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Medical Forum / Diseases and Disorders / Tinnitus / March 2005

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DUXARIL and its side-effects.

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francispoon - 23 Nov 2004 22:55 GMT
In the early stage of my t development, 2 ENT doctors and 1 GP in Hong
Kong prescribed me a medicine brand-named DUXARIL.

This medicine, according to these doctors, is meant to 'nourish' the
cochlea with more blood supply and thus, as they claimed, hands out a
promise for the t patients.

In my experience or experimentation with this drug named DUXARIL, this
drug defeats the very purpose for which it is meant to achieve.  And I
am going to tell you why:

(1)This drug disturbed my sleep.  Yes, it was the culprit.  I was on
this drug for about 4 months.  During which time, I constantly woke up
at about 1 am in the morning after going to bed at 11pm the previous
night, and I was kept awake by something all the way until morning. In
the beginning, I did not understand why.  And the doctorS were not
even aware of what they were prescribing to me.  So they attributed
this phenomenon to my getting old, not having enough exercises, etc..
In the subsequent development of my t, I by accident went off this
medication ...and then came back ...and then went off again, before I
was made to realize that this drug was the culprit.  I went to search
in Yahoo and discovered there was documented evidence that this med
causes 'sleep disturbance' in some t patients.
(2)Without being able to sleep well the previous night, I tended to
nap frequently throughout the whole day the following day.  The
consequences were extremely punishing.  And without good sleep, other
nerve-related ills surfaced.
(3)This drug is hard on the stomach lining.  Thus some t patients may
have to pay a price of stomach health later on.

I oftentimes wonder if doctors, when prescribing medicine to their
patients, are aware of what they are giving to their patients.  In my
experience, *all* the doctors I have met did not even ask the kind of
drugs that the patients had been taking prior to visiting them, nor
ask them about any possible side-effects from the drugs that they
prescribed to their patients.  These doctors are more interested in
their fancy houses and big cars than in doing continuing education.  I
DESPISE THEM!

I used to complain bitterly about the low professional standard of
those doctors in China.  Now, having observed the suffering masses
from other continents such as Australia and the US, I am of the view
that the doctors in these continents are just about as fouled up as
the doctors in China when it comes to treating tinnitus.  I think this
group is fortunate to have participants who are medical
professionals.  They could have spent their time in romancing their
mistresses or driving their BMWs.  The fact that they spend their time
with us is an indication of their noble intention.

FP
ENTconsult - 24 Nov 2004 06:07 GMT
\DUXARIL

 

Content  Almitrine bismesylate 30 mg, Raubasine 10 mg.
Description  Each tablet contains almitrine 30 mg and raubasine 10 mg. It also
contains the following excipients: Cornstarch, ethylcellulose, glycerin,
hydroxypropyl methylcellulose, lactose, CI natural red 4, titanium dioxide,
polyethylene glycol, povidone, colloidal silicon dioxide, magnesium stearate
and talc.
Actions  Antihypoxic drug.
Pharmacology: The actions of almitrine-raubasine have been demonstrated in
animals, in numerous models of experimental cerebral hypoxia, as well as in
man, in whom pharmacoclinical studies have demonstrated the following:
Increase in the arterial partial pressure of oxygen (PaO2);
Increase in the arterial saturation of oxygen (SaO2);
Decrease in the arterial desaturation during effort, a dynamic control
considered as one of the best techniques currently available to assess the
efficacy of an antihypoxic molecule;

Increase of the blood level of 2,3-diphosphoglycerate, a factor of oxygen
availability in the arterial blood;

Increase in the metabolism of the cerebral tissue as demonstrated, during the
glucose test, by the analysis of the cortical activity.

The improvement in the blood gas parameters under almitrine-raubasine is linked
to an improvement of the efficacy of the alveolar capillary exchange mechanism
without modification of the ventilatory parameters.

These properties explain the activity of almitrine-raubasine on the
psychobehavioural disturbances in the elderly.

Pharmacokinetics: Almitrine is rapidly absorbed and the plasmatic peak is
obtained within 3 hrs after oral administration. Almitrine and its metabolites
are mainly excreted through the biliary tract. The elimination is, thus, mainly
through the faeces. After single administration, the half-life is between 40-80
hrs; it is 30 days after repeated administration. The binding to protein is
high (>99%).

Raubasine is rapidly absorbed, and the plasmatic peak is obtained 1-2 hrs after
oral administration. After single administration, the half-life is between 7-15
hrs; it is 11 hrs after repeated administration.

Indication   Pathological loss of cognitive function related to cerebral aging.
Chorioretinal disorders of ischemic origin. Cochleovestibular disorders of
ischemic origin. Early & late sequelae of CVA.
Dosage   2 tab daily in 2 divided doses.
Contraindication   Avoid concurrent administration w/ MAOIs, almitrine.
Special Precaution   Pregnancy. Occurrence of neurological symptoms (prickling,
formication, numbness) should lead to w/drawal. The treatment does not
eliminate the need for specific treatment of hypertension.
Adverse Reaction   Have been occasionally reported during long-term treatment:
wt loss, peripheral neuropathy should lead to treatment w/drawal. Mild GI
disorders, sleep disturbances, drowsiness, agitation, anxiety, palpitation,
dizziness.
Side Effects  
Drug Interaction   MAOIs, other almitrine-containing prep.

Murray Grossan, M.D.
http://www.ent-consult.com
kow2010 - 11 Feb 2005 07:02 GMT
Besides the side effect, can the drug duxaril relieve you otitinus while
you taking on it .
kow
kow2010 - 11 Feb 2005 07:02 GMT
Besides the side effect, can the drug duxaril relieve you otitinus while
you taking on it .
kow
fyfpoon@hotmail.com - 07 Mar 2005 02:34 GMT
Sorry for the late reply.  I have not visited the group for a long
time.

The use of duxaril did make my mornings (before getting up) quieter for
a while but did not do anything permanent.

Different persons react to the same drug differently.

FP
 
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