Medical Forum / Diseases and Disorders / Hepatitis / December 2006
Research reversing fibrosis in the liver
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wre - 11 Nov 2006 13:52 GMT Stumbled across this on the American Liver Foundation web site. Only tried in animal tests so far but looks positive: http://www.liverfoundation.org/db-relation/news/1336/NewsID Additional info: http://www.medicalnewstoday.com/healthnews.php?newsid=52735 http://news.bbc.co.uk/2/hi/health/5382172.stm http://www.ncl.ac.uk/press.office/press.release/content.phtml?ref=1159201335
ironjustice@aol.com - 11 Nov 2006 16:03 GMT > Stumbled across this on the American Liver Foundation web site. Only > tried in animal tests so far but looks positive: [quoted text clipped - 3 lines] > http://news.bbc.co.uk/2/hi/health/5382172.stm > http://www.ncl.ac.uk/press.office/press.release/content.phtml?ref=1159201335 Seeing that iron .. TARGETING .. regresses liver fibrosis / cirrhosis .. the FACT .. this drug binds **iron** .. leads one to believe .. IRON ..to BE .. very important .. and SHOULD be addressed ..
<<snip>> Sulphasalazine (UK PID)Sulphasalazine and iron appear to bind together in the gut, thereby reducing activity. Interaction with folic acid. Sulphasalazine can reduce the absorption ... www.intox.org/databank/documents/pharm/salazine/ukpid15.htm - 19k - <<snip>>
Who loves ya. Tom
Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com
Man Is A Herbivore! http://tinyurl.com/a3cc3
DEAD PEOPLE WALKING http://tinyurl.com/zk9fk
tom - 11 Nov 2006 17:56 GMT > > Stumbled across this on the American Liver Foundation web site. Only > > tried in animal tests so far but looks positive: > > http://www.liverfoundation.org/db-relation/news/1336/NewsID > > Additional info: > > http://www.medicalnewstoday.com/healthnews.php?newsid=52735 > > http://news.bbc.co.uk/2/hi/health/5382172.stm http://www.ncl.ac.uk/press.office/press.release/content.phtml?ref=1159201335
> Seeing that iron .. TARGETING .. regresses liver fibrosis / cirrhosis > .. the FACT .. this drug binds **iron** .. leads one to believe .. IRON [quoted text clipped - 9 lines] > Who loves ya. > Tom Iron binder: http://www.exjade.com/index.jsp
wre - 17 Nov 2006 22:49 GMT Yes, excess iron causes serious liver damage, see Hemochromatosis..
>> Stumbled across this on the American Liver Foundation web site. Only >> tried in animal tests so far but looks positive: [quoted text clipped - 26 lines] >DEAD PEOPLE WALKING >http://tinyurl.com/zk9fk Cactus Jammies - 11 Nov 2006 18:29 GMT This is very good news, if it pans out. Cheap and easy is nice, too. It would give those who are stage 3 fibrosis or are relapsers, the chance to wait for a more user friendly and effective tx than the current combo, which is used for longer periods these days. And still has a high failure rate.
thanks for this
cactus jammies -------------------------
> Stumbled across this on the American Liver Foundation web site. Only > tried in animal tests so far but looks positive: [quoted text clipped - 3 lines] > http://news.bbc.co.uk/2/hi/health/5382172.stm > http://www.ncl.ac.uk/press.office/press.release/content.phtml?ref=1159201335 Waterspider - 11 Nov 2006 19:38 GMT > Stumbled across this on the American Liver Foundation web site. Only > tried in animal tests so far but looks positive: [quoted text clipped - 3 lines] > http://news.bbc.co.uk/2/hi/health/5382172.stm > http://www.ncl.ac.uk/press.office/press.release/content.phtml?ref=1159201335 Very exciting news for all of us who cheerfully drank our faces off before we knew we had hep c and fibrosis/cirrhosis. I hope this one turns out to be the real deal.
Cheers!
Cactus Jammies - 11 Nov 2006 21:09 GMT http://www.rheumatology.org.nz/nz09010.htm
Salazopyrine / Sulphasalazine by drdoc on-line:
http://www.arthritis.co.za/salazopyrine.html
http://www.crohns.org.uk/Docs/2/Sulphasalazine.html
http://www.healthtouch.com/bin/EContent_HT/drugShowLfts.asp?fname=usp0125.htm&ti tle=Sulphasalazine&cid=HT
I lifted the following text out of the page last mentioned
Description Sulfasalazine (sul-fa-SAL-a-zeen) , a sulfa medicine, is used to prevent and treat inflammatory bowel disease, such as ulcerative colitis. It works inside the bowel by helping to reduce the inflammation and other symptoms of the disease. Sulfasalazine is sometimes given with other medicines to treat inflammatory bowel disease.
Sulfasalazine is also used to treat rheumatoid arthritis in patients who have not been helped by or who cannot tolerate other medicines for rheumatoid arthritis.
Sulfasalazine is available only with your doctor's prescription, in the following dosage forms:
Oral Tablets (U.S. and Canada) Enteric-coated tablets (U.S. and Canada) Rectal Enema (Canada)
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Before Using This Medicine In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For sulfasalazine, the following should be considered:
Allergies-Tell your doctor if you have ever had any unusual or allergic reaction to any of the sulfa medicines, furosemide (e.g., Lasix) or thiazide diuretics (water pills), oral antidiabetics (diabetes medicine you take by mouth), glaucoma medicine you take by mouth (for example, acetazolamide [e.g., Diamox], dichlorphenamide [e.g., Daranide], methazolamide [e.g., Neptazane]), or salicylates (for example, aspirin). Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.
Pregnancy-Sulfasalazine has not been studied in pregnant women. However, reports on women who took sulfasalazine during pregnancy have not shown that it causes birth defects or other problems. In addition, sulfasalazine has not been shown to cause birth defects in studies in rats and rabbits given doses of up to 6 times the human dose.
Breast-feeding-Sulfa medicines pass into the breast milk in small amounts and have been shown to cause unwanted effects in nursing babies with glucose-6-phosphate dehydrogenase (G6PD) deficiency. It may be necessary for you to take another medicine or to stop breast-feeding during treatment. Be sure you have discussed the risks and benefits of the medicine with your doctor.
Children-Sulfasalazine should not be used in children up to 2 years of age because it may cause brain problems. However, sulfasalazine has not been shown to cause different side effects or problems in children over the age of 2 years than it does in adults.
Older adults-This medicine has been tested and has not been shown to cause different side effects or problems in older people than it does in younger adults.
Other medicines-Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking sulfasalazine, it is especially important that your health care professional know if you are taking any of the following:
Acetaminophen (e.g., Tylenol) (with long-term, high-dose use) or Amiodarone (e.g., Cordarone) or Anabolic steroids (nandrolone [e.g., Anabolin], oxandrolone [e.g., Anavar], oxymetholone [e.g., Anadrol], stanozolol [e.g., Winstrol]) or Androgens (male hormones) or Carbamazepine (e.g., Tegretol) or Carmustine (e.g., BiCNU) or Dantrolene (e.g., Dantrium) or Daunorubicin (e.g., Cerubidine) or Disulfiram (e.g., Antabuse) or Divalproex (e.g., Depakote) or Estrogens (female hormones) or Ethionamide (e.g., Trecator-SC) or Etretinate (e.g., Tegison) or Fat emulsions, intravenous (e.g., Intralipid) (with prolonged use) or Fluconazole (e.g., Diflucan) or Gold salts (medicine for arthritis) or Inflammation or pain medicine, except narcotics or Iron (with overdose) or Labetalol (e.g., Normodyne) or Lovastatin (e.g., Mevacor) or Mercaptopurine (e.g., Purinethol) or Methimazole (e.g., Tapazole) or Naltrexone (e.g., ReVia) (with long-term, high-dose use) or Niacin (with high doses, sustained release, and antihyperlipidemic use) or Nitrofurans or Other anti-infectives by mouth or by injection (medicine for infection) or Phenothiazines (acetophenazine [e.g., Tindal], chlorpromazine [e.g., Thorazine], fluphenazine [e.g., Prolixin], mesoridazine [e.g., Serentil], perphenazine [e.g., Trilafon], prochlorperazine [e.g., Compazine], promazine [e.g., Sparine], promethazine [e.g., Phenergan], thioridazine [e.g., Mellaril], trifluoperazine [e.g., Stelazine], triflupromazine [e.g., Vesprin], trimeprazine [e.g., Temaril]) or Plicamycin (e.g., Mithracin) or Pravastatin (e.g., Pravachol) or Propylthiouracil (e.g., Propyl-Thyracil) or Simvastatin (e.g., Zocor) or Troleandomycin or Valproic acid (e.g., Depakene) or Vitamin A (with chronic overdose)-Use of sulfasalazine with these medicines may increase the chance of side effects affecting the liver Acetohydroxamic acid (e.g., Lithostat) or Dapsone or Furazolidone (e.g., Furoxone) or Menadiol (e.g., Synkavite) or Nitrofurantoin (e.g., Furadantin) or Primaquine or Procainamide (e.g., Pronestyl) or Quinidine (e.g., Quinidex) or Quinine (e.g., Quinamm) or Sulfoxone (e.g., Diasone)-Use of sulfasalazine with these medicines may increase the chance of side effects affecting the blood Anticoagulants (blood thinners) or Ethotoin (e.g., Peganone) or Mephenytoin (e.g., Mesantoin)-Use of sulfasalazine with these medicines may increase the chance of side effects of these medicines Antidiabetics, oral (diabetes medicine you take by mouth)-Use of oral antidiabetics with sulfasalazine may increase the chance of side effects affecting the blood and/or increase the side effects of oral antidiabetics Methotrexate (e.g., Mexate)-Use of methotrexate with sulfasalazine may increase the chance of side effects affecting the liver and/or increase the side effects of methotrexate Methyldopa (e.g., Aldomet)-Use of methyldopa with sulfasalazine may increase the chance of side effects affecting the liver and/or the blood Phenytoin (e.g., Dilantin)-Use of phenytoin with sulfasalazine may increase the chance of side effects affecting the liver and/or increase the side effects of phenytoin Other medical problems-The presence of other medical problems may affect the use of sulfasalazine. Make sure you tell your doctor if you have any other medical problems, especially:
Allergies, severe or Asthma, bronchial-The risk of an allergic reaction to sulfasalazine may be increased Blood problems or Glucose-6-phosphate dehydrogenase deficiency (lack of G6PD enzyme)-Patients with these problems may have an increase in side effects affecting the blood
Intestinal blockage-Sulfasalazine will not reach the site of action in the bowel
Kidney disease or Liver disease-Patients with kidney disease or liver disease may have an increased chance of side effects
Porphyria-Use of sulfasalazine may cause an attack of porphyria Urinary blockage-Sulfasalazine may not be eliminated properly, causing an increased risk of side effects
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hope this opens up discussion.
cactus jammies ================
Dwight - 12 Nov 2006 00:07 GMT This was the drug of choice for treating my Ulcerative Colitis. It is also the drug that they think I had a reaction to 6 years ago that almost killed me. My white blood count dropped to 0 and within two days of being around my students at school, I had picked up enough infections to just about do me in. Not sure if the sulfa had anything to do with it or not, but the doctor isn't taking any chances and refuses to prescribe it again, not sure if I won't to find out myself.
Dwight
> http://www.rheumatology.org.nz/nz09010.htm > [quoted text clipped - 167 lines] > > cactus jammies ================ kjoh - 12 Nov 2006 02:48 GMT Hi Dwight! Thank you for posting your experience. I have a couple different forms of arthritis and have been wondering about sulfasalazine as a tx for that. I was hoping it might do double duty for me. I'll ask my rheumatologist about it next appt, and post his response.
I hope you are feeling well. And hey, did you accidentally drink a beer at that music festival ;-)?
Kathy sober :-(
Cactus Jammies - 12 Nov 2006 03:27 GMT Sources of Sulphasalazine on the web: in case anyone is interested, I got this on a Google Search Canada with the query 'cost of Sulphasalazine' and the first hit was
http://www.canadiandrugstore.com/results.cfm?PageNum_Results=6&category=0&second ary=0&Type=alpha&keywords=s
I would never cross or self-medicate. LOL
I got into this mess by taking risks. I am tempted to take them again occassionally, but I just might go out and find a friendly doctor first, this time. It depends on more news from the labs, but I can't see any reason according to the known values, why I would be endangering my health any further if I did cross-medicate, I do have hurty finger joints and a codgey hip.... hmmm Dwight, thanks for the heads-up about your experiences. It caused me to review the side effects and warnings again. There are more choices appearing on the horizon for chronic heppers just about every week. I have also been looking more into the 'fatty liver' aspects of having hep C. Google "treating non-alcoholic steatosis" and a whole other depth to this "experience" opens up. hepc advocate has info on that.
cactus jammies
> Hi Dwight! Thank you for posting your experience. I have a couple > different forms of arthritis and have been wondering about sulfasalazine [quoted text clipped - 6 lines] > Kathy > sober :-( Dwight - 12 Nov 2006 03:36 GMT > Hi Dwight! Thank you for posting your experience. I have a couple > different forms of arthritis and have been wondering about sulfasalazine [quoted text clipped - 6 lines] > Kathy > sober :-( No, I didn't accidentally drink a beer while I was there. I did however intentionally drink 3 of them over the course of three days. I really enjoyed them, but haven't had a craving for one since.
I was taking asulfazine for my Ulcerative Colitis, but don't know if it was helping with the arthritis back then, I can't remember having any joint pain at that time. Maybe it was working and I just didn't know it. :)
Dwight
BTW, we just added two new critters to the family. We now have a 3 month old puppy and a seven month old chinchilla to go along with the rest of the menagerie. We are thinking of calling our house "our zoo" now.
kjoh - 12 Nov 2006 18:33 GMT Hi Dwight! With all those odd pets your household is starting to sound like the Adams Family. Who cleans up the poop around there? I had to google chinchilla to see what nature of beast they are. They sound like a taco ingredient. You don't plan to feed the cute little critter to the snake do you? I am patiently awaiting photos for the Hep Cat album ahem. Let's see... you could get them all to sit on the couch together and say cheese: a tarantula, a snake, a chinchilla, a turtle, various mice, dogs, cats? Here's the link to hepcats to twist your arm and make you feel guilty for not sending pics yet ;-) Anybody else with undocumented pets? Stretch? Ted? Ally?
http://s32.photobucket.com/albums/d5/yonson/Hep%20Cats%20et%20al/
Send pics to kjohyayhoo at yahoo dot com
And Dwight! Three beers in three consecutive days! Good for you. Apparently you didn't drop dead or spiral down the dreaded path of depraved alcoholism. Why I, myself, even consume an occasional beer. If I drink more than two my liver twitches and sends warning signals to my brain. Inflammation probably, from the ETOH.
Good to hear your animal menagerie is expanding. Tell us about their social interactions. Have they established an inter-specific hierarchy?
Kathy Hops are antiviral. Drink flat beer.
Michael Arends - 12 Nov 2006 03:44 GMT Smiling Wickedly, Cactus Jammies answered:
> http://www.rheumatology.org.nz/nz09010.htm Taken from this link you posted, Not good..
"The other potential problem is that sulphasalazine can cause a type of hepatitis (liver inflammation). This is most commonly minor and does not cause symptoms. Most often we find that some of the blood tests which reflect liver function may become a little abnormal but these soon return to normal if the treatment is stopped.
Sulphasalazine always causes some orange discolouration of the urine and your perspiration may be a little orange-tinged. This will generally wash out of clothes, but will damage some nylon fabrics. Contact lenses, particularly extended-wear soft lenses may be permanently stained.
Lastly, sulphasalazine may cause a decrease in the sperm count in men which may result in temporary infertility. This reverses when the drug is stopped. Temporary infertility may also occur in women. Sulphasalazine is considered to be safe in pregnancy, but should you wish to become pregnant, you should discuss this with your rheumatologist. "
Uh.. that doesn't sound too good.
 Signature *..· ´¨¨)) ¸.·´ .·´¨¨)) ((¸¸.·´ .·´-:¦:-((¸¸.·´(º·.¸(¨*·.¸ ¸.·*¨)¸.·º) «.·°·. Michael .·°·-:¦:-
Cactus Jammies - 12 Nov 2006 03:54 GMT > Smiling Wickedly, Cactus Jammies answered: >> http://www.rheumatology.org.nz/nz09010.htm [quoted text clipped - 20 lines] > > Uh.. that doesn't sound too good. Cactus Jammies - 12 Nov 2006 04:19 GMT (response to Michael A) Wow. All I chose to read was the last one, actually. These were all just picked up by using a google search on the name. Thanks. The stuff I posted only mentions that side effects may increase in severity with those with chronic liver issues. hmmm. Oh, and I need all the spunk I can get. Not. ;) Repopulating Cyclon territory now that they are infected and reverting will take all male earthlings with healthy spunk. Who cares about spunk count, Mike! heh! Ya, but the part about a bit of liver inflammation, I guess there is a point at which your liver cannot possibly take any more of that. hmmmm. I do tie dye so I would be willing to risk a little orange spot here and there. My contact lenses smirtched when I saw Salvadore Dali for the first time. My world has been melted and sideways since. Sometimes I do self-medicate, like I confess, man! About 15 min ago.
You would have thought that the announcement of the discovery would have mentioned that it resulted in inflammation of the liver. However, if the drug has been projected by BFLDs as possible treatment for fibrosis, I would expect that the inflammation issue would be accounted for in the feasiblity. (non?) I donno.
cheers to all. cj -------------------- (Michaels comments follow) ----------
>> http://www.rheumatology.org.nz/nz09010.htm > [quoted text clipped - 19 lines] > > Uh.. that doesn't sound too good. Thomas Wagner - 12 Nov 2006 04:37 GMT >You would have thought that the announcement of the discovery would have >mentioned that it resulted in inflammation of the liver. However, if the >drug has been projected by BFLDs as possible treatment for fibrosis, I would >expect that the inflammation issue would be accounted for in the feasiblity. >(non?) I donno. You have to remember that all they did so far were ANIMAL experiments, and drugs often have very different effects in lab rats. Human trials are planned for next year. Until those results are in I would advise extreme caution.
Thomas
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xerios@net.hr - 22 Dec 2006 22:45 GMT wre je napisao/la:
> Stumbled across this on the American Liver Foundation web site. Only > tried in animal tests so far but looks positive: [quoted text clipped - 3 lines] > http://news.bbc.co.uk/2/hi/health/5382172.stm > http://www.ncl.ac.uk/press.office/press.release/content.phtml?ref=1159201335 Jeff - 27 Dec 2006 04:39 GMT I have Ulcerative Colitis and I frequent a support group for that. Someone there posted about this research recently. I found out I have Hep C about 3 years ago but I've been living in denial. But now I know I've got to knuckle down and do whatever needs to be done.
Anyway, I am extremely interested in this because this drug can potentially be used to treat both diseases. And if it is successful with the HCV then I could be a very lucky person. As I see it the colitis is more of a pain in the a.s (pun intended), but the Hep C is what will more likely be the end of me, not to be morbid. But hence the need to find an effective treatment for it.
tx Jeff N
> wre je napisao/la: >> Stumbled across this on the American Liver Foundation web site. Only [quoted text clipped - 4 lines] >> http://news.bbc.co.uk/2/hi/health/5382172.stm >> http://www.ncl.ac.uk/press.office/press.release/content.phtml?ref=1159201335 Waterspider - 28 Dec 2006 03:09 GMT >I have Ulcerative Colitis and I frequent a support group for that. Someone >there posted about this research recently. I found out I have Hep C about 3 [quoted text clipped - 10 lines] > tx > Jeff N Sorry about your hep c, Jeff, but it's good that you've decided to face it head-on.
I'm curious, because I have a friend with colitis, as to which drug is used to treat both diseases.
Good luck, and keep us posted.
Waterspider
Jeff - 29 Dec 2006 02:38 GMT I'm such an idiot I couldn't find the link I saved to the article. I must have save it in at least 10 places but still can't figure out where. But I did actually save the entire article so I'll paste in here. I don't know how well it will format though. I'll keep looking for the link. I guess I could just Google in again too.
Anyway, here's the article: Sulphasalazine Can Reverse Liver Disease Even For Heavy Drinkers Main Category: Liver Disease / Hepatitis News Article Date: 26 Sep 2006 - 9:00 PST
| email this article | printer friendly | view or write opinions | Article Also Appears In a.. Alcohol / Addiction / Illegal Drugs b.. Transplants / Organ Donations c.. Clinical Trials / Drug Trials
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Sulphasalazine, a cheap drug currently used for arthritis and IBD (inflammatory bowel disease) can reverse the scarring that comes with cirrhosis of the liver, say scientists from the University of Newcastle, UK. Doctors had always thought that fibrosis - scarring associated with cirrhosis - was irreversible. This new study on animals has shown the damage can be reversed with Sulphasalazine.
In the UK, about 10% of the adult population have liver problems, mainly due to heavy drinking and obesity/overweight.
The liver has hepatic myofibrobrlasts, these are cells that create scar tissue when the organ is injured. Hepatic myofibrobrlasts produce proteins which makes it more difficult to break down the scar tissue. In a healthy liver the scars gradually disappear and new healthy ones replace them. This does not happen when the liver tissue is diseased - and the scar tissue spreads.
The scientists found that Sulphasalazine stops the hepatic myofibrobrlasts from producing the protein that protects the scar tissue cells. In other words, it helps the scar tissue to gradually melt away.
If human trials show similar results, it could mean treating and-stage patients with Sulphasalazine rather than having them undergo a liver transplant. The scientists say they will start trials with heavy drinkers who no longer drink, but whose livers are not able to recover on their own.
This drug could be a Godsend for alcoholics who have given up drinking. Even a seemingly small recovery of 10% can make a huge difference to the patient's general health and quality of life, say the researchers.
The researchers say Sulphasalazine could halve the cirrhosis death rate in the UK. Treatment would cost ?10 ($18.50) per week.
Some Facts About Cirrhosis
-- Responsible for 1.4 million deaths per year worldwide -- Responsible for 5,000 - 10,000 deaths per year in the UK -- Early stages are symptom free (so damage accumulates unnoticed) -- There is currently no cure. The only end-stage treatment is a liver transplant -- Most common causes are Hepatitis C (globally) and excessive alcohol consumption (developed countries) -- Scotland has particularly high rates among developed countries
-- Useful Web Page (Wellcome Trust) -- Hepatology and Gastroenterology (Newcastle University)
Written by: Christian Nordqvist Editor: Medical News today
>>I have Ulcerative Colitis and I frequent a support group for that. Someone >>there posted about this research recently. I found out I have Hep C about [quoted text clipped - 22 lines] > > Waterspider Jeff - 29 Dec 2006 02:45 GMT Oh, keep in mind that I don't think there is much research or information on using Sulfasalzine to treat both diseases at the same time in the same person. It's been used to treat some forms of IBD and this new research indicates it can be effective to treat liver disease. Even potentially reversing cirrosis.
But it's my extrapolation that if Drug X can be used to treat Disease A and also treat Disease B, that it could be used to treat Disease A and B in the same person. That is using applied logic, unfortunately I don't know if the body would follow that line of thinking. But it would be great if it did.
tx Jeff N
>>I have Ulcerative Colitis and I frequent a support group for that. Someone >>there posted about this research recently. I found out I have Hep C about [quoted text clipped - 20 lines] > > Waterspider
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