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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 14 to 38 of 38. Go back in thread:
Posted by sigismund on November 3, 2010, at 16:12:38
In reply to Re: I need a pill...., posted by bleauberry on November 3, 2010, at 4:57:55
>Medical marijuana does all that.
But will it make him work when he needs to work?
Though it does have a tradition behind it.
Posted by ed_uk2010 on November 3, 2010, at 16:34:46
In reply to Re: I need a pill.... » bleauberry, posted by sigismund on November 3, 2010, at 16:12:38
>...will it make him work when he needs to work?
I suspect not. I may require complex poly-pharmacy.
Posted by sigismund on November 4, 2010, at 2:22:57
In reply to Re: I need a pill.... » sigismund, posted by ed_uk2010 on November 3, 2010, at 16:34:46
>>>...will it make him work when he needs to work?
>I suspect not. I may require complex poly-pharmacy.
I can't say I've had a lot of success in dealing with this problem myself.
Could you move to the US and get one of those modern diagnoses?
Posted by ed_uk2010 on November 4, 2010, at 2:45:22
In reply to Re: I need a pill.... » ed_uk2010, posted by sigismund on November 4, 2010, at 2:22:57
>Could you move to the US and get one of those modern diagnoses?
Ooooh I dunno Sigi, you mean like co-morbid OCD and ADHD? Could be risky.
Posted by sukarno on November 4, 2010, at 3:15:04
In reply to Re: I need a pill.... » sigismund, posted by ed_uk2010 on November 4, 2010, at 2:45:22
Nabilone, methylphenidate and diazepam compounded into a single capsule, perhaps? :-)
Posted by ed_uk2010 on November 4, 2010, at 14:18:22
In reply to Re: I need a pill...., posted by sukarno on November 4, 2010, at 3:15:04
Doesn't nabilone make people freak out?
Posted by sigismund on November 4, 2010, at 14:19:16
In reply to Re: I need a pill...., posted by sukarno on November 4, 2010, at 3:15:04
Nabilone sounds interesting. I must google it.
Eddy, that one is risky, but I think your diagnosis should be ambitious.
I like to think I have comorbid ADHD and OCD.
Could that be right?
Surely I have executive dysfunction.
How much proof do you need for these things?
Posted by sigismund on November 4, 2010, at 14:22:27
In reply to Re: I need a pill.... » sukarno, posted by ed_uk2010 on November 4, 2010, at 14:18:22
Nabilone sounds alright.
I'd give it a go.
I've got some pain lying around somewhere.
Does it have to be neuropathic?
Posted by ed_uk2010 on November 4, 2010, at 15:11:59
In reply to Re: I need a pill...., posted by sigismund on November 4, 2010, at 14:19:16
>Surely I have executive dysfunction.
Nah, I don't think so Sigi. I think you are unique.
Nabilone supposedly helps chemotherapy nausea, but causes a lot of side effects. It was soon dumped after Zofran was launched.
Posted by ed_uk2010 on November 4, 2010, at 15:13:21
In reply to Re: I need a pill...., posted by sigismund on November 4, 2010, at 14:19:16
>I think your diagnosis should be ambitious.
What would be ambitious Sigi?
Posted by sigismund on November 4, 2010, at 16:18:04
In reply to Re: I need a pill.... » sigismund, posted by ed_uk2010 on November 4, 2010, at 15:13:21
That comorbid ADHD and OCD is pretty good.
I said to my shrink (I think) that I had it and should be treated with amphetamines and opiates.
We fell about laughing.
Posted by ed_uk2010 on November 4, 2010, at 16:21:55
In reply to Re: I need a pill.... » ed_uk2010, posted by sigismund on November 4, 2010, at 16:18:04
>That comorbid ADHD and OCD is pretty good.
I expect it's considered to be a bipolar variant these days.
Posted by Brainbeard on November 4, 2010, at 16:38:19
In reply to I need a pill...., posted by ed_uk2010 on November 1, 2010, at 14:33:05
You don't need a pill. You need a cigarette! Ask any smoker - smoking:
* makes you social when you need to be social
* makes you work when you need to work
* makes you calm when you need to be calm
* makes you alert when you need to be alert
* makes you happy when you need to be happy
* makes you sad when you need to be sad (like when, for instance, you develop lung cancer).
Posted by ed_uk2010 on November 4, 2010, at 16:58:56
In reply to That 'Pill' Is Smokin'!, posted by Brainbeard on November 4, 2010, at 16:38:19
>makes you sad when you need to be sad (like when, for instance, you develop lung cancer)
Ha! So I need a nicotine patch?
Posted by Brainbeard on November 4, 2010, at 17:07:24
In reply to Re: That 'Pill' Is Smokin'! » Brainbeard, posted by ed_uk2010 on November 4, 2010, at 16:58:56
> Ha! So I need a nicotine patch?
Well no, that's not good enough. Smoking tobacco releases many alkaloids that contribute to its benign effects. Smoking also does a fair bit of MAO-B inhibition. If you use a patch, nicotine gum or an electronic cigarette, you miss out on the alkaloids and the MAO-B-I.
There is a theoretical way to enjoy the benefits of tobacco without potentially developing lung cancer (and a host of other deadly diseases): vaporize it.
Posted by morgan miller on November 4, 2010, at 17:51:12
In reply to That 'Pill' Is Smokin'!, posted by Brainbeard on November 4, 2010, at 16:38:19
> You don't need a pill. You need a cigarette! Ask any smoker - smoking:
>
> * makes you social when you need to be social
> * makes you work when you need to work
> * makes you calm when you need to be calm
> * makes you alert when you need to be alert
> * makes you happy when you need to be happy
> * makes you sad when you need to be sad (like when, for instance, you develop lung cancer).
>
Nice, I like that last one : )Nicotine agitates me, I'm sure the same goes for many others. There are also possible long term health risks with nicotine, one of them being increasing growth of cancer cells. Nicotine works great for others though. If it worked great for me I'd be wearing the patch almost everyday.
Posted by morgan miller on November 4, 2010, at 17:52:50
In reply to Vaporize it / Don't criticize it, posted by Brainbeard on November 4, 2010, at 17:07:24
>Well no, that's not good enough. Smoking tobacco releases many alkaloids that contribute to its benign effects. Smoking also does a fair bit of MAO-B inhibition. If you use a patch, nicotine gum or an electronic cigarette, you miss out on the alkaloids and the MAO-B-I.
Ah yes, this is true. Nicotine alone does not give all the therapeutic benefit.
Posted by sigismund on November 4, 2010, at 18:42:55
In reply to Re: That 'Pill' Is Smokin'!, posted by morgan miller on November 4, 2010, at 17:51:12
>Nicotine agitates me, I'm sure the same goes for many others. There are also possible long term health risks with nicotine, one of them being increasing growth of cancer cells. Nicotine works great for others though. If it worked great for me I'd be wearing the patch almost everyday.
I wonder if Brainbeard misspoke?
He must be talking about smoking opium.
Posted by emmanuel98 on November 4, 2010, at 19:18:55
In reply to Re: That 'Pill' Is Smokin'! » morgan miller, posted by sigismund on November 4, 2010, at 18:42:55
I quit smoking (was a very light smoker, but very addcited to my 5 or 6 cigarettes) in 1997. Thirteen years later, I still chew nicotine gum. I tell my doctor this and she just shrugs. Nicotine by itself is about as harmful as caffeine. Still, I'm trying to wean myself off by chewing regular sugar free gum. Interestingly, when I took wellbutrin for depression (didn't work for me) I almost stopped the gum and drank significantly less coffee.
Posted by ed_uk2010 on November 5, 2010, at 2:42:05
In reply to Re: That 'Pill' Is Smokin'! » morgan miller, posted by sigismund on November 4, 2010, at 18:42:55
>He must be talking about smoking opium.
Sigi prefers to remain traditional.
Posted by Brainbeard on November 5, 2010, at 14:04:41
In reply to Re: That 'Pill' Is Smokin'!, posted by emmanuel98 on November 4, 2010, at 19:18:55
> Nicotine by itself is about as harmful as caffeine.
Nicotine is not completely harmless: it destroys all vitamin C in your body and diminishes blood flow, which, when it's taken as chewing gum, can cause Neuralgia Inducing Cavitational Osteonecrosis in the jaws, I think (holes of dead bone tissue within a bone structure, can be caused by interfering with normal blood flow by trauma or chemicals).
Always take vitamin C supplements when smoking or using nicotin.
Posted by linkadge on November 5, 2010, at 17:07:43
In reply to Re: That 'Pill' Is Smokin'!, posted by morgan miller on November 4, 2010, at 17:51:12
>There are also possible long term health risks >with nicotine, one of them being increasing >growth of cancer cells.
Nicotine is not exactly proven carcinogenic. It promotes angiogenesis (blood vescle growth) which can be good or bad. In the case of a stroke, angiogenesis can be very good. Nicotine achieves this by activating certain growth factors. Actually, exercise also enhances angiogenesis.
Linkadge
Posted by linkadge on November 5, 2010, at 17:13:03
In reply to Re: That 'Pill' Is Smokin'!, posted by Brainbeard on November 5, 2010, at 14:04:41
>Nicotine is not completely harmless: it destroys >all vitamin C in your body
Obviously it doesn't destroy all vitamin C in your body or else, all smokers would have full blown scurvey, which they don't.
>and diminishes blood
>flow, which, when it's taken as chewing gum, can >cause Neuralgia Inducing Cavitational >Osteonecrosis in the jaws, I think (holes of >dead bone tissue within a bone structure, can be >caused by interfering with normal blood flow by >trauma or chemicals).Nicotine promotes angiogenesis which would result in improved blood flow. What evidence is there that nicotine results in dead bone? There are plenty of health problems associated with smoking, but none of these can be directly linked to nicotine, since the administration of nicotine alone has not really been studied long term, in humans.
Linakdge
Posted by Brainbeard on November 6, 2010, at 9:42:08
In reply to Re: That 'Pill' Is Smokin'! » Brainbeard, posted by linkadge on November 5, 2010, at 17:13:03
> Obviously it doesn't destroy all vitamin C in your body or else, all smokers would have full blown scurvey, which they don't.
Obviously, I made an overstatement, but smoking decreases vitamin C blood levels dramatically: http://ajph.aphapublications.org/cgi/reprint/79/2/158.pdf
You know something about nicotine and blood, but something is not everything. Take it from me that it's an established fact that smoking diminishes blood circulation, which is why there exists such a think as 'smoker's hands', i.e. the phenomenon that smokers have difficulty keeping their hands warm because of decreased blood flow. Check this out: http://whyquit.com/whyquit/linksjblood.html
Posted by Brainbeard on November 6, 2010, at 9:50:50
In reply to Re: That 'Pill' Is Smokin'!, posted by Brainbeard on November 6, 2010, at 9:42:08
Sorry, my former post was inapt as it referred to articles about smoking instead of nicotine. I admit to being an ignorant *ssh*l*, Link.
http://www.wired.com/science/discoveries/news/2007/06/nicotine
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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