today are relatively beta-1 specific and have negligible effects on most asthmatics in most circumstances. Likewise, most beta agonists in use today are relatively beta-2 specific and are delivered directly to the site of action in high doses (i.e. inhaled) and have few systemic effects. Patients who might benefit from this combination would include patients with acute myocardial infarction where beta blockers have been proven to reduce mortality and limit size of infarct for example. So long as the physician monitoring the therapy is familiar with the potential problems and knows the patient well and monitors results closely it can be done safely when necessary. Problems tend to arise when one guy writes the beta blocker without any consideration of the potential effects on asthma (or sometimes even knowledge that the asthma exists) while someone else prescribes a beta agonist without knowledge of the need for the beta blocker – particularly a problem with the oral beta agonists since they’re pretty heavy in cardiac effects. These are all judgement calls though and can’t be answered in a general way by quoting from any textbook.

I stand corrected, in that my statement was too general. As you say there are cases where both drugs may be indicated; since the beta blocker can be beta 1 selective and the beta agonist beta2 selective. However in the case of the original poster, I stand by my advice that she shouldn’t be trying to counter the side effects of oral albuterol with beta blockers and large doses of Benedryl, but instead should be using a steroid inhaler as a long-acting preventor med. Ellis

Response:

Sorry for replying twice – my primary reference re: beta blockers tolerated in asthmatics is personal experience as a pulmonologist and emergency physician. It’s always a risk vs benefit choice that has to be individualized to the patient. Patients with poorly controlled asthma should generally not be on beta blockers unless there’s a high risk of death without them. This is similar to the admonition that people with diabetes shouldn’t be given steroids since the steroids will make blood sugars hard to control but I’ve taken care of bad asthmatics who are also bad diabetics and you just have to suck it up and take your chances sometimes having to admit them with ketoacidosis shortly after using steroids to rescue them from life threatening asthma. So long as the doctor knows the risks and what to monitor and knows the patient’s asthma situation one can safely use a beta blocker in an asthmatic for those cases where  the beta blocker is clearly needed (i.e. setting of acute MI for example) but one does have to do this carefully. Don Elton Columbia, SC http://www.midcarolina.org

Response:

Any doctor who prescribes this combination of beta agonist and beta blocker doesn’t know what he’s doing, correct me if I’m wrong. So I suggest you find a different doctor, you shouldn’t have to ‘educate’ your doctor this way. So your first priority is find a new doctor. Ellis

As I noted elsewhere, there are patients in whom it may be desirable to use a beta blocker and a beta agonist simultaneously. Most beta blockers in use today are relatively beta-1 specific and have negligible effects on most asthmatics in most circumstances. Likewise, most beta agonists in use today are relatively beta-2 specific and are delivered directly to the site of action in high doses (i.e. inhaled) and have few systemic effects. Patients who might benefit from this combination would include patients with acute myocardial infarction where beta blockers have been proven to reduce mortality and limit size of infarct for example. So long as the physician monitoring the therapy is familiar with the potential problems and knows the patient well and monitors results closely it can be done safely when necessary. Problems tend to arise when one guy writes the beta blocker without any consideration of the potential effects on asthma (or sometimes even knowledge that the asthma exists) while someone else prescribes a beta agonist without knowledge of the need for the beta blocker – particularly a problem with the oral beta agonists since they’re pretty heavy in cardiac effects. These are all judgement calls though and can’t be answered in a general way by quoting from any textbook.

Response:

- Hide quoted text — Show quoted text – Most inhaled beta agonists, when used with a spacer to prevent absorption by the stomach, are well tolerated and many patients use them with no cardiac effects. Cardiac effects are very common, however, on all of the oral beta agonists (Brethine, albuterol) and are very common with theophylline products. Most modern beta blockers (beta 1 selective agents) are also well tolerated by asthmatics but should certainly be used with care in patients with asthma and the patients should be chosen carefully based on their need for that particular class of agent and someone who is familiar with the patient’s asthma control should be monitoring them closely in those cases. Don Elton Columbia, SC

Don, Can you provide a reference to support your statement that beta blockers are well tolerated by asthmatics. I provided 2 references to the contrary in the previous post. (Dr. Francis Adams, and the PI for atenolol.)  Here is another: http://www.sunderland.ac.uk/~hs0dad/profile/atenolol/prec.htm Excerpt: "Beta blockers should not be given to patients with bronchospasm  or asthma or to those with a history of obstructive airway disease. This applies even if it is a cardioselective (beta 1) blocker. " From previous post http://www.rxlist.com/cgi/generic/atenolol.htm atenolol Excerpts: "Warnings: Bronchospastic Diseases: PATIENTS WITH BRONCHOSPASTIC DISEASE SHOULD, IN GENERAL, NOT RECEIVE BETA BLOCKERS. " Quoting from The Asthma Sourcebook, Francis Adams, MD "As a rule, all beta-blockers should be avoided by asthma patients." Ellis

Response:

I wrote to Ellis privately to explain this, but I have a very pronounced arrythmia and the beta-blocker, at this point is more necessary than any asthma meds. -Emily

Emily wrote me explaining she doesn’t want to take any steroids; has tried theophylline, is now on Proventil albuterol tables, 4mg; and is taking a beta blocker (Atenolol) because she has arrythmia she thinks was caused by asthma medications. Emily, I want to reemphasize the point about beta blockers (Atenolol) and beta agonists (Proventil tablets) canceling each other out. You mentioned you had heart beat irregularities when on theophylline. This can happen with any beta agonist bronchodilator; both theophylline and albuterol (Proventil) are in this class of drugs. The solution is cut back or go off the beta agonist, not add a beta blocker. The fact you presently have arrythmia is most likely caused by the side effect of the Proventil tabs you are now taking. See http://www.rxlist.com/cgi/generic/albut1.htm albuterol (Proventil) Excerpt: "Adverse Reactions: Oral Forms Tablets and Extended-Release Tablets: The adverse reactions to albuterol are similar in nature to those of other sympathomimetic agents. The most frequent adverse reactions to albuterol tablets were nervousness and tremor, with each occurring in approximately 20 of 100 patients (20%). Other reported reactions were headache, 7 of 100 patients (7%); tachycardia and palpitations, 5 of 100 patients (5%); muscle cramps, 3 of 100 patients (3%); insomnia, nausea, weakness, and dizziness, each occurred in 2 of 100 patients (2%). Drowsiness, flushing, restlessness, irritability, chest discomfort, and difficulty in micturition each occurred in fewer than 1 of 100 patients (less than 1%)." Note that the dose from an albuterol inhaler (Proventil/Ventolin) is much lower than the oral dose; 90 mcg (.09 mg) per puff versus 4 mg for the tablet. The side effects of most drugs are dose-dependent; the higher the dose the worse the side effects. Your high dose of albuterol is most likely what is causing your arrythmia/palpitations tachycardia. (theophylline could do this too, but not when you aren’t taking it). Now let’s check the side effects of Atenolol: http://www.rxlist.com/cgi/generic/atenolol.htm atenolol Excerpts: "Warnings: Bronchospastic Diseases: PATIENTS WITH BRONCHOSPASTIC DISEASE SHOULD, IN GENERAL, NOT RECEIVE BETA BLOCKERS. " Quoting from The Asthma Sourcebook, Francis Adams, MD "As a rule, all beta-blockers should be avoided by asthma patients." So conventional medicine would say the correct way to treat your asthma is to stop the high dose beta agonists (Proventil tabs or theophylline) and treat with other asthma drugs. If you still have arrythmia, treatment should be tried with cardiac drugs that are not beta-blockers. The conventional treatment for asthma is Low Dose inhaled steroids. I just want to point out that the side effects of steroids are dose-dependent. The inhaled steroids are typically 30 times smaller than the oral form (prednisone). Therefore Low Dose inhaled steroids are considered quite safe. In addition they help prevent lung remodeling which can lead to permanent lung damage as you get older. Using only Proventil allows the lung damage to continue to occur. There are some other nonsteroidal drugs that could be tried. The new drug Singulair would be a good candidate. Side effects are minimal in most patients. However most asthmatics end up using some inhaled steroids, but the minimum dose based on an Action Plan to adjust meds based on symptoms and peak flows. Ellis

Response:

Most inhaled beta agonists, when used with a spacer to prevent absorption by the stomach, are well tolerated and many patients use them with no cardiac effects. Cardiac effects are very common, however, on all of the oral beta agonists (Brethine, albuterol) and are very common with theophylline products. Most modern beta blockers (beta 1 selective agents) are also well tolerated by asthmatics but should certainly be used with care in patients with asthma and the patients should be chosen carefully based on their need for that particular class of agent and someone who is familiar with the patient’s asthma control should be monitoring them closely in those cases. Don Elton Columbia, SC http://www.midcarolina.org

Response:

- Hide quoted text — Show quoted text – I’m posting to ask if anyone here has had any experiences with weird drug interactions similar to the ones I’ve been having for the past several months. For the most part, the only asthma treatment I use is a Proventil inhaler PRN, except when I go back home to Central Texas, in which case I absolutely can’t breathe unless I use the inhaler every 4 hours, plus Proventil tablets twice a day, and usually some form of Prednisone. I can’t remember to use my Intal inhalers, since I generally don’t have much of a problem except when I go home. The need to use your rescue inhaler, Proventil (albuterol), more than once/day indicates the need to add or increase your steroid inhaler, typically Pulmicort, Flovent, Vanceril DS, Azmacort, Aerobid. Intal is a weak bronchodilator which needs to be used 3-4x/day,

Correction, I meant to say Intal is a weak anti-inflammatory drug. The steroid inhalers are much stronger anti-inflammatories.  most – Hide quoted text — Show quoted text – asthmatics are better and more conveniently controlled with twice a day use of one of the above steroid inhalers. Oral steroids like prednisone should only be used for serious exacerbations or when the steroid inhalers are not sufficient. Lately, however, the New England climate has been doing a real number on me – not just my asthma, but other allergies as well. I got to the point where, in order to be able to sleep at night, I was taking 4 Benadryl Allegy/Sinus tablets, a Proventil 25 mg tablet, two puffs on a Combivent inhaler, and a 25 mg Atenolol tablet – most of which was to combat side effects produced by everything else I was taking: the Benadryl was necessary to prevent yet more sinus infections, but it dried me up enough to make me wheeze, so the Combivent was also necessary, but that aggravated my irregular heartbeat, so I had to up the dose on my beta-blocker, which kept me awake, which would be why I was taking 4 Benadryl instead of two…Of course, by this time, my nervous system was completely shot, so finally I stopped taking everything but the beta-blocker, which has led to more sinus infections, but at least I’m not shaking too much to  sit and do my homework now. However, I can’t breathe for at least five minutes after I get to my classes, and I have to frequently stop to catch my breath on my skating lessons, so this is not an ideal situation. Benadryl–4 tabs, You are overdosing on this highly sedative  antihistamine, a dangerous thing for asthmatics to do. If  taking for sinus problems there are better drugs. It doesn’t  treat infections. Sinusitis is often treated with steroid nasal sprays, saline washes, antibiotics. Proventil 25 mg tablet–I don’t think so. Probably mean 4 mg tablets. This is oral bronchodilator; side effects are insomnia and heart palpitations–this is a poor drug choice to control asthma. Steroid inhalers are what is generally recommended.Alubuterol doesn’t treat the inflammation and can lead to permanent lung remodeling. Steroid inhalers are what treat the inflammation and prevent remodeling. Atenolol–a beta blocker. Asthmatics shouldn’t take beta blockers since a side effect is they cause asthma.

Additional info–The primary asthma rescue drug, albuterol (Proventil)  is a beta agonist, ie it stimulates the beta receptors in the bronchial tubes to aid in bronchodialtion. When you take a beta blocker like  Atenolol, you are preventing the beta receptors from being stimulated,  thus canceling out the effect of the beta agonist. Any doctor who prescribes this combination of beta agonist and beta blocker doesn’t know what he’s doing, correct me if I’m wrong. So I suggest you find a different doctor, you shouldn’t have to ‘educate’ your doctor this way. So your first priority is find a new doctor. You can look up the prescribing info at www.rxlist.com see Adverse Reactions. Ellis – Hide quoted text — Show quoted text – Combivent–this a combination albuterol/Atrovent inhaler prescribed for COPD. Asthmatics should generally use plain albuterol inhaler, unless they have some emphesema, like from smoking.  Has anyone else had any experience with this? My inhalers have never bothered me like this in the past, but I think this is happening because I’d rarely had to use one since I’ve been up in New England. I’ve also noticed a rather scary trend of my asthma getting worse everytime I go  home – after two days back, I have to stop for about 5 minutes to breathe just when walking across our kitchen! Last January, it was so bad that my mother, who is severly arthritic and needed a walker at the time, could walk across a parking lot faster than I could :-( The earliest that I’ll be able to talk to my doctor about this would be late December, but in the mean time, what do y’all think? -Emily Emily, you need to see a good asthma doctor ASAP. In fact most GPs could do a much better job than this. You need to throw most of your drugs out and start over. Also suggest you learn some more about asthma and how it should be treated. You could start out by reading : http://www.radix.net/~mwg/asthma-gen.html  alt.support.asthma FAQ First priority is stop the beta blocker and get a steroid inhaler. Ellis

Response:

I wrote to Ellis privately to explain this, but I have a very pronounced arrythmia and the beta-blocker, at this point is more necessary than any asthma meds. -Emily

Response:

I’m new on this newsgroup, though not new to the ‘Net, and certainly not to the subject of asthma – I was diagnosed with it before I was a year old, and have lived with it for 22 years now. I’m posting to ask if anyone here has had any experiences with weird drug interactions similar to the ones I’ve been having for the past several months. For the most part, the only asthma treatment I use is a Proventil inhaler PRN, except when I go back home to Central Texas, in which case I absolutely can’t breathe unless I use the inhaler every 4 hours, plus Proventil tablets twice a day, and usually some form of Prednisone. I can’t remember to use my Intal inhalers, since I generally don’t have much of a problem except when I go home. Lately, however, the New England climate has been doing a real number on me – not just my asthma, but other allergies as well. I got to the point where, in order to be able to sleep at night, I was taking 4 Benadryl Allegy/Sinus tablets, a Proventil 25 mg tablet, two puffs on a Combivent inhaler, and a 25 mg Atenolol tablet – most of which was to combat side effects produced by everything else I was taking: the Benadryl was necessary to prevent yet more sinus infections, but it dried me up enough to make me wheeze, so the Combivent was also necessary, but that aggravated my irregular heartbeat, so I had to up the dose on my beta-blocker, which kept me awake, which would be why I was taking 4 Benadryl instead of two…Of course, by this time, my nervous system was completely shot, so finally I stopped taking everything but the beta-blocker, which has led to more sinus infections, but at least I’m not shaking too much to  sit and do my homework now. However, I can’t breathe for at least five minutes after I get to my classes, and I have to frequently stop to catch my breath on my skating lessons, so this is not an ideal situation. Has anyone else had any experience with this? My inhalers have never bothered me like this in the past, but I think this is happening because I’d rarely had to use one since I’ve been up in New England. I’ve also noticed a rather scary trend of my asthma getting worse everytime I go  home – after two days back, I have to stop for about 5 minutes to breathe just when walking across our kitchen! Last January, it was so bad that my mother, who is severly arthritic and needed a walker at the time, could walk across a parking lot faster than I could :-( The earliest that I’ll be able to talk to my doctor about this would be late December, but in the mean time, what do y’all think? -Emily

Response:

I’m new on this newsgroup, though not new to the ‘Net, and certainly not to the subject of asthma – I was diagnosed with it before I was a year old, and have lived with it for 22 years now. I’m posting to ask if anyone here has had any experiences with weird drug interactions similar to the ones I’ve been having for the past several months. For the most part, the only asthma treatment I use is a Proventil inhaler PRN, except when I go back home to Central Texas, in which case I absolutely can’t breathe unless I use the inhaler every 4 hours, plus Proventil tablets twice a day, and usually some form of Prednisone. I can’t remember to use my Intal inhalers, since I generally don’t have much of a problem except when I go home.

The need to use your rescue inhaler, Proventil (albuterol), more than once/day indicates the need to add or increase your steroid inhaler, typically Pulmicort, Flovent, Vanceril DS, Azmacort, Aerobid. Intal is a weak bronchodilator which needs to be used 3-4x/day, most asthmatics are better and more conveniently controlled with twice a day use of one of the above steroid inhalers. Oral steroids like prednisone should only be used for serious exacerbations or when the steroid inhalers are not sufficient. – Hide quoted text — Show quoted text – Lately, however, the New England climate has been doing a real number on me – not just my asthma, but other allergies as well. I got to the point where, in order to be able to sleep at night, I was taking 4 Benadryl Allegy/Sinus tablets, a Proventil 25 mg tablet, two puffs on a Combivent inhaler, and a 25 mg Atenolol tablet – most of which was to combat side effects produced by everything else I was taking: the Benadryl was necessary to prevent yet more sinus infections, but it dried me up enough to make me wheeze, so the Combivent was also necessary, but that aggravated my irregular heartbeat, so I had to up the dose on my beta-blocker, which kept me awake, which would be why I was taking 4 Benadryl instead of two…Of course, by this time, my nervous system was completely shot, so finally I stopped taking everything but the beta-blocker, which has led to more sinus infections, but at least I’m not shaking too much to  sit and do my homework now. However, I can’t breathe for at least five minutes after I get to my classes, and I have to frequently stop to catch my breath on my skating lessons, so this is not an ideal situation.

Benadryl–4 tabs, You are overdosing on this highly sedative  antihistamine, a dangerous thing for asthmatics to do. If  taking for sinus problems there are better drugs. It doesn’t  treat infections. Sinusitis is often treated with steroid nasal sprays, saline washes, antibiotics. Proventil 25 mg tablet–I don’t think so. Probably mean 4 mg tablets. This is oral bronchodilator; side effects are insomnia and heart palpitations–this is a poor drug choice to control asthma. Steroid inhalers are what is generally recommended.Alubuterol doesn’t treat the inflammation and can lead to permanent lung remodeling. Steroid inhalers are what treat the inflammation and prevent remodeling. Atenolol–a beta blocker. Asthmatics shouldn’t take beta blockers since a side effect is they cause asthma. Combivent–this a combination albuterol/Atrovent inhaler prescribed for COPD. Asthmatics should generally use plain albuterol inhaler, unless they have some emphesema, like from smoking.  Has anyone else had any experience with this? My inhalers have never bothered me like this in the past, but I think this is happening because I’d rarely had to use one since I’ve been up in New England. I’ve also noticed a rather scary trend of my asthma getting worse everytime I go  home – after two days back, I have to stop for about 5 minutes to breathe just when walking across our kitchen! Last January, it was so bad that my mother, who is severly arthritic and needed a walker at the time, could walk across a parking lot faster than I could :-( The earliest that I’ll be able to talk to my doctor about this would be late December, but in the mean time, what do y’all think? -Emily

Emily, you need to see a good asthma doctor ASAP. In fact most GPs could do a much better job than this. You need to throw most of your drugs out and start over. Also suggest you learn some more about asthma and how it should be treated. You could start out by reading : http://www.radix.net/~mwg/asthma-gen.html  alt.support.asthma FAQ First priority is stop the beta blocker and get a steroid inhaler. Ellis

Response:

Hi to you!

Question:

I have some questions to do if it would be okey? I am asthmatic and I have very bad hyperreactivity and cronic rhinit and my question is that: Why some asthmatic are not react against smells,type: parfymes,shavingwaters,parfymeated hygienproducts,cleaning-products…,smoke, and other chemical things with odors? And others do? Or are these two different deaseses? Like I have heard called:Brittle-asthma or parfyme-allergy? Is there anyone who could help me find some articles of these subjects? I am heavely medicated and cannot go out among people so often and I always having more difficult asthma directly.   You are welcome to send information for me as soon as

Response:

I have some questions to do if it would be okey? I am asthmatic and I have very bad hyperreactivity and cronic rhinit and my question is that: Why some asthmatic are not react against smells,type: parfymes,shavingwaters,parfymeated hygienproducts,cleaning-products…,smoke, and other chemical things with odors? And others do? Or are these two different deaseses? Like I have heard called:Brittle-asthma or parfyme-allergy?

Asthma triggers vary from individual to individual.  Things that bother you may not bother another asthmatic and things that bother another asthmatic may not bother you. Without going into the technical details, asthma is considered an inflamitory disease of the airways, and this process of inflamation results in your bronchial airways becoming hyper-responsive to stimulation.  Many many things with strong odors are also irritating to the airways, normally this is no problem – unless you have asthma and your airways are hyper-responsive. One of my favorite beginners introduction to asthma is: ‘The Asthma Sourcebook’ By Francis V. Adams M.D. It is generally available at the larger bookstores  (or at any of the online bookstores). If you are already familiar with the basics, you can go to: http://www.nhlbi.nih.gov/nhlbi/lung/asthma/prof/asthgdln.htm And download the 1997 Asthma Treatment Guidelines.  IMO this is an awsome source of trustworthy information on asthma.

Response:

Natural Remedies

Question:

- Hide quoted text — Show quoted text – Can you provide some sort of documentation that describes the dosage variation in active ingredients of say 5 herbs to say, the first standard deviation?  If you cannot do this can you show _why_ you believe that the variation in dosage is "nominal"" For crying out loud, I am NOT a chemist, and I believe this is true simply for 2 reasons, number one: My books say so (in far more words than this, but…); and two: how much deviation do YOU think I would find from one mg of ground leaf, to another mg of ground leaf? Uh, I take it that you don’t know what a ’standard deviation’ is. I’ll rephrase my question in layman’s terms:  What is the percenatge of variation (min/max) in active of the specefic herb tested.  And what is the confidence factor that any one sample will fall within that range?

I don’t know, and neither do you. Thank God. Otherwise the damn thing would cost my $40 ever time I wanted to take a garlic pill to boost my immunity. <grin  Can you define ‘boost’?

Boost=increase? ya think? I am not a scientist who has done thousande of double-blind studies to determine this or that about the herbs I use. I use them and they work for me. If you want to call thie placebo effect, then so be it, but they work for me and my wife and that is enough for me. And it sounds like your ‘research’ has consisted of reading books by herbal proponents and reading the advertising form herbal marketers.

It’s all in books. Some from the library, others from the bookstore, but it’s all there for the taking. I am not a ’scientist’ either, but I can still research and understand the work that real scientists have done.

I doubt Bell or Pastuer was considered much of a scientist in his day, and I know they took natural remedies for their ailments. Hmmm… that’s an interesting thought. Hey, we agree. Real basic, but you left out the part of why I told you to look there. Alph receptors, real basic cellular anatomy and physiology. Don’t try to take my comments out of context, that is rude. Fine, but why did your research stop there?  Have you ever tried to validate the claims made by herbal proponents using more advanced references?

Well, that will be great just as soon as I open my million dollar lab. Hey, do you have a mill or two I can borrow? So why do I want these effects systemically when I can yous pharmicuticals that do not produce these systemic effects? I have no idea why you would want to. I only rebuffed your previous comment about asthama and alph/beta receptors. Giving info that supports my beliefe obviously does not sit well with you. Actually, since you did not post a source I am unable to look up the reference.

The one I use most is Chevallier’s "Encyclopedia of Medicinal Plants"; I have others, but you’d never find them. This one is still on the shelves. There are many unproven aspects to asthma and its origins. If you believe that you know all the reasons why asthma affects us, please share your wisdom. Yes, there are – but the real doctors and scientists admit what they do not know.  Just because science hasn’t proven the cause of asthma (although there is stron evidence that it may be due to a genetic defect in the part of a chormosone that controls the immune system) dosn’t mean that we should ignore what is _known_ about asthma in pursuit of quack cures.

Quack cures? Just because you don’t happen to subscribe to herbal treatment does not make them quackery. They are effective for a tremendous number of ailments. You know it, you just don’t want to admit it. – Hide quoted text — Show quoted text – Have you ever taken ventolin? It affects the central nervous system as well in a tremendous number of people. It stimulates cardiac and respiratory centers. It relaxes the smooth muscle, but it does not appear to be nearly as beta-2 specific as sceince would have me believe. Actually it is very Beta2 specific.  The problem is that there are Beta2 receptors in the heart and cardiovasculor (sp?) system. Fortunately the lungs have a high percentage of Beta2 receptor sites and the heart has a low percentage.  That is why i stated that the drug is intended to minimize side effects.  (BTW, there is a new drug undergoing testing that may reduce side effects still further – I don’t think we will see it for several years when all the tests are completed). You seem to have assumed that albuterol (Ventolin is a brand name) is not Beta2-specific without checking the facts.

You have no idea what I know. Do not assume facts not in evidence. I have a bs in cardiopulm science and am working for my md in pulmonology from there I plan to go into homeopathy. Do not assume anything about me. That would be a grave error. – Hide quoted text — Show quoted text – As stated in a previous post, many plants act synergistically within themselves: that is, one active constituent produces an effect, while if the whole plant is taken, there is a greater effect. I know that you have stated that, but you have not given me your source.  Can you please provide some sort of reference for this claim? Didn’t I ask for a reference the first time you said this anyway? Offhand: 1)  Knowing that the drug has actually been tested to verify that it is safe and effective for its intended usage.  (And that this testing had been validated by outside agencies). Validated by more than a thousand years’ testing in the best lab in the world. Tested by the same people who felt that bloodletting and arsenic were effective medical techniques?  People who felt that bathing was ‘unhealthy’?

I don’t thik they would have much more to do with than you do. The ones that tested it are the ones searching for any sort of help and found it when they tried this or that. They then passed this info down to their children etc. Much the same way the Gospel came to us. This is not testing.  This is nothing more than folklore. 2)  Full disclosure of side effects, contraindications and contents for the pharmicutical. It’s all in books. How can we know that we can trust the books?  And why should I have to buy a book to get safety information for a drug anyway?  With a pharmicutical the safety information is (by law) available upon request.  (And as an asthmatics trash basket can attest – we frequently get it even if we do not ask for it.)

How can we know to trust books…. Hmmm… there is an element of faith in everything we do in every day of our life. I never met a amn named Ceasar, but there are many books that attest to his existance. In the same fashion there are many books which purport the same facts about different herbs and plants. These herbs and plants have been tested by many thousands of people. They worked for them and they have worked for me. 3)  Precise, repeatable and verifiable dosage levels. Even the dosage of aspirin in a tablet varies. Minutely, but it varies. Want to compare the variations in actual dosage between herbs and pharmicuticals?  (Assuming that reliable information on dosage information is availablr for herbs).

I have already stated that there are variations and that they will vary to a greater degree than manufactered chemicals, but, and I hope you are not foolish enough not to believe this, even your aspirin varies in the amount of drug it delivers.  4)  No ‘extra’ components – which means less possibility ofcross-reactions and side effects. Best start doing your own refining so you KNOW you’re not getting anything you don’t want. Not practical.  Besides do you have any real evidence that pharmicuticals are adulterated?  Or is this just innuendo?

Heat denatures proteins, this we know. Do you know what effects heat and other refining processes have on the chemicals and their bonds? I honestly know little about the refining process except that it is usually a chemical process. – Hide quoted text — Show quoted text – ‘Reply to’ address changed to foil email spammers.

Response:

Tested by the same people who felt that bloodletting and arsenic were effective medical techniques?

Actually, bloodletting was the standard treatment by the established medical doctors in the late 1700’s.  You won’t learn it in school, but George Washington died that way. He came down with a cold and nasty sore throat, and from the standard treatment, they basically bled him to death.

Response:

- Hide quoted text — Show quoted text – …..snipped There is truth to that, but foods are medicines. Only if they are being used as medicines rather than food.  If you are using food for nutrition then all you are doing is providing yourself with the appropiate carbos, protiens, vitamins etc. That is simply not true. Just because you eat something as a food and not as a medicine does not defer it’s effects. If that line of reasoning held true, I could eat anything I want (say a cup of deadly nightshade as a flavor enhancer to my chicken) and not worry about it, but it would likely stop my heart, right after it cleared my sinuses.

Yes, and as I understand it the Natural Health concept is also to do with a ‘healty’ diet that provides all the necessaary vitamins and minerals in order to maintain the immune system at its optimum so that infections and desease can be dealt with at an early stage without the needs for heavy reliance on drugs (or even herbs). The use of dietary supplements is not preferred over having a balanced diet as  the later is more effective (will include many more compounds that science has yet to isolate and/or understand the importance of, all of which interact to produce enhanced immunity).   The same could apply to the taking  of herbs verus manufactured medicines. Dave

Response:

Can you provide some sort of documentation that describes the dosage variation in active ingredients of say 5 herbs to say, the first standard deviation?  If you cannot do this can you show _why_ you believe that the variation in dosage is "nominal"" For crying out loud, I am NOT a chemist, and I believe this is true simply for 2 reasons, number one: My books say so (in far more words than this, but…); and two: how much deviation do YOU think I would find from one mg of ground leaf, to another mg of ground leaf?

Uh, I take it that you don’t know what a ’standard deviation’ is. I’ll rephrase my question in layman’s terms:  What is the percenatge of variation (min/max) in active of the specefic herb tested.  And what is the confidence factor that any one sample will fall within that range? Thank God. Otherwise the damn thing would cost my $40 ever time I wanted to take a garlic pill to boost my immunity.

<grin  Can you define ‘boost’?   I am not a scientist who has done thousande of double-blind studies to determine this or that about the herbs I use. I use them and they work for me. If you want to call thie placebo effect, then so be it, but they work for me and my wife and that is enough for me.

And it sounds like your ‘research’ has consisted of reading books by herbal proponents and reading the advertising form herbal marketers. I am not a ’scientist’ either, but I can still research and understand the work that real scientists have done. Hey, we agree. Real basic, but you left out the part of why I told you to look there. Alph receptors, real basic cellular anatomy and physiology. Don’t try to take my comments out of context, that is rude.

Fine, but why did your research stop there?  Have you ever tried to validate the claims made by herbal proponents using more advanced references? So why do I want these effects systemically when I can yous pharmicuticals that do not produce these systemic effects? I have no idea why you would want to. I only rebuffed your previous comment about asthama and alph/beta receptors. Giving info that supports my beliefe obviously does not sit well with you.

Actually, since you did not post a source I am unable to look up the reference.   There are many unproven aspects to asthma and its origins. If you believe that you know all the reasons why asthma affects us, please share your wisdom.

Yes, there are – but the real doctors and scientists admit what they do not know.  Just because science hasn’t proven the cause of asthma (although there is stron evidence that it may be due to a genetic defect in the part of a chormosone that controls the immune system) dosn’t mean that we should ignore what is _known_ about asthma in pursuit of quack cures. Have you ever taken ventolin? It affects the central nervous system as well in a tremendous number of people. It stimulates cardiac and respiratory centers. It relaxes the smooth muscle, but it does not appear to be nearly as beta-2 specific as sceince would have me believe.

Actually it is very Beta2 specific.  The problem is that there are Beta2 receptors in the heart and cardiovasculor (sp?) system. Fortunately the lungs have a high percentage of Beta2 receptor sites and the heart has a low percentage.  That is why i stated that the drug is intended to minimize side effects.  (BTW, there is a new drug undergoing testing that may reduce side effects still further – I don’t think we will see it for several years when all the tests are completed). You seem to have assumed that albuterol (Ventolin is a brand name) is not Beta2-specific without checking the facts. As stated in a previous post, many plants act synergistically within themselves: that is, one active constituent produces an effect, while if the whole plant is taken, there is a greater effect.

I know that you have stated that, but you have not given me your source.  Can you please provide some sort of reference for this claim? Didn’t I ask for a reference the first time you said this anyway? Offhand: 1)  Knowing that the drug has actually been tested to verify that it is safe and effective for its intended usage.  (And that this testing had been validated by outside agencies). Validated by more than a thousand years’ testing in the best lab in the world.

Tested by the same people who felt that bloodletting and arsenic were effective medical techniques?  People who felt that bathing was ‘unhealthy’? This is not testing.  This is nothing more than folklore. 2)  Full disclosure of side effects, contraindications and contents for the pharmicutical. It’s all in books.

How can we know that we can trust the books?  And why should I have to buy a book to get safety information for a drug anyway?  With a pharmicutical the safety information is (by law) available upon request.  (And as an asthmatics trash basket can attest – we frequently get it even if we do not ask for it.) 3)  Precise, repeatable and verifiable dosage levels. Even the dosage of aspirin in a tablet varies. Minutely, but it varies.

Want to compare the variations in actual dosage between herbs and pharmicuticals?  (Assuming that reliable information on dosage information is availablr for herbs).  4)  No ‘extra’ components – which means less possibility ofcross-reactions and side effects. Best start doing your own refining so you KNOW you’re not getting anything you don’t want.

Not practical.  Besides do you have any real evidence that pharmicuticals are adulterated?  Or is this just innuendo? ‘Reply to’ address changed to foil email spammers.

Response:

- Hide quoted text — Show quoted text – …..snipped There is truth to that, but foods are medicines. Only if they are being used as medicines rather than food.  If you are using food for nutrition then all you are doing is providing yourself with the appropiate carbos, protiens, vitamins etc. That is simply not true. Just because you eat something as a food and not as a medicine does not defer it’s effects. If that line of reasoning held true, I could eat anything I want (say a cup of deadly nightshade as a flavor enhancer to my chicken) and not worry about it, but it would likely stop my heart, right after it cleared my sinuses. Yes, and as I understand it the Natural Health concept is also to do with a ‘healty’ diet that provides all the necessaary vitamins and minerals in order to maintain the immune system at its optimum so that infections and desease can be dealt with at an early stage without the needs for heavy reliance on drugs (or even herbs). The use of dietary supplements is not preferred over having a balanced diet as  the later is more effective (will include many more compounds that science has yet to isolate and/or understand the importance of, all of which interact to produce enhanced immunity).   The same could apply to the taking  of herbs verus manufactured medicines. Dave

Thank you sir. I agree COMPLETELY! Health is far MORE than this pill versus THAT pill. Far more than chemical versus herbal. The person is more than a body, but also a mind and spirit which all need to be attended to when the body or mind or spirit is ill.

Response:

dose (usually). Although there are variations in concentrations, the variance is nominal. Can you provide some sort of documentation that describes the dosage variation in active ingredients of say 5 herbs to say, the first standard deviation?  If you cannot do this can you show _why_ you believe that the variation in dosage is "nominal""

For crying out loud, I am NOT a chemist, and I believe this is true simply for 2 reasons, number one: My books say so (in far more words than this, but…); and two: how much deviation do YOU think I would find from one mg of ground leaf, to another mg of ground leaf? Theraputic effect differs from one person to another. One person may need 1000 mg acetaminophen to relieve headache, while another may require 1500… varying dosage requirements. Yes, I know, not all meds, and hence herbs, require such variances. Yes, but I _know_ that I am getting 1000mg or 1500mg of medication (unlike pharmicutical companies, plants do not use statistical process control).

Thank God. Otherwise the damn thing would cost my $40 ever time I wanted to take a garlic pill to boost my immunity. No, because scientists are interested in isolation of the single compound responsible for the effect. They do not look at the whole, they want this part or that part, so there is no body of evidence to support this claim, but it is what I have seen. So how do you know that what you have seen is accurate?  I am beginning to suspect that you are assuming that your beliefs are ‘facts.’

I am not a scientist who has done thousande of double-blind studies to determine this or that about the herbs I use. I use them and they work for me. If you want to call thie placebo effect, then so be it, but they work for me and my wife and that is enough for me. I do not need scientific studies, try Gray’s anatomy. A telling comment.  Why aren’t you using a better source for biochemical information?  Gray’s is _real_ basic and dosen’t cover the necessary detail to really understand biochemical reactions.

Hey, we agree. Real basic, but you left out the part of why I told you to look there. Alph receptors, real basic cellular anatomy and physiology. Don’t try to take my comments out of context, that is rude.  The effect of an alpha stimulant, say racemic epi, is well documented. It stimulates the alpha receptors (nonspefically) and causes and increase in cardiac and respiratory rates along with an increase in diastolic and systolic pressure due to an increase in pre- and after- loads, due to vascular constriction. The effect is the same in the pulmonary system as it is systemically. So why do I want these effects systemically when I can yous pharmicuticals that do not produce these systemic effects?

I have no idea why you would want to. I only rebuffed your previous comment about asthama and alph/beta receptors. Giving info that supports my beliefe obviously does not sit well with you. Beta agonists are "_better_" for relaxation of bronchial smooth muscle, but there has been a swing in thinking about asthma (refer to BMJ on asthma conference) concerning the role of vasular engourgement and leaking membranes, which might be controlled by alpha stimulation. Note the key word you used here: "might."  Are you really proposing that asthma treatment rely on an unproven theory?

There are many unproven aspects to asthma and its origins. If you believe that you know all the reasons why asthma affects us, please share your wisdom. – Hide quoted text — Show quoted text –  It was not a "disatisfaction" with herbal remedies that spurred scientists to delve further into anatomy. It was witnessed that certain herbal remedies had different effects, these effects were studied, the scientists then extracted the compound responsible for the effect. From there they found that there are different receptors that, when stimulated, result in different effects. They then developed different chemical compounds to selectively stimulate those receptors. Yes, this is what happened.  Then they developed artifical versions of the relevant chemicals that had enhanced benefical effects and reduced side effects. The basic problem with a herbal remedy it that you have to take a systemic dosage in order to get your topical dose.  In addition herbal remedies tend to act on all the alpha/beta receptor sites rather than just the ones reguired.

Have you ever taken ventolin? It affects the central nervous system as well in a tremendous number of people. It stimulates cardiac and respiratory centers. It relaxes the smooth muscle, but it does not appear to be nearly as beta-2 specific as sceince would have me believe. That is simply not true. Just because you eat something as a food and not as a medicine does not defer it’s effects. If that line of reasoning held true, I could eat anything I want (say a cup of deadly nightshade as a flavor enhancer to my chicken) and not worry about it, but it would likely stop my heart, right after it cleared my sinuses. Do you consider deadly nightshade to be a ‘food?’  I certinally don’t!

And again you have taken my comment out of context. I did not say they do not have side effects, but that they are rare. There is a reason for this, the doses recommended are smaller than those you would find in a chemical couterpart. As I would hope you know, most side effects are dose related, as are mose therputic effects. But is the recommended dose the theraupidic dose?  Identical chemical compounds are going to have identical effects on the human body in identical amounts.  So 8mg of ephedirne taken in the form of ma huang is going to have the same effects as 8mg of epihedrine taken as a pill.

Probably not, as there is a refining process to the pill, though the same 8 mg of the herb might produce the same effect as the refined chemical product. As stated in a previous post, many plants act synergistically within themselves: that is, one active constituent produces an effect, while if the whole plant is taken, there is a greater effect. Chemistry, yes, but if I take an herb versus a chemical, what is the difference? Think about it. Offhand: 1)  Knowing that the drug has actually been tested to verify that it is safe and effective for its intended usage.  (And that this testing had been validated by outside agencies).

Validated by more than a thousand years’ testing in the best lab in the world. 2)  Full disclosure of side effects, contraindications and contents for the pharmicutical.

It’s all in books. 3)  Precise, repeatable and verifiable dosage levels.

Even the dosage of aspirin in a tablet varies. Minutely, but it varies.  4)  No ‘extra’ components – which means less possibility ofcross-reactions and side effects.

Best start doing your own refining so you KNOW you’re not getting anything you don’t want. – Hide quoted text — Show quoted text – ‘Reply to’ address changed to foil email spammers.

Response:

dose (usually). Although there are variations in concentrations, the variance is nominal.

Can you provide some sort of documentation that describes the dosage variation in active ingredients of say 5 herbs to say, the first standard deviation?  If you cannot do this can you show _why_ you believe that the variation in dosage is "nominal"" Theraputic effect differs from one person to another. One person may need 1000 mg acetaminophen to relieve headache, while another may require 1500… varying dosage requirements. Yes, I know, not all meds, and hence herbs, require such variances.

Yes, but I _know_ that I am getting 1000mg or 1500mg of medication (unlike pharmicutical companies, plants do not use statistical process control). No, because scientists are interested in isolation of the single compound responsible for the effect. They do not look at the whole, they want this part or that part, so there is no body of evidence to support this claim, but it is what I have seen.

So how do you know that what you have seen is accurate?  I am beginning to suspect that you are assuming that your beliefs are ‘facts.’ I do not need scientific studies, try Gray’s anatomy.

A telling comment.  Why aren’t you using a better source for biochemical information?  Gray’s is _real_ basic and dosen’t cover the necessary detail to really understand biochemical reactions.  The effect of an alpha stimulant, say racemic epi, is well documented. It stimulates the alpha receptors (nonspefically) and causes and increase in cardiac and respiratory rates along with an increase in diastolic and systolic pressure due to an increase in pre- and after- loads, due to vascular constriction. The effect is the same in the pulmonary system as it is systemically.

So why do I want these effects systemically when I can yous pharmicuticals that do not produce these systemic effects?   Beta agonists are "_better_" for relaxation of bronchial smooth muscle, but there has been a swing in thinking about asthma (refer to BMJ on asthma conference) concerning the role of vasular engourgement and leaking membranes, which might be controlled by alpha stimulation.

Note the key word you used here: "might."  Are you really proposing that asthma treatment rely on an unproven theory?  It was not a "disatisfaction" with herbal remedies that spurred scientists to delve further into anatomy. It was witnessed that certain herbal remedies had different effects, these effects were studied, the scientists then extracted the compound responsible for the effect. From there they found that there are different receptors that, when stimulated, result in different effects. They then developed different chemical compounds to selectively stimulate those receptors.

Yes, this is what happened.  Then they developed artifical versions of the relevant chemicals that had enhanced benefical effects and reduced side effects.   The basic problem with a herbal remedy it that you have to take a systemic dosage in order to get your topical dose.  In addition herbal remedies tend to act on all the alpha/beta receptor sites rather than just the ones reguired. That is simply not true. Just because you eat something as a food and not as a medicine does not defer it’s effects. If that line of reasoning held true, I could eat anything I want (say a cup of deadly nightshade as a flavor enhancer to my chicken) and not worry about it, but it would likely stop my heart, right after it cleared my sinuses.

Do you consider deadly nightshade to be a ‘food?’  I certinally don’t! I did not say they do not have side effects, but that they are rare. There is a reason for this, the doses recommended are smaller than those you would find in a chemical couterpart. As I would hope you know, most side effects are dose related, as are mose therputic effects.

But is the recommended dose the theraupidic dose?  Identical chemical compounds are going to have identical effects on the human body in identical amounts.  So 8mg of ephedirne taken in the form of ma huang is going to have the same effects as 8mg of epihedrine taken as a pill. Chemistry, yes, but if I take an herb versus a chemical, what is the difference? Think about it.

Offhand: 1)  Knowing that the drug has actually been tested to verify that it is safe and effective for its intended usage.  (And that this testing had been validated by outside agencies). 2)  Full disclosure of side effects, contraindications and contents for the pharmicutical. 3)  Precise, repeatable and verifiable dosage levels. 4)  No ‘extra’ components – which means less possibility of cross-reactions and side effects. ‘Reply to’ address changed to foil email spammers.

Response:

Yes, amount of active constituent differs, but not so widely as you would have me believe, not to mention that the doses are not so highly concentrated as they are with chemical manufactured meds. So you can take more with less worry. So how do you know you are getting the proper dosage?  Of course you have to use more in order to get the therapudic effect.  The problem is that the larger the amount of herb you consume the larger the dosage variation.

There really is no problem for someone who knows what he is doing. I’m no expert, and I don’t know it all, but it’s all in books and I have several. The recommendations on dosage are contained therein indicating what would be the appropriate dose for a therputic effect. Just like with chemical meds, it may not always work with the dose prescribed, and a larger dose may be required — the larger the patient, the larger the dose (usually). Although there are variations in concentrations, the variance is nominal. I’ll stick with the stuff where I _know_ that I am getting the exact dosage required for the therapudic effect and no more.

Theraputic effect differs from one person to another. One person may need 1000 mg acetaminophen to relieve headache, while another may require 1500… varying dosage requirements. Yes, I know, not all meds, and hence herbs, require such variances. – Hide quoted text — Show quoted text – Actually, most herbal concotions have been demonstrated _not_ to be both safe and effective for the diseases folklore has them treating. I have no idea where you are getting your info on this. Try going to a Medline server and doing a keyword search using ‘asthma’ and the name of the herb.  You will get abstracts of the actual scientific studies. and it is the synthesis that removes many of the healthful benefits you would get from taking the whole plant. It is common that the constituents of a plant acting in combination and producing a synergistic effect is what produces the desired medicinal effects rather than one part of the same as the scientists believe. Can you validate this?  Can you produce scientific studies where the ‘natural’ versions were demonstrated to be safer and more effective than the pharmicuticals?  I have heard this clam a lot and so far nobody has been able to provide supporting evidence.

No, because scientists are interested in isolation of the single compound responsible for the effect. They do not look at the whole, they want this part or that part, so there is no body of evidence to support this claim, but it is what I have seen. However, alph-1 receptors are within the airways also and respond to the stimulant effects of some herbs. Alpha receptors control imflamation (basically). When stimulated, blood vessels constrict and produce a decrease in imflammation. The Beta-2 stimulants produce a relaxation of bronchial smooth muscle which surrounds the outside of the bronchi and does nothing to decrease the interior inflammation. Can you provide some scientific studies demonstrating this?  Also the inflamation that causes asthma attacks is much more complicated than your example would indicate.

I do not need scientific studies, try Gray’s anatomy. The effect of an alpha stimulant, say racemic epi, is well documented. It stimulates the alpha receptors (nonspefically) and causes and increase in cardiac and respiratory rates along with an increase in diastolic and systolic pressure due to an increase in pre- and after- loads, due to vascular constriction. The effect is the same in the pulmonary system as it is systemically. Another thing to remember is that the inhaled B2 agonists are _better_ than the herbs as they have fewer side-effects.  They are inhaled topically (requiring a smaller dose) and are designed to work on the beta receptor sites that occur most frequently in lung tissue.  It was disatisfication with the side effects of the herbal (and herbal derived) stimulants that led to the development of the B2 agonist.

Beta agonists are "_better_" for relaxation of bronchial smooth muscle, but there has been a swing in thinking about asthma (refer to BMJ on asthma conference) concerning the role of vasular engourgement and leaking membranes, which might be controlled by alpha stimulation. It was not a "disatisfaction" with herbal remedies that spurred scientists to delve further into anatomy. It was witnessed that certain herbal remedies had different effects, these effects were studied, the scientists then extracted the compound responsible for the effect. From there they found that there are different receptors that, when stimulated, result in different effects. They then developed different chemical compounds to selectively stimulate those receptors. There is truth to that, but foods are medicines. Only if they are being used as medicines rather than food.  If you are using food for nutrition then all you are doing is providing yourself with the appropiate carbos, protiens, vitamins etc.

That is simply not true. Just because you eat something as a food and not as a medicine does not defer it’s effects. If that line of reasoning held true, I could eat anything I want (say a cup of deadly nightshade as a flavor enhancer to my chicken) and not worry about it, but it would likely stop my heart, right after it cleared my sinuses. There is a vast amount of research available from other sources rather than having to go do it yourself. The manufacturer of herbs is God. He made it, others just grind it up and package it. Side effects of herbs are rare as they are, in fact, food items. Can you document this or are you quoting somebodys promotional material?  The claim that ‘natural’ drugs do not have side effects is simply not true.

I did not say they do not have side effects, but that they are rare. There is a reason for this, the doses recommended are smaller than those you would find in a chemical couterpart. As I would hope you know, most side effects are dose related, as are mose therputic effects. You are going to get the same effects (and side effects) from a drug whether you get it from a herb or a pill.  The laws of chemistry are not held in abeyance for herbal products.

Chemistry, yes, but if I take an herb versus a chemical, what is the difference? Think about it. – Hide quoted text — Show quoted text – ‘Reply to’ address changed to foil email spammers.

Response:

Oh, please. You’re talking about the way the plant looks, not how it works, or the amount of medical constituent contained therein. For the most part, the medicinal elemts in plants are similar from plant tomplant. There are variations, of course, but the variations are minimal from plant to plant. There are, however, wide variations from one part of the plant to another. It is commonly known that the root typically carries the strongest portion of the active medicinal constituents. – Hide quoted text — Show quoted text – Herbs are grown to similar standards all across the country around the world. Anyone who’s ever eaten at a salad bar has evidence in front of them to the contrary. Scott T."hat plus some of us are *ALLERGIC* to ‘natural’ treatments."

Response:

Yes, amount of active constituent differs, but not so widely as you would have me believe, not to mention that the doses are not so highly concentrated as they are with chemical manufactured meds. So you can take more with less worry.

So how do you know you are getting the proper dosage?  Of course you have to use more in order to get the therapudic effect.  The problem is that the larger the amount of herb you consume the larger the dosage variation. I’ll stick with the stuff where I _know_ that I am getting the exact dosage required for the therapudic effect and no more. Actually, most herbal concotions have been demonstrated _not_ to be both safe and effective for the diseases folklore has them treating. I have no idea where you are getting your info on this.

Try going to a Medline server and doing a keyword search using ‘asthma’ and the name of the herb.  You will get abstracts of the actual scientific studies. and it is the synthesis that removes many of the healthful benefits you would get from taking the whole plant. It is common that the constituents of a plant acting in combination and producing a synergistic effect is what produces the desired medicinal effects rather than one part of the same as the scientists believe.

Can you validate this?  Can you produce scientific studies where the ‘natural’ versions were demonstrated to be safer and more effective than the pharmicuticals?  I have heard this clam a lot and so far nobody has been able to provide supporting evidence. However, alph-1 receptors are within the airways also and respond to the stimulant effects of some herbs. Alpha receptors control imflamation (basically). When stimulated, blood vessels constrict and produce a decrease in imflammation. The Beta-2 stimulants produce a relaxation of bronchial smooth muscle which surrounds the outside of the bronchi and does nothing to decrease the interior inflammation.

Can you provide some scientific studies demonstrating this?  Also the inflamation that causes asthma attacks is much more complicated than your example would indicate. Another thing to remember is that the inhaled B2 agonists are _better_ than the herbs as they have fewer side-effects.  They are inhaled topically (requiring a smaller dose) and are designed to work on the beta receptor sites that occur most frequently in lung tissue.  It was disatisfication with the side effects of the herbal (and herbal derived) stimulants that led to the development of the B2 agonist. There is truth to that, but foods are medicines.

Only if they are being used as medicines rather than food.  If you are using food for nutrition then all you are doing is providing yourself with the appropiate carbos, protiens, vitamins etc. There is a vast amount of research available from other sources rather than having to go do it yourself. The manufacturer of herbs is God. He made it, others just grind it up and package it. Side effects of herbs are rare as they are, in fact, food items.

Can you document this or are you quoting somebodys promotional material?  The claim that ‘natural’ drugs do not have side effects is simply not true. You are going to get the same effects (and side effects) from a drug whether you get it from a herb or a pill.  The laws of chemistry are not held in abeyance for herbal products. ‘Reply to’ address changed to foil email spammers.

Response:

- Hide quoted text — Show quoted text – 1) Purity and repeatibility.  Prescription medications are manufactured to much tighter quality control standards and always give the exact same amount of medication per dose.  A herbal remedy can vary widely in potency from dose to dose. Herbs are grown to similar standards all across the country and world. Though the potency may vary based on amount of nutrients received duting the growing phase, the amount of the herb received per dose is within fairly tight limits based solely on the amount of medication one can compact into a capsule, or amount of a tsp, tblsp, cup, etc. The problem is that the amount of active ingredient (the chemical that provides the effect) can be different from plant to plant and even leaf to leaf.  Until somebody figures out how to provide repeatable dosages of active ingredients in herbal form you will continue to get random dosages of the drugs.

Yes, amount of active constituent differs, but not so widely as you would have me believe, not to mention that the doses are not so highly concentrated as they are with chemical manufactured meds. So you can take more with less worry. – Hide quoted text — Show quoted text – Although there are certain restrictions when taking prescription drugs, herbal/plant medications are generally much safer to take than prescription and OTC meds. If you want to know how they work, read a book or two. If you want to know the possible side effects or drug interactions, do a little research. As I said, do not blindly take anyone’s advice. How can they be ’safer’ if you are getting unknown dosages of unknown chemicals?  My example here is ethenica (sp?) that is claimed to be a ’safe’ herb but is dangerous when used in combination with common asthma medications. Also, this information is _not_ available with a ‘little’ research. it took me three days to find this fact.  And as I stated previously, I still don’t know what else is in the herb!

Well, again, you are wrong about this. The caffeic acids you refer to are echinacoside and cynarin. other constituents of echinacae are as follows: Alkamides (mostly isobutylamides with olefinic and acetylenic bonds) Polysaccharides, volatile oil (humulene), echinolone and betaine. This information is available to my fingertips from one book, and is confirmed by three other books I have in my possession that I purchased recently. This info IS easy to find, if you are willing to look in the right place. Herbal/plant remedies have been tested over the past several thousand years and are generally much safer to take than most other meds. Manay have been studied recently in clinical trials at leading universities and have been found to be effective for exactly what homeopaths and herbalists have prescibed them for, for the past several thousand years. Actually, most herbal concotions have been demonstrated _not_ to be both safe and effective for the diseases folklore has them treating.

I have no idea where you are getting your info on this. Many herbs have been found to contain chemicals which are useful in treating disease.  Cromyln sodium (Intal) and theophylline are two examples of this.  These drugs are now manufactured synthetically for reasons of quality control, and precise consistant dosing.

and it is the synthesis that removes many of the healthful benefits you would get from taking the whole plant. It is common that the constituents of a plant acting in combination and producing a synergistic effect is what produces the desired medicinal effects rather than one part of the same as the scientists believe. Ephedrine is an example of a ‘natural’ herb that has been replaced by a safer and more effective synthetic (the B-2 agnoists). The biggest thing about herbal remedies for asthma is that they all rely on the use of systemic stimulants as bronchiodilators.  These tend to have greater side effects than prescription medications, the strength varies from dose to dose, and they do nothing to control airways inflamation.

However, alph-1 receptors are within the airways also and respond to the stimulant effects of some herbs. Alpha receptors control imflamation (basically). When stimulated, blood vessels constrict and produce a decrease in imflammation. The Beta-2 stimulants produce a relaxation of bronchial smooth muscle which surrounds the outside of the bronchi and does nothing to decrease the interior inflammation. However, the information is available if you want to take advantage of it. If you feel it necessary to know the exact chemical makeup of the herb/plant you are taking, the info is available; however, you will eat many other plants that have medicinal effects without knowing exactly what is in it: ginger, horseradish, cabbige, thyme, rosemary, etc. etc. The information is _not_ easilly available.  As I have discovered when researching various herbal; ‘remedies’ for asthma. The moment you start using a food item for medical effects you should be aware of the exact chemicals you are using.  There is a big difference in the quantity you consume when something is used as a spice and the amount when it is used as a medicine.

There is truth to that, but foods are medicines. Anyway, the consumer should not have to spend hours researching the effects and safety of a product before using it.  The manufactuer should make this information available as part of the packaging.  Not just the names of the herbs but the names and quantitys of the active and inactive ingredients.  In addition they should list the side effects and all know contraindications.

There is a vast amount of research available from other sources rather than having to go do it yourself. The manufacturer of herbs is God. He made it, others just grind it up and package it. Side effects of herbs are rare as they are, in fact, food items. It is only in abuse that cases occur. Atropa belladonna, aka deadly nightshade, has tropane alkaloids contained therein, from which man has extracted atropine. Much like atropine, belladonna can be easily abused, and can be fatal if not taken in the proper amount. One example. Many others, but most plants are not that strong in their actions. – Hide quoted text — Show quoted text – Until this occurs, there is no way to be resonably certian as to the safety of any herbal product. ‘Reply to’ address changed to foil email spammers.

Response:

- Hide quoted text — Show quoted text – I suggest to you that every time you go to the doctor you are taking your life and health in your own hands. I work in a hospital and see the completely rediculous things md’s do. not all are quacks, but more than a few are. This is why I suggest that all asthmatics read a couple of books on asthma.  I have been seen by excellent doctors and really bad doctors. If your doctor tells you something that seems to contradict what you know, ask him to explain it to you.  If he is either unable to unwilling to explain it then find another doctor. Anyway, who would you regard as more likley to be a reliable source of asthma advice – a doctor or a high-school student working in a ‘health-foods’ store?

Personally, neither. I don’t trust ANYone when it comes to my health. If the doc prescribes something, I investigate it and my own illness before I will even take it. If I am looking for a particular herb that claims to do this or that, I research it to make sure the claim is at least valid, and then I get what I want and do not trust ANYone working in the bloody store. – Hide quoted text — Show quoted text –

Response:

Herbs are grown to similar standards all across the country around the world.

Anyone who’s ever eaten at a salad bar has evidence in front of them to the contrary. Scott T."hat plus some of us are *ALLERGIC* to ‘natural’ treatments."

Response:

1) Purity and repeatibility.  Prescription medications are manufactured to much tighter quality control standards and always give the exact same amount of medication per dose.  A herbal remedy can vary widely in potency from dose to dose. Herbs are grown to similar standards all across the country and world. Though the potency may vary based on amount of nutrients received duting the growing phase, the amount of the herb received per dose is within fairly tight limits based solely on the amount of medication one can compact into a capsule, or amount of a tsp, tblsp, cup, etc.

The problem is that the amount of active ingredient (the chemical that provides the effect) can be different from plant to plant and even leaf to leaf.  Until somebody figures out how to provide repeatable dosages of active ingredients in herbal form you will continue to get random dosages of the drugs. Although there are certain restrictions when taking prescription drugs, herbal/plant medications are generally much safer to take than prescription and OTC meds. If you want to know how they work, read a book or two. If you want to know the possible side effects or drug interactions, do a little research. As I said, do not blindly take anyone’s advice.

How can they be ’safer’ if you are getting unknown dosages of unknown chemicals?  My example here is ethenica (sp?) that is claimed to be a ’safe’ herb but is dangerous when used in combination with common asthma medications. Also, this information is _not_ available with a ‘little’ research. it took me three days to find this fact.  And as I stated previously, I still don’t know what else is in the herb! Herbal/plant remedies have been tested over the past several thousand years and are generally much safer to take than most other meds. Manay have been studied recently in clinical trials at leading universities and have been found to be effective for exactly what homeopaths and herbalists have prescibed them for, for the past several thousand years.

Actually, most herbal concotions have been demonstrated _not_ to be both safe and effective for the diseases folklore has them treating. Many herbs have been found to contain chemicals which are useful in treating disease.  Cromyln sodium (Intal) and theophylline are two examples of this.  These drugs are now manufactured synthetically for reasons of quality control, and precise consistant dosing. Ephedrine is an example of a ‘natural’ herb that has been replaced by a safer and more effective synthetic (the B-2 agnoists). The biggest thing about herbal remedies for asthma is that they all rely on the use of systemic stimulants as bronchiodilators.  These tend to have greater side effects than prescription medications, the strength varies from dose to dose, and they do nothing to control airways inflamation. However, the information is available if you want to take advantage of it. If you feel it necessary to know the exact chemical makeup of the herb/plant you are taking, the info is available; however, you will eat many other plants that have medicinal effects without knowing exactly what is in it: ginger, horseradish, cabbige, thyme, rosemary, etc. etc.

The information is _not_ easilly available.  As I have discovered when researching various herbal; ‘remedies’ for asthma. The moment you start using a food item for medical effects you should be aware of the exact chemicals you are using.  There is a big difference in the quantity you consume when something is used as a spice and the amount when it is used as a medicine. Anyway, the consumer should not have to spend hours researching the effects and safety of a product before using it.  The manufactuer should make this information available as part of the packaging.  Not just the names of the herbs but the names and quantitys of the active and inactive ingredients.  In addition they should list the side effects and all know contraindications. Until this occurs, there is no way to be resonably certian as to the safety of any herbal product. ‘Reply to’ address changed to foil email spammers.

Response:

As stated in the original post, this is merely suggested possibuilities. I am not a doctor, nor a homeopath. I am merely a person who has decided that doctors have very little idea of what they do to patients. Many medicines prescribed in the hospital are derived from plants, why not bypass al the middle men and get the drug the way it was meant to be taken, naturally, herbal? These remedies are, as posted, suggested routes of treatment. If you want to know more about them, buy the book. – Hide quoted text — Show quoted text – I have several possibilities for you; however, this is not professional medical advice, but my opinion: 1. Make and infusion using 15 grams of netle and 15 grams of thyme with 2. Make an infusion with 2 heaping tsp of German chamomile to 1 cup of 4. make a decoction of Baical skullcap and take up to 2 cups a day. 5. take 1 tsp of tincture of Crampbark with water up to 8 times a day 6. Take 2 to 3 tablets or capsules (totalling 500-600 mg) Echinacea, or I have a concern as to what the active ingredients of these herbal remedies are.  In addition I would like to know what the contra-indications and side effects are. How many of these herbs have an active ingredient that may be contra-indicated if combined with an asthma medication?  What medical conditions would be contra indicated for any of these herbs?

Response:

I have several possibilities for you; however, this is not professional medical advice, but my opinion: 1. Make and infusion using 15 grams of netle and 15 grams of thyme with 2. Make an infusion with 2 heaping tsp of German chamomile to 1 cup of 4. make a decoction of Baical skullcap and take up to 2 cups a day. 5. take 1 tsp of tincture of Crampbark with water up to 8 times a day 6. Take 2 to 3 tablets or capsules (totalling 500-600 mg) Echinacea, or

I have a concern as to what the active ingredients of these herbal remedies are.  In addition I would like to know what the contra-indications and side effects are. How many of these herbs have an active ingredient that may be contra-indicated if combined with an asthma medication?  What medical conditions would be contra indicated for any of these herbs?

Response:

I suggest to you that every time you go to the doctor you are taking your life and health in your own hands. I work in a hospital and see the completely rediculous things md’s do. not all are quacks, but more than a few are.

This is why I suggest that all asthmatics read a couple of books on asthma.  I have been seen by excellent doctors and really bad doctors. If your doctor tells you something that seems to contradict what you know, ask him to explain it to you.  If he is either unable to unwilling to explain it then find another doctor. Anyway, who would you regard as more likley to be a reliable source of asthma advice – a doctor or a high-school student working in a ‘health-foods’ store?

Response:

As stated in the original post, this is merely suggested possibuilities. I am not a doctor, nor a homeopath. I am merely a person who has decided that doctors have very little idea of what they do to patients. Many medicines prescribed in the hospital are derived from plants, why not bypass al the middle men and get the drug the way it was meant to be taken, naturally, herbal? These remedies are, as posted, suggested routes of treatment. If you want to know more about them, buy the book.

I can think of several reason to use the ‘middleman’: 1) Purity and repeatibility.  Prescription medications are manufactured to much tighter quality control standards and always give the exact same amount of medication per dose.  A herbal remedy can vary widely in potency from dose to dose. 2) Knowelage of side effects and contra-indications.  Prescription medications are tested to determine the side effects and contra-indications.  A good pharmicist or doctor will tell you what may happen and what to do in response (usually: "Call me immedeatly if . . . "). 3) Prescription medications have been tested to demonstrate that they are actually safe and effective for the intended usage. 4) Labeling and packaging.  In a prescription medication you know exactly what you are getting down to the molecular structure.  Most herbal remedies merely give you the plant name (frequently not even the scientific name of the plant) with no information as to the different chemicals involved.  (It took me three days to track down the caffenic acid in Echanecia. (And I still don’t know what the other chemicals in it are!) 5) Requlation and oversight.  Pharmicuticals are tightly requlated by an outside agency.  There is virtually no independent oversight of the ‘alternative’ medicine industry – this shows up in the exagarrated claims and lack of patient warnings as to side effects and contra-indications.

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- Hide quoted text — Show quoted text – As stated in the original post, this is merely suggested possibuilities. I am not a doctor, nor a homeopath. I am merely a person who has decided that doctors have very little idea of what they do to patients. Many medicines prescribed in the hospital are derived from plants, why not bypass al the middle men and get the drug the way it was meant to be taken, naturally, herbal? These remedies are, as posted, suggested routes of treatment. If you want to know more about them, buy the book. I can think of several reason to use the ‘middleman’: 1) Purity and repeatibility.  Prescription medications are manufactured to much tighter quality control standards and always give the exact same amount of medication per dose.  A herbal remedy can vary widely in potency from dose to dose.

Herbs are grown to similar standards all across the country and world. Though the potency may vary based on amount of nutrients received duting the growing phase, the amount of the herb received per dose is within fairly tight limits based solely on the amount of medication one can compact into a capsule, or amount of a tsp, tblsp, cup, etc. 2) Knowelage of side effects and contra-indications.  Prescription medications are tested to determine the side effects and contra-indications.  A good pharmicist or doctor will tell you what may happen and what to do in response (usually: "Call me immedeatly if . . . ").

Although there are certain restrictions when taking prescription drugs, herbal/plant medications are generally much safer to take than prescription and OTC meds. If you want to know how they work, read a book or two. If you want to know the possible side effects or drug interactions, do a little research. As I said, do not blindly take anyone’s advice. 3) Prescription medications have been tested to demonstrate that they are actually safe and effective for the intended usage.

Herbal/plant remedies have been tested over the past several thousand years and are generally much safer to take than most other meds. Manay have been studied recently in clinical trials at leading universities and have been found to be effective for exactly what homeopaths and herbalists have prescibed them for, for the past several thousand years. 4) Labeling and packaging.  In a prescription medication you know exactly what you are getting down to the molecular structure.  Most herbal remedies merely give you the plant name (frequently not even the scientific name of the plant) with no information as to the different chemicals involved.  (It took me three days to track down the caffenic acid in Echanecia. (And I still don’t know what the other chemicals in it are!)

However, the information is available if you want to take advantage of it. If you feel it necessary to know the exact chemical makeup of the herb/plant you are taking, the info is available; however, you will eat many other plants that have medicinal effects without knowing exactly what is in it: ginger, horseradish, cabbige, thyme, rosemary, etc. etc. 5) Requlation and oversight.  Pharmicuticals are tightly requlated by an outside agency.  There is virtually no independent oversight of the ‘alternative’ medicine industry – this shows up in the exagarrated claims and lack of patient warnings as to side effects and contra-indications.

I admit that there is undue hype concerning some manufacturers of some herbal concoctions (I recently found a product made up of about 30 different herbs that claimed to make a person breath better *guaranteed*), however; I have never found an herb that I was looking for that did not have the common and scientific genus species on the label as well as the amount of the plant per dosage. As far as claims of remedies are concerned, if you do your research, you will know exactly what should happen when you take it. – Hide quoted text — Show quoted text –

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Echinachea to improve/boost the immune system (wards off colds)  (ay-can-ay-sha)

Warning! Ethinachea has an active ingredient that is a caffine derivitave, this herb should never be used with theophyline as it will ‘boost’ the effective dosages and increase the posibility of dangerous side effects!  This herb can also increase the possibility of side effects from your rescue inhalers. I suggest that anybody who posts herbal advice to this newsgroup also post the side effects and contra-indications.  I advise anybody who is considering any herbal remedy or alternative treatment to do careful research before trying it – otherwise all you are doing is gambling with your life and health.

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I was just curious to know if any one of you has tried any natural remedies to alleviate their asthma symptoms. I am taking asthma medication, but I think that I am taking TOO much. I would like to cut my dosage, but I’m interested in this aromatherapy and homeopathy stuff. Does anyone have any natural remedies they can recommend ? Your help will be greatly appreciated !

I have to teach a class soon, but to expand on what Colin said: 1.  Avoidance of triggers is both natural and doctor-recommended, and doesn’t involve anybody selling anything. 2.  Many "natural" remedies have the same active ingredients as perscription remedies (including theophyilline) but in uncontrolled dosages.  If something says "safe and effective", ask about the double-blind studies to prove it.  Usually (in the U.S.) "natural" means "’not FDA regulated". 3.  Cold (distilled) water is a *very mild* naatural broncodiolator.  It probably can’t hurt…but it won’t help much. Good luck…and ask your doctor about alternatives before you try them! Scott T.

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I suggest to you that every time you go to the doctor you are taking your life and health in your own hands. I work in a hospital and see the completely rediculous things md’s do. not all are quacks, but more than a few are. – Hide quoted text — Show quoted text – Echinachea to improve/boost the immune system (wards off colds)  (ay-can-ay-sha) Warning! Ethinachea has an active ingredient that is a caffine derivitave, this herb should never be used with theophyline as it will ‘boost’ the effective dosages and increase the posibility of dangerous side effects!  This herb can also increase the possibility of side effects from your rescue inhalers. I suggest that anybody who posts herbal advice to this newsgroup also post the side effects and contra-indications.  I advise anybody who is considering any herbal remedy or alternative treatment to do careful research before trying it – otherwise all you are doing is gambling with your life and health.

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From my personal experience here are some things that help to alleviate the  onset of asthma symptoms for me.  Keeping in mind that this is from personal  experience, and should not be construed as "medical advice".  And, ABOVE ALL,  DO NOT adjust your medications without consulting our physician. IF you find  that your asthma is improving after implementing some of the following,  schedule an appointment with your doctor and discuss with him/her the status  of your asthma and request they re-evaluate your then current situation.  That  said, here are some ideas: Foods: Avoid chocolate: try carob instead Avoid red meat: stick with fish, chicken and pork Avoid refined sugar (white or brown); try Sugar in the Raw Avoid dairy (can congest the lungs)   *Be sure to take a calcium substitute! Avoid citrus during asthma tension times (it can congest the lungs) Caffine, in reasonable mounts, can be a decent stimulant Papaya has some great enzymes! Try it cube and sooked in orange juice… (when  your not already wheezing..) Herbal remedies: Try "Deep Breathe" tea (I find it at GNC stores) Ginsing (Korean is best) helps improve pulmonary function Calcium supplement (I find it improves my sleep) Echinachea to improve/boost the immune system (wards off colds)  (ay-can-ay-sha) Holistic remedies: Relaxation/Meditation: Postitive, focused thinking.  During an asthma attack,  you can practice relaxation/meditation by focusing your thoughts on something  that you find peaceful (the beach, the mountains and so forth). Put yourslef  at this location and soak up the serenity there.  The positive thoughts will  help you to focus on things that make you feel calm and will take your mind  off of the stress and tension you’re going through trying to get from breath  to breath.  Try using this before you use your "as needed" inhalers (like  Proventil).  Sometimes you can avoid having to bring your lungs out of the  tensed situation without the broncho dialators. Exercise: Regular exercise is GREAT for asthmatics!!!  Swimming is a wonderful  cardio-vascular regime that not only works towards toning the entire body and  strenthening the heart, but it also does wonders for improving pulmonary  function.  Don’t try to kill yourself the first time out by doing too many and  too strenuos laps. Take it at a comfortable pace for YOU, remaining fluid and  non- stressed in your breathing.  The first couple of times may be frustrating  and challenging.  Hang in there and build each session little by little  focusing on the step by step improvements you are seeing in your muscle tone,  feeling in your stamina. Best wishes in reducing your medicaitons and improving your health!!!

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I was just curious to know if any one of you has tried any natural remedies to alleviate their asthma symptoms. I am taking asthma medication, but I think that I am taking TOO much. I would like to cut my dosage, but I’m interested in this aromatherapy and homeopathy stuff. Does anyone have any natural remedies they can recommend ? Your help will be greatly appreciated ! Wasan

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I have several possibilities for you; however, this is not professional medical advice, but my opinion: For wheezing and Shortness of Breath 1. Make and infusion using 15 grams of netle and 15 grams of thyme with 750 ml of water and drink it throughout the day. 2. Make an infusion with 2 heaping tsp of German chamomile to 1 cup of water and leave standing for 10 min. in a covered saucepan, inhale the steam, and strain and drink the tea. 3. Use the essential oil of German chamomile in a steam inhalation, or inhale 2 drops of undiluted oil placed on a handkerchief. 4. make a decoction of Baical skullcap and take up to 2 cups a day. For SOB and tight chest 5. take 1 tsp of tincture of Crampbark with water up to 8 times a day for 3 days, then reduce the dose to a maximum of 1 tsp 3 times a day for 7 days. for bronchial asthma due to colds or chest infections 6. Take 2 to 3 tablets or capsules (totalling 500-600 mg) Echinacea, or 1/2 tsp tincture of same with water 2-3 times a day. DO NOT STOP TAKINF STTEROIDS OR OTHER MEDS SUDDENLY THEIR USE SHOULD BE PHASED OUT SLOWLY AND ONLY WITH PROFESSIONAL GUIDANCE. – Hide quoted text — Show quoted text – I was just curious to know if any one of you has tried any natural remedies to alleviate their asthma symptoms. I am taking asthma medication, but I think that I am taking TOO much. I would like to cut my dosage, but I’m interested in this aromatherapy and homeopathy stuff. Does anyone have any natural remedies they can recommend ? Your help will be greatly appreciated ! Wasan

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I don’t think Pagano had a study regarding dialysis… just anecdotal.

I just wonder where he got this information about dialysis helping with extreme psoriasis.  I guess I’ll have to find the time to do some searching on my own.  Dangit, I need an assistant, just for reading Usenet and doing searches.  Needless to say, I don’t believe Pagano, and the more I hear about him, the less I believe him (reading his book would probably finish the job).

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Dave,  I guess I didn’t express myself very well.  I never meant to say  that a weakened liver is "the cause" of P. My sincerest apologies, Patty.  I did look back through your postings, and I feel I have confused you with another of the newer people who posted about liver problems causing psoriasis. Terribly sorry, and I’ll try to not let it happen again.

 —-if you mean me, dave, then i would just like to point out that i never intended to say that a weakened liver "is" the cause of pso. i merely suggested that overworking your liver =might= make it worse, and that cutting out alcohol might alleviate the problem. i don’t see what your problem is with that — it can’t do you any harm to cut out alcohol for a while (except the depression you feel watching all your friends getting drunk without you) and would probably even do you some good—- mac cat

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I don’t think Pagano had a study regarding dialysis… just anecdotal. Dave W wrote Needless to say, I don’t believe Pagano, and the more I hear about him, the less I believe him (reading his book would probably finish the job).

—-you ‘n’ me both! (at least we agree on something :-) —- mac cat

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i merely suggested that overworking your liver =might= make it worse, and that cutting out alcohol might alleviate the problem. i don’t see what your problem is with that — it can’t do you any harm to cut out alcohol for a while (except the depression you feel watching all your friends getting drunk without you) and would probably even do you some good—-

I *don’t* have a problem with either of those ideas.  Liver problems *might* make psoriasis worse, and alcohol *might* be a culprit, too. I’m fairly certain alcohol is not a factor in *my* psoriasis, for what that’s worth. But I *remember* someone (not Patty, might not have been you) said something that I *perceived* to say that liver problems are the one- and-only cause of psoriasis, and proceeded to explain the cause-and- event chain from liver to skin with incredibly vague biochemistry-like statements.  *That* I have a problem with. Wow, lot’s of asterisks in this post…

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Doesn’t dialysis duplicate the function of the *kidneys* in removing waste from the blood?  The liver may convert one thing into another, but it’s ultimately the kidney’s job to filter and remove stuff that’s not supposed to be in the blood.  Does Pagano give a reference for this dialysis claim (a clinical study, for example)? – Dave W.

Dave- You are right about the kidney being the organ that is most important for the flushing out of toxins but the liver converts toxins into other compounds that are then flushed.  From what I understand the liver is very important in the removal of toxins from the blood… maybe someone with a better science background could answer this… There is someone who posts named SJ (Jane I think) who is very knowledgable in bio-chemistry. I don’t think Pagano had a study regarding dialysis… just anecdotal.

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I also feel that possibly if we continue to report these findings–eg. that a flare occured after taking a certain drug or after an illness or an infection–perhaps our medical community will finally find a common link. Wish full thinking or hoping I guess.

I don’t consider that to be wishful thinking.  It’s not like researchers are all throwing up their hands and turning to diseases other than psoriasis.  Reporting things (and here I’m assuming you’re talking about Patty’s liver/psoriasis/six- month link) *is* important, but reporting too much can be counter-productive (boy who cried ‘wolf’, the information will be ignored).  I’m sure that in the six months before I saw the first signs of psoriasis on my elbow, I stubbed my toe.   Should I have told the derm about all my toe-stubbings, paper cuts, razor burn, dead-arm, etc.? On the other hand, if you assume, as Patty seems to, that your liver is the cause of your psoriasis, then yes, anything that happens to either your liver or your psoriasis is important. However, as I’ve written in another post, my argument is with her basic assumptions anyway. I also support the P sufferers that have it so bad that they will take ANYTHING to control it. I just don’t feel that just because a Dr. prescribes something – that it is safe- it could cause other problems later in life. To summerize: Not all drugs cause organ damage but some can. Right?

Absolutely correct.  I never wrote nor implied that all drugs are safe.  You’ll note I did not argue with Patty’s claim that an antidepressant caused damage.  I am sure this can happen. My argument in this case was against the proposition that all powerful drugs cause organ damage. Good luck to you and your daughter, I’m glad that you found a treatment that works for her. – Dave W.

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On the other hand, if you assume, as Patty seems to, that your liver is the cause of your psoriasis, then yes, anything that happens to either your liver or your psoriasis is important. However, as I’ve written in another post, my argument is with her basic assumptions anyway.

Dave,  I guess I didn’t express myself very well.  I never meant to say  that a weakened liver is "the cause" of P.  I was just explaining what happened to me because I found it interesting that I had elevated liver enzymes immediately after I took an anti-depressant.  The reason that this was important was because because this was never told to me by the doctor who prescribed them ti me even though I made a point of asking about the dangers… Yes I read the little informational sheet that you get with prescription drugs and it said there was a very small percentage of people in the clinical trials who showed liver damage but the trial only lasted 6 weeks!  In fact that was the only testing done on this drug!  6 weeks.  I guess my point is blind faith in doctors giving you the full scoop may not be a good idea.  I never meant to say that ALL drugs cause liver damage but I believe that many can. Also I never meant to say that liver damage causes P. I was just saying that it was interesting that some one else, unfortunately I forgot who, said that they also showed poor results on a liver test as I did.  My P. was triggered by strep. But why now?  I have had strep many times in my life (at least 6 or 7 times) and never got it before.  So for me, I wonder if there is some connection.  Also Pagan’s book talks about toxicity in the blood … not just leaky gut… the liver removes toxins…he says in his book that dialysis helps in severe forms of P. Just sharing what happened to me.  -Patty – Hide quoted text — Show quoted text – I also support the P sufferers that have it so bad that they will take ANYTHING to control it. I just don’t feel that just because a Dr. prescribes something – that it is safe- it could cause other problems later in life. To summerize: Not all drugs cause organ damage but some can. Right? Absolutely correct.  I never wrote nor implied that all drugs are safe.  You’ll note I did not argue with Patty’s claim that an antidepressant caused damage.  I am sure this can happen. My argument in this case was against the proposition that all powerful drugs cause organ damage. Good luck to you and your daughter, I’m glad that you found a treatment that works for her. – Dave W.

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a friend was taking 5HTP for depression and his psoriasis cleared up very quickly. it worked for his brother too. i have been searching everywhere for reference to this treatment…to no avail. i’m also wondering if it will work for acne since flare-ups are related to stress and stress lowers serotonin levels. try the 5HTP for a couple of weeks and get back to me. they used 100mg daily. good luck, Dawn

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Dave,  I guess I didn’t express myself very well.  I never meant to say  that a weakened liver is "the cause" of P.

My sincerest apologies, Patty.  I did look back through your postings, and I feel I have confused you with another of the newer people who posted about liver problems causing psoriasis. Terribly sorry, and I’ll try to not let it happen again. Also Pagan’s book talks about toxicity in the blood … not just leaky gut… the liver removes toxins…he says in his book that dialysis helps in severe forms of P.

Doesn’t dialysis duplicate the function of the *kidneys* in removing waste from the blood?  The liver may convert one thing into another, but it’s ultimately the kidney’s job to filter and remove stuff that’s not supposed to be in the blood.  Does Pagano give a reference for this dialysis claim (a clinical study, for example)? – Dave W.

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I feel that you are right to be concerned… it seems to me that many of the drugs and even the lotions which can absorb thru the skin may cause more harm than good… just due to the fact that all powerful drugs weaken the liver and other organs… I know that doctors tend to poo poo this but I was on an antoi depressant for only 8 months and I believe ended up with some liver damage I had blood tests that showed it.

Whoa!  Once again, where’s the evidence for the sweeping generalization that "all powerful drugs weaken the liver and other organs"?  One antidepressant causing liver damage does not mean that all powerful drugs do this.

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Dave It’s probably not a good idea to generalize about the causes of P, because it flares from so many different situations. I am very interested in more natural solutions however because my daughter is young and I would feel terrrible if later in life she found that her babies have birth defects because of some meds. I gave her for P. If a speicial diet and supplements help her control this(and it does) than I opt for this. I also feel that possibly if we continue to report these findings–eg. that a flare occured after taking a certain drug or after an illness or an infection–perhaps our medical community will finally find a common link. Wish full thinking or hoping I guess. I also support the P sufferers that have it so bad that they will take ANYTHING to control it. I just don’t feel that just because a Dr. prescribes something – that it is safe- it could cause other problems later in life. To summerize: Not all drugs cause organ damage but some can. Right? arlene

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Can anyone suggest some natural remedies for psorasis as I don’t fancy the thought of a cocktail of chemicals inside me Thanks I feel that you are right to be concerned… it seems to me that many of the

drugs and even the lotions which can absorb thru the skin may cause more harm than good… just due to the fact that all powerful drugs weaken the liver and other organs… I know that doctors tend to poo poo this but I was on an antoi depressant for only 8 months and I believe ended up with some liver damage I had blood tests that showed it. Anyway I agree with the diet and vitamin approach. I’ve been taking 1000 mcg’s of b12(under the tongue) and 800 mcgs. of folic acid 3 times a day.  Got the remedy from this news group (Don Sipler) says he’s still 90% clear after years of having P. using these vitamins..  not sure how it works…also have been on the Pagano diet but only for a couple weeks.  I noticed less itching right away but when I started the vitamins I really noticed a difference in the spots after only a few days. Maybe it’s just coincidence … let us know how you do  -Patty

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If  you’re concerned about what you’re putting inside of you, you should look into the effects of your diet.  Consider the amounts or artificial flavors and colors, additives, and preservatives you consume every day.  What about all these ingredients you can’t pronounce, let alone know what they are?  Think about all overprocessing that many of our convenience foods go through.  Our bodies have to put up with alot of stuff that our bodies were not designed to handle. Ok, I probably sound like a nut.  I have adjusted my diet since November after reading John Pagano’s book "Healing Psoriasis:  The Natural Alternative".  I am seeing positive results.  It took a couple of months to see any real results on my skin, but I felt so much better generally that there was no question of stopping.  Now, 5 months later, I only use my Dovonex once every 1-2 weeks, and my skin continues its slow improvement.  I’m hoping the spring sun will accelerate things.  Anyway, I’m convinced that diet plays a key role, and I’ll continue to be careful with my diet. Hope this is helpful.             Colette – Hide quoted text — Show quoted text – Can anyone suggest some natural remedies for psorasis as I don’t fancy the thought of a cocktail of chemicals inside me Thanks

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Is the Pagano diet similar to the Atkins and Zone etc.? arlene

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My 11 year old son hates this but in the winter when it flares up he takes a warm bath and adds about 1/4 to 1/2 cup of olive oil to the water.   After several weeks of this he does clear up quite a bit and usually by then it is sunny again and that does the rest of the job. I should warn you that olive oil is about the most slippery substance known to man so please make sure if you try this not to forget that the tub has to be cleaned right away or somebody will fall and go boom. – Hide quoted text — Show quoted text – Can anyone suggest some natural remedies for psorasis as I don’t fancy the thought of a cocktail of chemicals inside me Thanks

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    Psoriasis and insomnia are like cats.  They cannot be conquered,     only be appeased.  Whenever I cannot fall  asleep I  just say to     my ‘cat’, "Well, honey you  don’t want  to sleep,  right?  Let’s     enjoy this book together".  Nine out of ten times  my ‘cat’ soon     will beg me to switch off the lamp to let her sleep.  I  use the     similar tactic to deal with psoriasis.     1. Never hate your psoriasis.  it is part of your own skin.     2. Never try to conquer psoriasis with drugs or ointments of any     kind.     3.  Never scratch  or rub  it with  your  fingers.   In  my case     washing with hot water and olive oil soap will stop the itching.     4. Sleep well, eat smartly, do  exercise daily  and take dietary     supplements  including zinc  as advocated   by all   the natural     healing books.     5. Use nothing but olive oil soap  to clean  your body including     hair.     6.  Don’t expect  to  get  obvious  result  within  weeks.  Wait     patiently for months or  even years.  In my case I clean  98% of     my psoriasis in one year naturally as described above. – Hide quoted text — Show quoted text -Can anyone suggest some natural remedies for psorasis as I don’t fancy the thought of a cocktail of chemicals inside me Thanks

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Can anyone suggest some natural remedies for psorasis as I don’t fancy the thought of a cocktail of chemicals inside me Thanks

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I don’t think Pagano had a study regarding dialysis… just anecdotal.

I just wonder where he got this information about dialysis helping with extreme psoriasis.  I guess I’ll have to find the time to do some searching on my own.  Dangit, I need an assistant, just for reading Usenet and doing searches.  Needless to say, I don’t believe Pagano, and the more I hear about him, the less I believe him (reading his book would probably finish the job).

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Dave,  I guess I didn’t express myself very well.  I never meant to say  that a weakened liver is "the cause" of P. My sincerest apologies, Patty.  I did look back through your postings, and I feel I have confused you with another of the newer people who posted about liver problems causing psoriasis. Terribly sorry, and I’ll try to not let it happen again.

 —-if you mean me, dave, then i would just like to point out that i never intended to say that a weakened liver "is" the cause of pso. i merely suggested that overworking your liver =might= make it worse, and that cutting out alcohol might alleviate the problem. i don’t see what your problem is with that — it can’t do you any harm to cut out alcohol for a while (except the depression you feel watching all your friends getting drunk without you) and would probably even do you some good—- mac cat

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I don’t think Pagano had a study regarding dialysis… just anecdotal. Dave W wrote Needless to say, I don’t believe Pagano, and the more I hear about him, the less I believe him (reading his book would probably finish the job).

—-you ‘n’ me both! (at least we agree on something :-) —- mac cat

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i merely suggested that overworking your liver =might= make it worse, and that cutting out alcohol might alleviate the problem. i don’t see what your problem is with that — it can’t do you any harm to cut out alcohol for a while (except the depression you feel watching all your friends getting drunk without you) and would probably even do you some good—-

I *don’t* have a problem with either of those ideas.  Liver problems *might* make psoriasis worse, and alcohol *might* be a culprit, too. I’m fairly certain alcohol is not a factor in *my* psoriasis, for what that’s worth. But I *remember* someone (not Patty, might not have been you) said something that I *perceived* to say that liver problems are the one- and-only cause of psoriasis, and proceeded to explain the cause-and- event chain from liver to skin with incredibly vague biochemistry-like statements.  *That* I have a problem with. Wow, lot’s of asterisks in this post…

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Doesn’t dialysis duplicate the function of the *kidneys* in removing waste from the blood?  The liver may convert one thing into another, but it’s ultimately the kidney’s job to filter and remove stuff that’s not supposed to be in the blood.  Does Pagano give a reference for this dialysis claim (a clinical study, for example)? – Dave W.

Dave- You are right about the kidney being the organ that is most important for the flushing out of toxins but the liver converts toxins into other compounds that are then flushed.  From what I understand the liver is very important in the removal of toxins from the blood… maybe someone with a better science background could answer this… There is someone who posts named SJ (Jane I think) who is very knowledgable in bio-chemistry. I don’t think Pagano had a study regarding dialysis… just anecdotal.

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I also feel that possibly if we continue to report these findings–eg. that a flare occured after taking a certain drug or after an illness or an infection–perhaps our medical community will finally find a common link. Wish full thinking or hoping I guess.

I don’t consider that to be wishful thinking.  It’s not like researchers are all throwing up their hands and turning to diseases other than psoriasis.  Reporting things (and here I’m assuming you’re talking about Patty’s liver/psoriasis/six- month link) *is* important, but reporting too much can be counter-productive (boy who cried ‘wolf’, the information will be ignored).  I’m sure that in the six months before I saw the first signs of psoriasis on my elbow, I stubbed my toe.   Should I have told the derm about all my toe-stubbings, paper cuts, razor burn, dead-arm, etc.? On the other hand, if you assume, as Patty seems to, that your liver is the cause of your psoriasis, then yes, anything that happens to either your liver or your psoriasis is important. However, as I’ve written in another post, my argument is with her basic assumptions anyway. I also support the P sufferers that have it so bad that they will take ANYTHING to control it. I just don’t feel that just because a Dr. prescribes something – that it is safe- it could cause other problems later in life. To summerize: Not all drugs cause organ damage but some can. Right?

Absolutely correct.  I never wrote nor implied that all drugs are safe.  You’ll note I did not argue with Patty’s claim that an antidepressant caused damage.  I am sure this can happen. My argument in this case was against the proposition that all powerful drugs cause organ damage. Good luck to you and your daughter, I’m glad that you found a treatment that works for her. – Dave W.

Response:

On the other hand, if you assume, as Patty seems to, that your liver is the cause of your psoriasis, then yes, anything that happens to either your liver or your psoriasis is important. However, as I’ve written in another post, my argument is with her basic assumptions anyway.

Dave,  I guess I didn’t express myself very well.  I never meant to say  that a weakened liver is "the cause" of P.  I was just explaining what happened to me because I found it interesting that I had elevated liver enzymes immediately after I took an anti-depressant.  The reason that this was important was because because this was never told to me by the doctor who prescribed them ti me even though I made a point of asking about the dangers… Yes I read the little informational sheet that you get with prescription drugs and it said there was a very small percentage of people in the clinical trials who showed liver damage but the trial only lasted 6 weeks!  In fact that was the only testing done on this drug!  6 weeks.  I guess my point is blind faith in doctors giving you the full scoop may not be a good idea.  I never meant to say that ALL drugs cause liver damage but I believe that many can. Also I never meant to say that liver damage causes P. I was just saying that it was interesting that some one else, unfortunately I forgot who, said that they also showed poor results on a liver test as I did.  My P. was triggered by strep. But why now?  I have had strep many times in my life (at least 6 or 7 times) and never got it before.  So for me, I wonder if there is some connection.  Also Pagan’s book talks about toxicity in the blood … not just leaky gut… the liver removes toxins…he says in his book that dialysis helps in severe forms of P. Just sharing what happened to me.  -Patty – Hide quoted text — Show quoted text – I also support the P sufferers that have it so bad that they will take ANYTHING to control it. I just don’t feel that just because a Dr. prescribes something – that it is safe- it could cause other problems later in life. To summerize: Not all drugs cause organ damage but some can. Right? Absolutely correct.  I never wrote nor implied that all drugs are safe.  You’ll note I did not argue with Patty’s claim that an antidepressant caused damage.  I am sure this can happen. My argument in this case was against the proposition that all powerful drugs cause organ damage. Good luck to you and your daughter, I’m glad that you found a treatment that works for her. – Dave W.

Response:

a friend was taking 5HTP for depression and his psoriasis cleared up very quickly. it worked for his brother too. i have been searching everywhere for reference to this treatment…to no avail. i’m also wondering if it will work for acne since flare-ups are related to stress and stress lowers serotonin levels. try the 5HTP for a couple of weeks and get back to me. they used 100mg daily. good luck, Dawn

Response:

Dave,  I guess I didn’t express myself very well.  I never meant to say  that a weakened liver is "the cause" of P.

My sincerest apologies, Patty.  I did look back through your postings, and I feel I have confused you with another of the newer people who posted about liver problems causing psoriasis. Terribly sorry, and I’ll try to not let it happen again. Also Pagan’s book talks about toxicity in the blood … not just leaky gut… the liver removes toxins…he says in his book that dialysis helps in severe forms of P.

Doesn’t dialysis duplicate the function of the *kidneys* in removing waste from the blood?  The liver may convert one thing into another, but it’s ultimately the kidney’s job to filter and remove stuff that’s not supposed to be in the blood.  Does Pagano give a reference for this dialysis claim (a clinical study, for example)? – Dave W.

Response:

I feel that you are right to be concerned… it seems to me that many of the drugs and even the lotions which can absorb thru the skin may cause more harm than good… just due to the fact that all powerful drugs weaken the liver and other organs… I know that doctors tend to poo poo this but I was on an antoi depressant for only 8 months and I believe ended up with some liver damage I had blood tests that showed it.

Whoa!  Once again, where’s the evidence for the sweeping generalization that "all powerful drugs weaken the liver and other organs"?  One antidepressant causing liver damage does not mean that all powerful drugs do this.

Response:

Dave It’s probably not a good idea to generalize about the causes of P, because it flares from so many different situations. I am very interested in more natural solutions however because my daughter is young and I would feel terrrible if later in life she found that her babies have birth defects because of some meds. I gave her for P. If a speicial diet and supplements help her control this(and it does) than I opt for this. I also feel that possibly if we continue to report these findings–eg. that a flare occured after taking a certain drug or after an illness or an infection–perhaps our medical community will finally find a common link. Wish full thinking or hoping I guess. I also support the P sufferers that have it so bad that they will take ANYTHING to control it. I just don’t feel that just because a Dr. prescribes something – that it is safe- it could cause other problems later in life. To summerize: Not all drugs cause organ damage but some can. Right? arlene

Response:

Can anyone suggest some natural remedies for psorasis as I don’t fancy the thought of a cocktail of chemicals inside me Thanks I feel that you are right to be concerned… it seems to me that many of the

drugs and even the lotions which can absorb thru the skin may cause more harm than good… just due to the fact that all powerful drugs weaken the liver and other organs… I know that doctors tend to poo poo this but I was on an antoi depressant for only 8 months and I believe ended up with some liver damage I had blood tests that showed it. Anyway I agree with the diet and vitamin approach. I’ve been taking 1000 mcg’s of b12(under the tongue) and 800 mcgs. of folic acid 3 times a day.  Got the remedy from this news group (Don Sipler) says he’s still 90% clear after years of having P. using these vitamins..  not sure how it works…also have been on the Pagano diet but only for a couple weeks.  I noticed less itching right away but when I started the vitamins I really noticed a difference in the spots after only a few days. Maybe it’s just coincidence … let us know how you do  -Patty

Response:

If  you’re concerned about what you’re putting inside of you, you should look into the effects of your diet.  Consider the amounts or artificial flavors and colors, additives, and preservatives you consume every day.  What about all these ingredients you can’t pronounce, let alone know what they are?  Think about all overprocessing that many of our convenience foods go through.  Our bodies have to put up with alot of stuff that our bodies were not designed to handle. Ok, I probably sound like a nut.  I have adjusted my diet since November after reading John Pagano’s book "Healing Psoriasis:  The Natural Alternative".  I am seeing positive results.  It took a couple of months to see any real results on my skin, but I felt so much better generally that there was no question of stopping.  Now, 5 months later, I only use my Dovonex once every 1-2 weeks, and my skin continues its slow improvement.  I’m hoping the spring sun will accelerate things.  Anyway, I’m convinced that diet plays a key role, and I’ll continue to be careful with my diet. Hope this is helpful.             Colette – Hide quoted text — Show quoted text – Can anyone suggest some natural remedies for psorasis as I don’t fancy the thought of a cocktail of chemicals inside me Thanks

Response:

Is the Pagano diet similar to the Atkins and Zone etc.? arlene

Response:

My 11 year old son hates this but in the winter when it flares up he takes a warm bath and adds about 1/4 to 1/2 cup of olive oil to the water.   After several weeks of this he does clear up quite a bit and usually by then it is sunny again and that does the rest of the job. I should warn you that olive oil is about the most slippery substance known to man so please make sure if you try this not to forget that the tub has to be cleaned right away or somebody will fall and go boom. – Hide quoted text — Show quoted text – Can anyone suggest some natural remedies for psorasis as I don’t fancy the thought of a cocktail of chemicals inside me Thanks

Response:

    Psoriasis and insomnia are like cats.  They cannot be conquered,     only be appeased.  Whenever I cannot fall  asleep I  just say to     my ‘cat’, "Well, honey you  don’t want  to sleep,  right?  Let’s     enjoy this book together".  Nine out of ten times  my ‘cat’ soon     will beg me to switch off the lamp to let her sleep.  I  use the     similar tactic to deal with psoriasis.     1. Never hate your psoriasis.  it is part of your own skin.     2. Never try to conquer psoriasis with drugs or ointments of any     kind.     3.  Never scratch  or rub  it with  your  fingers.   In  my case     washing with hot water and olive oil soap will stop the itching.     4. Sleep well, eat smartly, do  exercise daily  and take dietary     supplements  including zinc  as advocated   by all   the natural     healing books.     5. Use nothing but olive oil soap  to clean  your body including     hair.     6.  Don’t expect  to  get  obvious  result  within  weeks.  Wait     patiently for months or  even years.  In my case I clean  98% of     my psoriasis in one year naturally as described above. – Hide quoted text — Show quoted text -Can anyone suggest some natural remedies for psorasis as I don’t fancy the thought of a cocktail of chemicals inside me Thanks

Response:

Can anyone suggest some natural remedies for psorasis as I don’t fancy the thought of a cocktail of chemicals inside me Thanks

Response:

Larry You are making me feel as sick as when Harv when on about pancakes, syrup and eggs – uuuuuuuuggggghhhh

Sorry, Lass, wasn’t aware that you had a queasy tum-tum. Best, Larry

Response:

(Diane Abell) writes: Hey, I don’t know about an arthritis flare, but I get a heartburn just thinking about all of this stuff.  Biscuits…. uggghh!!! Not a bit of it.  Now when eaten together.  The bad in either cancels out the other while the good of each multipies the other.  May be a tad heavy on the choloesteral but that is about it. Best, Larry

Yeah.  Straight from the "I Love to Infarct Cookbook". — Di dabell at access1 dot net

Response:

(Diane Abell) writes: Yeah.  Straight from the "I Love to Infarct Cookbook".

I got it from "How To Clog The Arteries And Enjoy Doing It."  It was a freebie from the local mortuary. Best, Larry

Response:

<<Some cases of arthritis might be caused by potassium salt deficiency, mollasses helps with that.  It is also high in iron, and is great when used as a sugar substitute because white sugar is too acidy and actually will contribute to rheumatism. You should put one teaspoon in a cup of hot water and drink it as a tea about two or three times a day.  It is full of minerals and also great for the skin and hair. I do believe that a prescription strength molasses cookie, 3 times a day would improve my attitude…if it’s good for my rheumatism <g and it’s gonna improve my "coat"…BONUS! Warm regards, Angela "Vitality shows in not only the ability to persist but the ability to start over. "  – F. Scott Fitzgerald

Response:

Avoid them biscuits.  They’ll cause a flair for sure.  You use cornbread with Blackstrap Mollasses.  You have to use sausage gravy if you’re gonna eat biscuits.  Of course you can always have both.  LOL  With a couple of eggs over-easy and a cup of fresh coffee and you have what I call a real Breakfast! Best, Larry

Hey, I don’t know about an arthritis flare, but I get a heartburn just thinking about all of this stuff.  Biscuits…. uggghh!!! — Di dabell at access1 dot net

Response:

Larry You are making me feel as sick as when Harv when on about pancakes, syrup and eggs – uuuuuuuuggggghhhh Regards Hildagh London, England (born and raised in Belfast, N.Ireland)

LOL!  Poor Hildagh, that recent bout with food poisoning was a real bummer, naturally!  Glad it wasn’t anything life threatening. Wouldn’t want to lose one of our best International Good Will Ambassadors! :) Cheers, Kitt

Response:

LOL   That makes you sick and you like Haggis?   ROFL Char "Remember, I’m pulling for ya’.  We’re all in this together."  Red Green

Response:

just thinking about all of this stuff.  Biscuits…. uggghh!!! —

ROFL   No thats heaven on a plate!!! Char "Remember, I’m pulling for ya’.  We’re all in this together."  Red Green

Response:

(Diane Abell) writes: Hey, I don’t know about an arthritis flare, but I get a heartburn just thinking about all of this stuff.  Biscuits…. uggghh!!!

Not a bit of it.  Now when eaten together.  The bad in either cancels out the other while the good of each multipies the other.  May be a tad heavy on the choloesteral but that is about it. Best, Larry

Response:

Larry said, " With a couple of eggs over-easy and a cup of fresh coffee and you have what I call a real

Breakfast!" So what time should I expect you Larry?? <G Amy I live in a world of mystery and intrigue. I teach kindergarten.

Response:

Tammy said, "white sugar is too acidy and actually will contribute to rheumatism." I was wonder where you found this information?  I have never heard that before. Amy I live in a world of mystery and intrigue. I teach kindergarten

Response:

Larry You are making me feel as sick as when Harv when on about pancakes, syrup and eggs – uuuuuuuuggggghhhh Regards Hildagh London, England (born and raised in Belfast, N.Ireland) – Hide quoted text — Show quoted text – (LkGoddess) writes: Hey Sarah, you bring the Blackstrap Mollasses and I’ll make the biscuits! <yum!  We can conduct a science experiement…..see if it anti-imflams or not….but then who cares….it’s just yummy to eat! Avoid them biscuits.  They’ll cause a flair for sure.  You use cornbread with Blackstrap Mollasses.  You have to use sausage gravy if you’re gonna eat biscuits.  Of course you can always have both.  LOL  With a couple of eggs over-easy and a cup of fresh coffee and you have what I call a real Breakfast! Best, Larry

Response:

(LkGoddess) writes: Hey Sarah, you bring the Blackstrap Mollasses and I’ll make the biscuits! <yum!  We can conduct a science experiement…..see if it anti-imflams or not….but then who cares….it’s just yummy to eat!

Avoid them biscuits.  They’ll cause a flair for sure.  You use cornbread with Blackstrap Mollasses.  You have to use sausage gravy if you’re gonna eat biscuits.  Of course you can always have both.  LOL  With a couple of eggs over-easy and a cup of fresh coffee and you have what I call a real Breakfast! Best, Larry

Response:

Some cases of arthritis might be caused by potassium salt deficiency, mollasses helps with that.  It is also high in iron, and is great when used as a sugar substitute because white sugar is too acidy and actually will contribute to rheumatism. You should put one teaspoon in a cup of hot water and drink it as a tea about two or three times a day.  It is full of minerals and also great for the skin and hair.   Don’t go absolutely crazy on it too fast though or you might get stomach upset.  Start slowly and work your way up. Tammy – Hide quoted text — Show quoted text – I’ve looked into natural remedies for arthritis.  An interesting one to try ( I’m trying it right now) is Blackstrap Mollasses. Tammy, I love Blackstrap Mollasses.  What is it supposed to do for arthritis? Is it anti-inflam or something? Sarah L "Friends are those people who know the words to the song in your heart and sing them back to you when you have forgotten the words."  (unattributed)

Response:

Thanks for the tips, Tammy!  What kind of arthritis do you have?    I have RA, and have been having more heartburn lately,  Hmm, maybe I should go back to taking ginger again, I’ve slacked off it lately. I had good results with it for heartburn, taking it in capsules, and adding fresh ginger to foods.  Thanks again for the reminder.   Do stick around, and let us know how Tammy is doing!  Regards,  Liz G

Response:

I’ve looked into natural remedies for arthritis.  An interesting one to try ( I’m trying it right now) is Blackstrap Mollasses.

Tammy, I love Blackstrap Mollasses.  What is it supposed to do for arthritis? Is it anti-inflam or something? Sarah L "Friends are those people who know the words to the song in your heart and sing them back to you when you have forgotten the words."  (unattributed)

Response:

Hey Sarah, you bring the Blackstrap Mollasses and I’ll make the biscuits! <yum!  We can conduct a science experiement…..see if it anti-imflams or not….but then who cares….it’s just yummy to eat! <G Very intersting stuff Tammy! Amy I live in a world of mystery and intrigue. I teach kindergarten.

Response:

Hi Liz, I’m actually not sure yet whether it is arthritis, but I’m sure trying out some of the natural ways of dealing with it. I’m really having severe back and shoulder pain lately.  Sometimes it’s in my hips,  and mostly in the evenings or at night.  The middle of the night pain is horrific!  My back becomes totally immobile and it affects my lungs I’m checking into arachnoiditis as well.  Gosh lately I just kind of ache all over. The natural remedies come from a bit of background in the herbalist area.  I have used home remedies for many things, with great results. The ginger I use for energy, but started my dad on it for GERD.  It worked well for him.  And now I’m going to try it again and see if it’ll put some heat into these bones!  I get so cold! Anyway,  I’m getting tests done now to find out exactly what I have, I just really like to have a good idea first.  (I never was one to just take orders :) ) Hope to hear from you often! – Hide quoted text — Show quoted text – Thanks for the tips, Tammy!  What kind of arthritis do you have?   I have RA, and have been having more heartburn lately,  Hmm, maybe I should go back to taking ginger again, I’ve slacked off it lately. I had good results with it for heartburn, taking it in capsules, and adding fresh ginger to foods.  Thanks again for the reminder.  Do stick around, and let us know how Tammy is doing!  Regards,  Liz G

Response:

I’ve looked into natural remedies for arthritis.  An interesting one to try ( I’m trying it right now) is Blackstrap Mollasses.  It has to be Blackstrap though, reg mollasses is processed differently and has no effect. Blackstrap will also give you increased energy, calciam, and a host of other great effects.  Apparently it’s good for alot more than arthritis. Another great one is glucosamine.  (not the kind you buy at a local drugstore.)  Buy it from a natural foods and herbs place.  Make sure it is not full of fillers.  ie/ cellulose is the most common filler.  It’s in ever less expensive product out there almost.  Cellulose is sawdust.  Seriously. Anyway, these might just help. Ginger (as mentioned by others in this group) is awesome if taken from the fraw root before it is processed.  You can buy whole ginger root at any grocery store.  What I do is run it through a juicer and keep it in a jar in my fridge.  One teaspoon of this juice every AM with help with various ailments, and works wonders with heartburn or acid refux.  Within about a week you’ll notice a big difference.  I think you take it for three weeks to cure heartburn for good apparently. It will also give you a real energy kick. Tammy Take care Tammy

Response:

Larry You are making me feel as sick as when Harv when on about pancakes, syrup and eggs – uuuuuuuuggggghhhh

Sorry, Lass, wasn’t aware that you had a queasy tum-tum. Best, Larry

Response:

(Diane Abell) writes: Hey, I don’t know about an arthritis flare, but I get a heartburn just thinking about all of this stuff.  Biscuits…. uggghh!!! Not a bit of it.  Now when eaten together.  The bad in either cancels out the other while the good of each multipies the other.  May be a tad heavy on the choloesteral but that is about it. Best, Larry

Yeah.  Straight from the "I Love to Infarct Cookbook". — Di dabell at access1 dot net

Response:

(Diane Abell) writes: Yeah.  Straight from the "I Love to Infarct Cookbook".

I got it from "How To Clog The Arteries And Enjoy Doing It."  It was a freebie from the local mortuary. Best, Larry

Response:

<<Some cases of arthritis might be caused by potassium salt deficiency, mollasses helps with that.  It is also high in iron, and is great when used as a sugar substitute because white sugar is too acidy and actually will contribute to rheumatism. You should put one teaspoon in a cup of hot water and drink it as a tea about two or three times a day.  It is full of minerals and also great for the skin and hair. I do believe that a prescription strength molasses cookie, 3 times a day would improve my attitude…if it’s good for my rheumatism <g and it’s gonna improve my "coat"…BONUS! Warm regards, Angela "Vitality shows in not only the ability to persist but the ability to start over. "  – F. Scott Fitzgerald

Response:

Avoid them biscuits.  They’ll cause a flair for sure.  You use cornbread with Blackstrap Mollasses.  You have to use sausage gravy if you’re gonna eat biscuits.  Of course you can always have both.  LOL  With a couple of eggs over-easy and a cup of fresh coffee and you have what I call a real Breakfast! Best, Larry

Hey, I don’t know about an arthritis flare, but I get a heartburn just thinking about all of this stuff.  Biscuits…. uggghh!!! — Di dabell at access1 dot net

Response:

Larry You are making me feel as sick as when Harv when on about pancakes, syrup and eggs – uuuuuuuuggggghhhh Regards Hildagh London, England (born and raised in Belfast, N.Ireland)

LOL!  Poor Hildagh, that recent bout with food poisoning was a real bummer, naturally!  Glad it wasn’t anything life threatening. Wouldn’t want to lose one of our best International Good Will Ambassadors! :) Cheers, Kitt

Response:

LOL   That makes you sick and you like Haggis?   ROFL Char "Remember, I’m pulling for ya’.  We’re all in this together."  Red Green

Response:

just thinking about all of this stuff.  Biscuits…. uggghh!!! —

ROFL   No thats heaven on a plate!!! Char "Remember, I’m pulling for ya’.  We’re all in this together."  Red Green

Response:

(Diane Abell) writes: Hey, I don’t know about an arthritis flare, but I get a heartburn just thinking about all of this stuff.  Biscuits…. uggghh!!!

Not a bit of it.  Now when eaten together.  The bad in either cancels out the other while the good of each multipies the other.  May be a tad heavy on the choloesteral but that is about it. Best, Larry

Response:

Larry said, " With a couple of eggs over-easy and a cup of fresh coffee and you have what I call a real

Breakfast!" So what time should I expect you Larry?? <G Amy I live in a world of mystery and intrigue. I teach kindergarten.

Response:

Tammy said, "white sugar is too acidy and actually will contribute to rheumatism." I was wonder where you found this information?  I have never heard that before. Amy I live in a world of mystery and intrigue. I teach kindergarten

Response:

Larry You are making me feel as sick as when Harv when on about pancakes, syrup and eggs – uuuuuuuuggggghhhh Regards Hildagh London, England (born and raised in Belfast, N.Ireland) – Hide quoted text — Show quoted text – (LkGoddess) writes: Hey Sarah, you bring the Blackstrap Mollasses and I’ll make the biscuits! <yum!  We can conduct a science experiement…..see if it anti-imflams or not….but then who cares….it’s just yummy to eat! Avoid them biscuits.  They’ll cause a flair for sure.  You use cornbread with Blackstrap Mollasses.  You have to use sausage gravy if you’re gonna eat biscuits.  Of course you can always have both.  LOL  With a couple of eggs over-easy and a cup of fresh coffee and you have what I call a real Breakfast! Best, Larry

Response:

(LkGoddess) writes: Hey Sarah, you bring the Blackstrap Mollasses and I’ll make the biscuits! <yum!  We can conduct a science experiement…..see if it anti-imflams or not….but then who cares….it’s just yummy to eat!

Avoid them biscuits.  They’ll cause a flair for sure.  You use cornbread with Blackstrap Mollasses.  You have to use sausage gravy if you’re gonna eat biscuits.  Of course you can always have both.  LOL  With a couple of eggs over-easy and a cup of fresh coffee and you have what I call a real Breakfast! Best, Larry

Response:

Some cases of arthritis might be caused by potassium salt deficiency, mollasses helps with that.  It is also high in iron, and is great when used as a sugar substitute because white sugar is too acidy and actually will contribute to rheumatism. You should put one teaspoon in a cup of hot water and drink it as a tea about two or three times a day.  It is full of minerals and also great for the skin and hair.   Don’t go absolutely crazy on it too fast though or you might get stomach upset.  Start slowly and work your way up. Tammy – Hide quoted text — Show quoted text – I’ve looked into natural remedies for arthritis.  An interesting one to try ( I’m trying it right now) is Blackstrap Mollasses. Tammy, I love Blackstrap Mollasses.  What is it supposed to do for arthritis? Is it anti-inflam or something? Sarah L "Friends are those people who know the words to the song in your heart and sing them back to you when you have forgotten the words."  (unattributed)

Response:

Thanks for the tips, Tammy!  What kind of arthritis do you have?    I have RA, and have been having more heartburn lately,  Hmm, maybe I should go back to taking ginger again, I’ve slacked off it lately. I had good results with it for heartburn, taking it in capsules, and adding fresh ginger to foods.  Thanks again for the reminder.   Do stick around, and let us know how Tammy is doing!  Regards,  Liz G

Response:

I’ve looked into natural remedies for arthritis.  An interesting one to try ( I’m trying it right now) is Blackstrap Mollasses.

Tammy, I love Blackstrap Mollasses.  What is it supposed to do for arthritis? Is it anti-inflam or something? Sarah L "Friends are those people who know the words to the song in your heart and sing them back to you when you have forgotten the words."  (unattributed)

Response:

Hey Sarah, you bring the Blackstrap Mollasses and I’ll make the biscuits! <yum!  We can conduct a science experiement…..see if it anti-imflams or not….but then who cares….it’s just yummy to eat! <G Very intersting stuff Tammy! Amy I live in a world of mystery and intrigue. I teach kindergarten.

Response:

Hi Liz, I’m actually not sure yet whether it is arthritis, but I’m sure trying out some of the natural ways of dealing with it. I’m really having severe back and shoulder pain lately.  Sometimes it’s in my hips,  and mostly in the evenings or at night.  The middle of the night pain is horrific!  My back becomes totally immobile and it affects my lungs I’m checking into arachnoiditis as well.  Gosh lately I just kind of ache all over. The natural remedies come from a bit of background in the herbalist area.  I have used home remedies for many things, with great results. The ginger I use for energy, but started my dad on it for GERD.  It worked well for him.  And now I’m going to try it again and see if it’ll put some heat into these bones!  I get so cold! Anyway,  I’m getting tests done now to find out exactly what I have, I just really like to have a good idea first.  (I never was one to just take orders :) ) Hope to hear from you often! – Hide quoted text — Show quoted text – Thanks for the tips, Tammy!  What kind of arthritis do you have?   I have RA, and have been having more heartburn lately,  Hmm, maybe I should go back to taking ginger again, I’ve slacked off it lately. I had good results with it for heartburn, taking it in capsules, and adding fresh ginger to foods.  Thanks again for the reminder.  Do stick around, and let us know how Tammy is doing!  Regards,  Liz G

Response:

I’ve looked into natural remedies for arthritis.  An interesting one to try ( I’m trying it right now) is Blackstrap Mollasses.  It has to be Blackstrap though, reg mollasses is processed differently and has no effect. Blackstrap will also give you increased energy, calciam, and a host of other great effects.  Apparently it’s good for alot more than arthritis. Another great one is glucosamine.  (not the kind you buy at a local drugstore.)  Buy it from a natural foods and herbs place.  Make sure it is not full of fillers.  ie/ cellulose is the most common filler.  It’s in ever less expensive product out there almost.  Cellulose is sawdust.  Seriously. Anyway, these might just help. Ginger (as mentioned by others in this group) is awesome if taken from the fraw root before it is processed.  You can buy whole ginger root at any grocery store.  What I do is run it through a juicer and keep it in a jar in my fridge.  One teaspoon of this juice every AM with help with various ailments, and works wonders with heartburn or acid refux.  Within about a week you’ll notice a big difference.  I think you take it for three weeks to cure heartburn for good apparently. It will also give you a real energy kick. Tammy Take care Tammy

Response:

alternative asthma treatment, Buteyko once again

Question:

Hello all, being a Buteyko enthusiast myself, I now realize that the non-enthusiasts sometimes react allergic on the enthusiasts. I’ve experienced that with many people including my fiancee. And I have to admit that it sounds unbelievable what the Buteyko method promises. What the method asks from you is breath control. What it doesn’t ask from you is to completely abandon any medical advice. Instead,you keep on with your normal asthma treatment and try to gradually reduce your emergency medications as the method shows first success (which is usually almost immediately). What the method has given to almost 100% of those who tried it is relief from their asthma attacks and increased health. I think the issue is too serious to start flame wars. And the enthusiasts should try to remember the time before they were ‘converted’ So why not give it a try, like you try another doctor if your current one doesn’t do the job? Keep with your current doctor and try the Buteyko method. To the degree I did it until it helped me, it was absolutely free. Only now have I ordered the manual and the instruction tape from Australia, just to have a complete reference. The instructions are on the Web. See http://www.ultra.net.au/buteyko/ http://www.cix.co.uk/~reardo/buteyko.htm Greetings & all the best   Dolfi ZKM – Center for Art & Media, Karlsruhe     Institute for Visual Media   P.B. 6919 D-76049 Karlsruhe, Germany; Tel +49 (0)721-9340-404, Fax -49

Response:

Hello all, being a Buteyko enthusiast myself, I now realize that the non-enthusiasts sometimes react allergic on the enthusiasts. I’ve experienced that with many people including my fiancee. And I have to admit that it sounds unbelievable what the Buteyko method promises. What the method asks from you is breath control. What it doesn’t ask from you is to completely abandon any medical advice. Instead,you keep on with your normal asthma treatment and try to gradually reduce your emergency medications as the method shows first success (which is usually almost immediately).

I am posting an email I got when checking out the Butekyo claims.  It appears that the Australian trial did take place and that there was a decrease in _precieved_ symptoms.  However – there was no inprovement in airway inflamation nor in broncioconstriction. The response supports my theory that breathing excercises such as Butekyo simply imporve the efficency of air exchange – allowing the lungs to extract more oxygen from the same volume of air.  Personally, I feel that 20 minutes/day of excercise will provide better results.   The text of the message follows: Dear Colin, Thank  you for your inquiry about the Buteyko Breathing method.  There was a trial done in Brisbane in 1995, funded by the Association of Australian Asthma Foundations and conducted by a group of eminent respiratory physicians.  I am chasing up the results of this trial as the abstract presented at the Thoracic Society of Australian and New Zealand meeting in 1995 was a summary of the results for the first 6 weeks only and I am trying to find more recent information.  Two groups of 20 people with well-documented moderately severe asthma took part.  The preliminary results showed that the people in the Buteyko group felt better and needed less reliever medication for asthma symptoms, but there was no change in tests of their airway calibre – the narrowing of their bronchial tubes did not improve.  As soon as I have something more recent and comprehensive, I will let you know. Yours sincerely, Kathy Hope Project Officer – Hide quoted text — Show quoted text -What the method has given to almost 100% of those who tried it is relief from their asthma attacks and increased health. I think the issue is too serious to start flame wars. And the enthusiasts should try to remember the time before they were ‘converted’ So why not give it a try, like you try another doctor if your current one doesn’t do the job? Keep with your current doctor and try the Buteyko method. To the degree I did it until it helped me, it was absolutely free. Only now have I ordered the manual and the instruction tape from Australia, just to have a complete reference. The instructions are on the Web. See http://www.ultra.net.au/buteyko/ http://www.cix.co.uk/~reardo/buteyko.htm Greetings & all the best  Dolfi ZKM – Center for Art & Media, Karlsruhe     Institute for Visual Media   P.B. 6919 D-76049 Karlsruhe, Germany; Tel +49 (0)721-9340-404, Fax -49

‘Reply to’ address changed to foil email spammers.

Response:

Every day I am providing data to you, free of charge, just to pull your attention to the theory that should not be ignored just because some drug cartels have no financial interest out of it, but asthmatics may have great interest in it for the safety of their body!

If you are as knowelagable in the process of science as you claim then you should know that you personal testomial is _not_ science.   ‘Reply to’ address changed to foil email spammers.

Response:

We also have a thing called The Federal Drug Administration that It is high time for the Federal Drug Administration to ask this question:- "What is wrong to use breathing exercises to reduce the drug consumption for asthmatics? It is documented that excessive use of asthma drugs cause serious health hazards, therefor it is imperative that they should be consumed as little as possible."

Because breathing excercises have not been demonstrated to be safe and effective as per US standards.  When the FDA gets data which meets the required protocols they will undoubtably consider the application. ‘Reply to’ address changed to foil email spammers.

Response:

I will not allow one wacko to keep me from sharing/learning of experiences associated with a serious disease. A simple tried & true method that will surely work, is total, & I mean total, ignoring of his posts. Take away his forum & he inherits the wind. all fires expire when oxygen is spent. Take away his air, & he can talk to a kiwi, lets all get "deaf" Ike (an old new asthmatic)who appreciates this news group

Response:

– Hide quoted text — Show quoted text – We also have a thing called The Federal Drug Administration that It is high time for the Federal Drug Administration to ask this question:- "What is wrong to use breathing exercises to reduce the drug consumption for asthmatics? It is documented that excessive use of asthma drugs cause serious health hazards, therefor it is imperative that they should be consumed as little as possible." Because breathing excercises have not been demonstrated to be safe and effective as per US standards.  When the FDA gets data which meets the required protocols they will undoubtably consider the application.

FDA gets data??!! data from where? There are thousands of asthmatics pacticing these techniques which they benefit, they have to come up and attract the attention of the Surgeon General to allocate some funds to study these techniques independently to get such data. Who else would supply them such data? |-| /- |-< |-< ||| – Hide quoted text — Show quoted text – ‘Reply to’ address changed to foil email spammers.

Response:

We also have a thing called The Federal Drug Administration that

It is high time for the Federal Drug Administration to ask this question:- "What is wrong to use breathing exercises to reduce the drug consumption for asthmatics? It is documented that excessive use of asthma drugs cause serious health hazards, therefor it is imperative that they should be consumed as little as possible." Wake up! |-| /- |-< |-< ||| – Hide quoted text — Show quoted text – Ras

Response:

It is high time for the Federal Drug Administration to ask this question:- "What is wrong to use breathing exercises to reduce the drug consumption for asthmatics? It is documented that excessive use of asthma drugs cause serious health hazards, therefor it is imperative that they should be consumed as little as possible." Wake up! |-| /- |-< |-< |||

Wide awake, and here is another false statement.  If you have asthma, or any other illness, and you are using medications in excess of the proper dosage, you see your doctor.  There are other medications that may help.  But the question is:  What is excessive and harmful?  My son used to use one inhaler of Proventil, (albuterol(, in about two days.  Certainly far in excess of the dosage prescribed.  He had been doint that for years, with no harm.  But then his doctor put him on Serevent which he uses as prescribed, two puffs twice daily, and has stopped taking any albuterol at all.  A while back, there was a scare about albuterol, concerning some generic brands.  Proventil was not one of them.  But my son has used generic brands to excess also, with no harm done.   But say, how long can you hold your breath?  When I take my puff of medication, the one that tells me to then hold my breath as long as I can, I can go about 30 seconds on the first puff.  Then, after waiting the minute or so, the next puff I can go close to 45 seconds.  How about you? —                  Herm Rev. Herm Schugard  K3JSZ since 1959 Nudist since birth        http://www.geocities.com/HotSprings/1255

Response:

"What is wrong to use breathing exercises to reduce the drug consumption for asthmatics? It is documented that excessive use of asthma drugs cause serious health hazards, therefor it is imperative that they should be consumed as little as possible." Wake up! |-| /- |-< |-< |||

I was about to post an intelligent response, but past experience shows that it would be useless to reason with this person. Perhaps your attitude is best described in a posting you made to a different newsgroup — where you noted that all Americans are killers as documented in the constitution. I suppose we advocate medically-proven preventive medicines because we want to take over the world…. Personally, I’ll just opt for a long and somewhat healthy life. Please, spare me your latest weirdo response. Mary

Response:

brands.  Proventil was not one of them.  But my son has used generic brands to excess also, with no harm done.  

How do you know "with no harm" ? But say, how long can you hold your breath?  When I take my puff of medication, the one that tells me to then hold my breath as long as I can, I can go about 30 seconds on the first puff.  Then, after waiting the minute or so, the next puff I can go close to 45 seconds.  How about you?

I can hold my breath 30-60 seconds. |-| /- |-< |-< ||| – Hide quoted text — Show quoted text – —                  Herm

Response:

BTW, before you start talking about the ’scientefic method’ the Russian Butekyo trial did not follow the standard methods used in medical trials.   In this country we like to follow a little thing called the scientic method. You know, were you prove the validity of something befor making What do _you_ know about "scientific method" ? I have studied logic, foundations of math and logic, and philosophy and philosohpy of science years and years..

Maybe you should keep studying.  Your posts are a textbook case of how *NOT* to do science, (q.v. Casti, Kerlinger, Cooke and Campbell, Gonick and Smith, or any of a number of others who would be required to understand the scientific method. Scott (Who really feels bad about responding to posts that rightfully should live under a bridge and have a mortal fear of goats, but it’s early and I wasn’t in the mood.)

Response:

BTW, before you start talking about the ’scientefic method’ the Russian Butekyo trial did not follow the standard methods used in medical trials.   In this country we like to follow a little thing called the scientic method. You know, were you prove the validity of something befor making

What do _you_ know about "scientific method" ? I have studied logic, foundations of math and logic, and philosophy and philosohpy of science years and years.. I know what scientific method is, I know what a theory is, I don’t confuse theory with hypothesis, I know what observation, experimentation according to theory is.. claims. It saves you from making assumptions like " the sun rises every day" . We also have a thing called The Federal Drug Administration that reviews the claims of people selling cures , based on scientific data ,to prove their worth and safty. Surly you would approve of these concepts befor making claims about a cure? Why then do you go on if you can’t provide any data?

Every day I am providing data to you, free of charge, just to pull your attention to the theory that should not be ignored just because some drug cartels have no financial interest out of it, but asthmatics may have great interest in it for the safety of their body! |-| /- |-< |-< ||| Ras

Note: Thanks!

Response:

BTW, before you start talking about the ’scientefic method’ the Russian Butekyo trial did not follow the standard methods used in medical trials.  

In this country we like to follow a little thing called the scientic method. You know, were you prove the validity of something befor making claims. It saves you from making assumptions like " the sun rises every day" . We also have a thing called The Federal Drug Administration that reviews the claims of people selling cures , based on scientific data ,to prove their worth and safty. Surly you would approve of these concepts befor making claims about a cure? Why then do you go on if you can’t provide any data? Ras

Response:

It also list as possible effects the opposite of this. Sounds a lot like a "don’t say we didn’t warn you" message from the drug company to me. Excuse me, but you’re talking about *possible* effects here, not everybody will get them, and I would hope that anyone experiencing those effects would see a doctor ASAP.

Actually, for every medication there is a small number of people whose bodys cannot handle the stuff.  This happened to me last November when I had an ‘unusual’ reaction to the medicne ‘Humibid’ (a nasal decongestant). ‘Reply to’ address changed to foil email spammers.

Response:

It also list as possible effects the opposite of this. Sounds a lot like a "don’t say we didn’t warn you" message from the drug company to me. – Hide quoted text — Show quoted text -Excuse me, but you’re talking about *possible* effects here, not everybody will get them, and I would hope that anyone experiencing those effects would see a doctor ASAP.

Response:

If it didn’t foolow the standard methods used in medical trials then you shouldn’t keep on arguing about its results, you would just refuse them stamping the trial as invalid due to not following established standards… of course it is another issue if those standards are fit for Buteyko Theory which doesn’t introduce some wonder drugs like steroids into human body;-)

So you are saying that things like _objective_ measurements, control groups, double-blind srandomized studies, etc. do not apply to Butekyo?  If they don’t then how can you tell me that the results are accurate? If there was no quality control done on the Butekyo study, then how can we have any confidence in the results? Basically if you want to exempt Butekyo from procedures required by the ’scientefic method’ then you should not be claiming the Butekyo has anything to do with science. ‘Reply to’ address changed to foil email spammers.

Response:

Australian doctors did try the Butekyo theory and found it to be inferior.   Inferior to what?

Standard medical practices which have been shown to effectively _prevent_ asthma attacks. What is funny here is that you carefully deleted my post which showed that the Australian trials did in fact show that Butekyo simply masked symptoms without imporving airway function. Symptoms according to which theory? Improving airway functions at what stage of asthma according to which theory?

Apparantely Butekyo had no effect on broncioconstrition nor any effect on airway inflamation.  Since Butekyo claims to reverse/prevent broncioconstriction this is a very relevant finding. ‘Reply to’ address changed to foil email spammers.

Response:

BTW, before you start talking about the ’scientefic method’ the Russian Butekyo trial did not follow the standard methods used in medical trials.   You do know what these are do you?  Note: if you answer ‘yes’ I will challange you to describe them.

If it didn’t foolow the standard methods used in medical trials then you shouldn’t keep on arguing about its results, you would just refuse them stamping the trial as invalid due to not following established standards… of course it is another issue if those standards are fit for Buteyko Theory which doesn’t introduce some wonder drugs like steroids into human body;-) |-| /- |-< |-< ||| – Hide quoted text — Show quoted text – ‘Reply to’ address changed to foil email spammers.

Response:

Australian doctors did try the Butekyo theory and found it to be inferior.  

Inferior to what? What is funny here is that you carefully deleted my post which showed that the Australian trials did in fact show that Butekyo simply masked symptoms without imporving airway function.

Symptoms according to which theory? Improving airway functions at what stage of asthma according to which theory? |-| /- |-< |-< |||

Response:

Yeah, but these are all your doctors opinion which are not based in any experiments and observations conducted according to Buteyko Theory, or according to any other theory of medicine. How can you call your doctors opinion against the test results which are conducted according to the theory of Buteyko, or any other theory. Your doctor is talking into the air, unless he bases his arguments some scientific observations conducted according to _a_ theory.

I noticed that you very carefully deleted my post concerning the results of the Butekyo trial in Australia.  It appears that the Australian doctors did try the Butekyo theory and found it to be inferior.    Especially your doctors saying "allowing the real problems to build up..bla..bla.." has no scientific value at all..it is next to old women’s gossip;-RO(T/F)L

What is funny here is that you carefully deleted my post which showed that the Australian trials did in fact show that Butekyo simply masked symptoms without imporving airway function. I suggest you change your doctor, just to get another opinion;-)) If you care for opinions in place of scientific experimentations and reports based on the observations done during those experimentations conducted according to the theory. This is the scientific method, if you care.

It sounds like his doctor did exactly that. BTW, before you start talking about the ’scientefic method’ the Russian Butekyo trial did not follow the standard methods used in medical trials.   You do know what these are do you?  Note: if you answer ‘yes’ I will challange you to describe them. ‘Reply to’ address changed to foil email spammers.

Response:

- Hide quoted text — Show quoted text – Colin, Since my family live near Brisbane, you may find our doctor’s view of this matter of interest. About the same time as this trial was taking place, our respiratory physician told us that our family (4 with severe chronic asthma) should not try this method. It can give only symptomatic relief and does not address the underlying cause of asthma trauma, namely the swelling and inflammation of the walls of the air tubes, particularly with people having highly reactive airways. He felt that the short term relief may result in an unnecessary reduction in medication, allowing the real problems to build up under a mask of "feeling better." However, in those with mild asthma symptoms, it could assist in promoting relaxation, reduction of panic and anxiety, aspects which usually make the asthmatic feel much worse during an attack.

Yeah, but these are all your doctors opinion which are not based in any experiments and observations conducted according to Buteyko Theory, or according to any other theory of medicine. How can you call your doctors opinion against the test results which are conducted according to the theory of Buteyko, or any other theory. Your doctor is talking into the air, unless he bases his arguments some scientific observations conducted according to _a_ theory. Especially your doctors saying "allowing the real problems to build up..bla..bla.." has no scientific value at all..it is next to old women’s gossip;-RO(T/F)L I suggest you change your doctor, just to get another opinion;-)) If you care for opinions in place of scientific experimentations and reports based on the observations done during those experimentations conducted according to the theory. This is the scientific method, if you care. |-| /- |-< |-< ||| – Hide quoted text — Show quoted text – Regards,  Tony

Response:

 [preliminary stuff snipped in the interests of bandwidth] – Hide quoted text — Show quoted text -Dear Colin, Thank  you for your inquiry about the Buteyko Breathing method.  There was a trial done in Brisbane in 1995, funded by the Association of Australian Asthma Foundations and conducted by a group of eminent respiratory physicians.  I am chasing up the results of this trial as the abstract presented at the Thoracic Society of Australian and New Zealand meeting in 1995 was a summary of the results for the first 6 weeks only and I am trying to find more recent information.  Two groups of 20 people with well-documented moderately severe asthma took part.  The preliminary results showed that the people in the Buteyko group felt better and needed less reliever medication for asthma symptoms, but there was no change in tests of their airway calibre – the narrowing of their bronchial tubes did not improve.  As soon as I have something more recent and comprehensive, I will let you know. Yours sincerely, Kathy Hope Project Officer

Colin, Since my family live near Brisbane, you may find our doctor’s view of this matter of interest. About the same time as this trial was taking place, our respiratory physician told us that our family (4 with severe chronic asthma) should not try this method. It can give only symptomatic relief and does not address the underlying cause of asthma trauma, namely the swelling and inflammation of the walls of the air tubes, particularly with people having highly reactive airways. He felt that the short term relief may result in an unnecessary reduction in medication, allowing the real problems to build up under a mask of "feeling better." However, in those with mild asthma symptoms, it could assist in promoting relaxation, reduction of panic and anxiety, aspects which usually make the asthmatic feel much worse during an attack. Regards,  Tony

Response:

Colin, I have done a little research into the _known_ possible effects of some of the drugs you take to control the _known_symptoms_ of your asthma and the results were staggering!  … flushing or redness of face or skin; increased      wheezing or difficulty in breathing; skin rash,… Eh!!!! Wheezing and difficulty from corticosteroids inhaled to relieve wheezing and difficulty in breathing! Nice one that, very logical.

Excuse me, but you’re talking about *possible* effects here, not everybody will get them, and I would hope that anyone experiencing those effects would see a doctor ASAP. And *which* corticosteroids are you referring to ? Corticosteroids don’t work for everybody, and the same goes for ANY treatment regime, *Butyeko included*. Chris — Chris King               | Advice given here should NOT be used as a substitute

Response:

I am posting an email I got when checking out the Butekyo claims.  It appears that the Australian trial did take place and that there was a decrease in _precieved_ symptoms.  However – there was no inprovement in airway inflamation nor in broncioconstriction. The response supports my theory that breathing excercises such as Butekyo simply imporve the efficency of air exchange – allowing the lungs to extract more oxygen from the same volume of air.  Personally, I feel that 20 minutes/day of excercise will provide better results.  

Colin, I have done a little research into the _known_ possible effects of some of the drugs you take to control the _known_symptoms_ of your asthma and the results were staggering!   … flushing or redness of face or skin; increased       wheezing or difficulty in breathing; skin rash,… Eh!!!! Wheezing and difficulty from corticosteroids inhaled to relieve wheezing and difficulty in breathing! Nice one that, very logical. I can’t help but have a wry smile on my face when I see you recommending 20 minutes of exercise will produce better results than the "unprecedented broad-spectrum improvement" of the Buteyko method when you use these drugs to control your own known symptoms. Do you have any references that you have based this personal theory on or is this subjective and based on only your _perceived_symptoms_ which you take drugs to reduce anyway? Incidentally, doesn’t exercise increase CO2? Hmmm :-) )) It depends, though, how deeply you exhale while doing the exercise as to what benefits you’ll receive as regards asthma according to the Buteyko theory. The Medical Journal of Australia as quoted below vs. 20 minutes of exercise a day. Are you a pharmaceutical salesman or something?? This would be funny if someone here in the UK wasn’t dying of asthma every 4 hours and God knows how many in Europe, North America and the Antipodes. Also, what do you recommend exercise-induced asthmatics do??? As usual, the article below _again_ confirms that Buteyko is merely pointing out _STANDARD_ physiology. Newspaper Article from the Sunday Telegraph, UK                         ******* The technique was developed in Russia by Professor Konstantin Buteyko. Drake first encountered it in Australia about five years ago, and now an estimated 8,000 Australians have been treated with it. One clinical trial written up in the Medical Journal of Australia, describes the results as showing "unprecedented broad-spectrum improvement". What makes Buteyko approach so controversial is that it turns our idea of what happens during breathing on its head. In the authorised version, what we all need is oxygen. The job of the lungs is to transfer oxygen into the blood making it bright red and healthy and to breathe out carbon dioxide -the waste product. In the Buteyko version, it is carbon dioxide that gets the lead role. Drake points out, and physiologists would not disagree, that CO2 is vital for control of the major body systems, such as the immune system, the digestion and the heart. Certainly the transference of oxygen to the blood from the lungs depends on the right amount of CO2 being available. "Now it is text-book stuff, but not widely known that for the exchange to work most efficiently you need in your lungs about 6 per cent CO2 and 2 per cent oxygen," says Drake. "This means that the focus of everyone’s breathing is not, as we all think, getting enough oxygen – there’s lots of it around, 20 per cent in every breath – the problem is getting enough CO2, as each breath contains only .035 per cent. The key role of the lungs is to act as a CO2 reservoir". The storage tanks are the alveoli – millions of tiny sacs in the lungs where CO2 is transferred into the blood.                                 **** Regards, Mark – Hide quoted text — Show quoted text -The text of the message follows: Dear Colin, Thank  you for your inquiry about the Buteyko Breathing method.  There was a trial done in Brisbane in 1995, funded by the Association of Australian Asthma Foundations and conducted by a group of eminent respiratory physicians.  I am chasing up the results of this trial as the abstract presented at the Thoracic Society of Australian and New Zealand meeting in 1995 was a summary of the results for the first 6 weeks only and I am trying to find more recent information.  Two groups of 20 people with well-documented moderately severe asthma took part.  The preliminary results showed that the people in the Buteyko group felt better and needed less reliever medication for asthma symptoms, but there was no change in tests of their airway calibre – the narrowing of their bronchial tubes did not improve.  As soon as I have something more recent and comprehensive, I will let you know. Yours sincerely, Kathy Hope Project Officer

Response:

So why not give it a try, like you try another doctor if your current one doesn’t do the job? Keep with your current doctor and try the Buteyko method. To the degree I did it until it helped me, it was absolutely free.   http://www.ultra.net.au/buteyko/ http://www.cix.co.uk/~reardo/buteyko.htm

Ok so you tried it and it worked, great. Why don’t you just put it out here for free ???????I mean everything else aside, the bottom line with e-mail copies to those who want them, for free. Regards, – Hide quoted text — Show quoted text –   Dolfi ZKM – Center for Art & Media, Karlsruhe     Institute for Visual Media P.B. 6919 D-76049 Karlsruhe, Germany; Tel +49 (0)721-9340-404, Fax -49

Response:

Waking up

Question:

Unless some new research has proved otherwise.  Asthma does not cause permanent lung damage.  This is clearly stated in many of the asthma web pages and the asthma FAQ.  I don’t have those URLs handy, but if you run a search I’m sure you will find them.  Good luck with your asthma and your

Not entirely true.  Long-term inflammation can cause scarring.  This can cause hardening and obstruction of the bronchial tubes.  It can also cause brittle, hardened alveoli in some cases.  Both will cause permanent lung obstruction.  This is a _long-term_ problem.  Asthma is considered "reversable" because bronchiodilators can restore lung function for the duration of an attack.  The move to using inhaled steroids is not only for their beta agonist-sparing effects.  Knocking down the inflammation reduces the change of scarring over the course of many years.   Unfortunately, there are only preliminary studies on the scarring associated with long-term asthma.  We’ll have to wait for longer studies to see if the inhaled steroids actually prevent lung damage over the course of years. — Member, Knights of Xenu (1995).  Chaos Monger and Jill of All Trades. "There are some people who will argue whether the flames are blue or green, when the real question is that their arse is on fire."

Response:

Hello, I am a new member, so I don’t know if this has been a recent subject.         Quite often, I will wake up either during the night, or in the morning with either a wheeze or coughing. I will go about my morning routine, not doing anything (medications) and within an hour, I will not be having a problem. I would like to know if I should go along with this attitude, not doing anything, or if this is a damaging way to take care of my asthma. — Aaron Kennell

Response:

Hi.  My doctor always tells me that if I am waking up during the middle of the night with asthma, then it is not sufficiently controlled.  When this happens, he asks me to let him know, and he adjusts my medication.  On the other hand, I do find that I need to use Ventolin upon waking.  While I only use it once a day when I’m doing well, to skip my morning dose usually means a lot of wheezing around 11 am.  I test this theory about once a month, and unless my asthma is under excellent control, I do need the Ventolin.   When I was first diagnosed with asthma, I was hesitant to call my doctor (especially at what seemed to me to be inconvenient hours no matter how frightened I was).  Fortunately, he convinced me that he’d rather have a call from me at 2 am than a call from the hospital telling him that I arrived in an ambulance and was intubated.  Now I call him when I notice exacerbated symptoms and we deal with the problem immediately.  He also gives me detailed instructions of how to handle situations when I go on vacation.  Yes, I do consult with him when making vacation plans and he checks me out prior to going to see that it is advisable.  My asthma is severe. If your doctor is not responsive to your calls, then I would talk to him/her about it.  If still unresponsive, then look for someone who is. Your life could depend upon it.  Good luck. Lisa in Chicago

Response:

Hello, I am a new member, so I don’t know if this has been a recent subject.         Quite often, I will wake up either during the night, or in the morning with either a wheeze or coughing. I will go about my morning routine, not doing anything (medications) and within an hour, I will not be having a problem. I would like to know if I should go along with this attitude, not doing anything, or if this is a damaging way to take care of my asthma. — Aaron Kennell

The purpose of asthma medications is to keep your lung capability, as measured by a peak flow meter, above 80% of its highest reading. A standard test for diagnosing asthma is to test the peak flow, then inhale a bronchodilator (Ventolin, Proventil), then remeasure the peak flow. If it increases 10% you have asthma. I use the Mini-Wright peak flow meter, available from pharmacies for about $30, to adjust my inhaled corticosteroid. If you allow your lung function to degrade below 80%, you could end up with permanent lung damage. You might benefit from using a long acting (12hr) bronchodilator like Serevent, and an inhaled corticosteroid if you are diagnosed with nocturnal asthma. Ellis

Response:

Hello, I am a new member, so I don’t know if this has been a recent subject.    Quite often, I will wake up either during the night, or in the morning with either a wheeze or coughing. I will go about my morning routine, not doing anything (medications) and within an hour, I will not be having a problem. I would like to know if I should go along with this attitude, not doing anything, or if this is a damaging way to take care of my asthma.

See your doctor.  Unless you get it under control, it will only get worse.

Response:

You will NOT end up with permanent lung damage by letting your asthma get out of hand.  One of the nice things about asthma, if there is anything nice, is that it is a reversible condition—-not curable, but reversible.  What will happen is the inflammation will increase to a point where it can be very difficult to get your lungs back to normal.  Untreated asthma can take a year or longer to become stable.  Asthma does NOT cause permanent lung damage.  It does NOT turn into emphysema.  And it does NOT lead to lung cancer.  Jim

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Dear Jim, Yes, that’s what I’ve always read in the past.  However, in the course of trying to make career decisions for myself I have heard some other information.  I left teaching 3 years ago because I seemed to catch every virus that passed through the first grade and would then find my asthma exacerbated.  Since I believed that any attack was completely reversible, I didn’t worry about the long term effects of this course of action. Recently when I asked my doctor about going back to teaching he told me about some new research that indicated that severe asthmatic reactions might not always be completely reversible.  Since this was an unexpected finding, more research will have to be done in order to determine the repeatability of this research and just how severe the effects to the lungs are.  (It was my understanding that the researchers were trying to show that smoking causes permanent lung damage in those with asthma, but that permanent lung damage doesn’t occur in non-smokers with asthma — instead they found that permanent lung damage may occur in both groups.) In the meantime, I don’t want to take any more chances with my lungs than are necessary, therefore, I’m reconsidering future career paths. Since I’m not a doctor and this is all based upon my recollection of a conversation that I had back in September, I would appreciate any clarification that anyone can provide. Thanks. Lisa in Chicago

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Unless some new research has proved otherwise.  Asthma does not cause permanent lung damage.  This is clearly stated in many of the asthma web pages and the asthma FAQ.  I don’t have those URLs handy, but if you run a search I’m sure you will find them.  Good luck with your asthma and your carreer.  I know that small children are the worst for speading viruses. Jim

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I’m glad you cleared that up. Too many people think is cause damage. There have been times when my asthma was so bad that my peak flows were 150 for some time. Its now been two years and my peak has increased to 400. I pray that it will stay there but, you know how asthma can go. One bad attact and you can crash. Chris Maine

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You will NOT end up with permanent lung damage by letting your asthma get out of hand.  One of the nice things about asthma, if there is anything nice, is that it is a reversible condition—-not curable, but reversible.  What will happen is the inflammation will increase to a point where it can be very difficult to get your lungs back to normal.  Untreated asthma can take a year or longer to become stable.  Asthma does NOT cause permanent lung damage.  It does NOT turn into emphysema.  And it does NOT lead to lung cancer.  Jim

Jim, There is new evidence that your belief is not true. Here is a quote from The Johns Hopkins Medical Letter HEALTH AFTER 50 Nov 1995 ‘Asthma: The right Rx for Adults’ ‘New evidence shows that asthma is progressive, and that treatment prevents worsening. The hallmark of asthma treatment today is the use of preventive anti-inflammataory medications to break the chronic cycle of inflammation and damage. However, many patients are not receiving proper treatment. Older patients, as well as their physicians, tend to minimize asthma symptoms, and hence to under-treat it. Likewise, patients with long-standing asthma may rely only on older modes of therapy, such as short-acting bronchodilators. These drugs do not affect the bronchial inflammation that underlies asthma, and when used beyond the recommended dosage, they can mask lung problems.’ ‘With repeated attacks, air builds up in the alveoli(minute air sacs at the very end of the bronchioles, or bronchial branches). Eventually, the bronchioles collapse, trapping air in the alveoli. The eventual outcome is that lung tissue loses elasticity, and lung function gradually declines. The result of these pathological changes is wheezing, coughing, congestion, chest tightness, and breathlessness as air tries to make its way

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You will NOT end up with permanent lung damage by letting your asthma get out of hand.  One of the nice things about asthma, if there is anything nice, is that it is a reversible condition—-not curable, but reversible.

Actually, uncontrolled asthma CAN lead to permanent lung damage.  A sufficient period of time with constant inflammatory processes occuring in the lungs, and scar tissue begins to form. Chris Owens

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Thanks for the reply.  I have read that before.  As you can see,  it does not even hint that asthma has a connection to emphysema or cancer.  As for permanent damage to the lungs, if you dig further you find that that study focuses on the irritants themselves as the cause of permanent lung damage and not asthma.  You will find that people without asthma had just as bad a reaction to occupational pollutants as those with asthma.  Still, asthma should not be allowed to get out of control.  It just gets harder and harder to treat if it does. Jim

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