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Re: Drug Induced Fatigue and Lack of Energy » flipsactown

Posted by Larry Hoover on August 15, 2004, at 20:45:27

In reply to Re: Drug Induced Fatigue and Lack of Energy » Larry Hoover, posted by flipsactown on August 15, 2004, at 18:38:42

> I remember that I was trying not to take any narcotics, in my case Tylenol/Codeine #3, and was taking extra strength aspirin with the DLPA. So are you saying that perhaps, if I had taken DLPA with the Codeine that I may have had increased pain relief? I don't think that I tried taking DLPA with Codeine because I was wanting to get off narcotics entirely.
>
> FST

Yes, that's exactly what I'm suggesting, the effects of the DLPA and the opiate are additive.

I can't find dosing recommendations, though. I'd try 2,000-3,000 mg/day, in divided doses. I don't know if it matters, but I'd also take it on an empty stomach, if tolerated.

Lar

Med Hypotheses. 2000 Oct;55(4):283-8.

DL-phenylalanine markedly potentiates opiate analgesia - an example of nutrient/pharmaceutical up-regulation of the endogenous analgesia system.

Russell AL, McCarty MF.

Brampton Pain Clinic, Bramalea, Ontario, Canada.

In the author's clinical experience, concurrent treatment with DL-phenylalanine (DLPA) often appears to potentiate pain relief and also ease depression in patients receiving opiates for chronic non-malignant pain. An analysis of this phenomenon suggests that it may be mediated, at least in part, by up-regulation of the 'endogenous analgesia system' (EAS), a neural pathway that projects caudally from medullary nuclei to the dorsal horn of the spinal column; when stimulated by chronic pain or therapeutic measures such as opiates or acupuncture, the EAS suppresses activation of second-order pain-receptive neurons in the dorsal horn, and thereby alleviates pain. Since serotonin and enkephalins are key neurotransmitters in the EAS, it is reasonable to predict that measures which promote serotonin activity (such as 5-hydroxytryptophan and serotonin-reuptake inhibitors) as well as enkephalin activity (such as D-phenylalanine, an enkephalinase inhibitor) should potentiate EAS-mediated analgesia - a view consistent with much previous medical research. Comprehensive support of the EAS with well-tolerated nutrients and pharmaceuticals may amplify the analgesic efficacy of chronic opiate therapy, while enabling dosage reductions that minimize opiate side-effects. Analogously, this approach may complement the efficacy of acupuncture and other analgesic measures that activate the EAS.

 

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poster:Larry Hoover thread:371929
URL: http://www.dr-bob.org/babble/alter/20040815/msgs/378045.html