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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 5 to 29 of 29. Go back in thread:
Posted by corafree on November 13, 2006, at 12:55:37
In reply to Re: Cluster or migraine with wine and clonazepam » yxibow, posted by Squiggles on November 13, 2006, at 7:46:37
I never have figured out whether to call a headache a migraine or a cluster, but this is interesting about wine.
So sulfites are alike or same as sulfa containing drugs, I take it. Some peeps allergic.
I've always gravitated towards white wines. Maybe this is why. I always know that if there is something I've quit taking or stopped drinking, etc., it was for 'a reason', but usually can't remember the reason.
I am not allergic to sulfa. Wonder does white wine contain sulfites? Guess look @ bottle.
cf
Posted by Squiggles on November 13, 2006, at 13:39:38
In reply to Re: Cluster or migraine with wine and clonazepam, posted by corafree on November 13, 2006, at 12:55:37
> So sulfites are alike or same as sulfa containing drugs, I take it. Some peeps allergic.Sulfides are found in wine (used for aromatic,
or preservative purposes), dry fruits, many foods that need preservation apparently. The FDA is trying to put a label on all. I found an interesting article on Wikipedia - take a look at The Straight Dope too.http://en.wikipedia.org/wiki/Sulfite
>
> I've always gravitated towards white wines.Me too. But this was a wine for an occasion which was missed, so we drank it - Made in Canada, hmm. I also drank some that a friend introduced as "made in Canada" without the usual processing -- whatever that meant, but it did have a strange, sweet aroma and went down easy, but gave me a head bash and landed me in the ER.
>
> I am not allergic to sulfa. Wonder does white wine contain sulfites? Guess look @ bottle.
I don't think so.I just read that SYNTHROID does (i take that)
-- yikes! but the amount of Sulfites probably varies and the allergic reaction ranges from what i had to death from anaphylactic shock.As for interactions -- i have been too lazy to look at lithium and sulfites - i will later -- still have the remnants of that headache surprisingly. I am not allergic to many things: shrimp -- but i just found out that they spray shrimp and seafood with sulfites so maybe people are actually allergic to the sulfites and not the seafood.
Squiggles
take care
Posted by Squiggles on November 13, 2006, at 13:57:38
In reply to Re: Cluster or migraine with wine and clonazepam » corafree, posted by Squiggles on November 13, 2006, at 13:39:38
Yes, i found many hits with sulfites raising
the lithium level - never mind the coffee --
this is serious. Maybe i should report sulfites
and lithium interaction to Health Canada.When my headache is over :-)
Squiggles
Posted by tallclaire1982 on November 13, 2006, at 16:50:36
In reply to Re: Cluster or migraine with wine and clonazepam » yxibow, posted by Squiggles on November 13, 2006, at 7:46:37
i drank a glass of wine and half pint of beer after 5mg of valim i felt fine, still not relaxed though LOL
Posted by Squiggles on November 13, 2006, at 17:01:35
In reply to Re: Cluster or migraine with wine and clonazepam, posted by tallclaire1982 on November 13, 2006, at 16:50:36
> i drank a glass of wine and half pint of beer after 5mg of valim i felt fine, still not relaxed though LOL
I drink wine and beer (small amounts) all the time claire, and i take K too; it's this stuff from
Chibougamou grapes that got to me -- it's a PQ
plot; they deliver the stuff where they know the
Anglos live; the bottle said St. Sulfite on it, lol. I should have known better.Squiggles
Posted by Phillipa on November 13, 2006, at 18:45:33
In reply to Re: Cluster or migraine with wine and clonazepam » tallclaire1982, posted by Squiggles on November 13, 2006, at 17:01:35
Am I the only idiot here that did what my pdoc said and quit drinking entirely when on benzos as I was fine when I drank. Love Phillipa
Posted by Squiggles on November 13, 2006, at 18:55:25
In reply to Re: Cluster or migraine with wine and clonazepam » Squiggles, posted by Phillipa on November 13, 2006, at 18:45:33
> Am I the only idiot here that did what my pdoc said and quit drinking entirely when on benzos as I was fine when I drank. Love Phillipa
I am not sure what you mean Phillipa.
I think that one small glass of wine
every two months or a beer once a month
is OK? This time, the wine really was
different, and the same as the other crap
with the sulfites. Though, that avenue
of refreshment is in the bin of the small
pleasures of life -- drugs do that, sigh.
Take me to a Nunnery. I'm ready.Squiggles
Posted by Phillipa on November 13, 2006, at 20:26:51
In reply to Re: Cluster or migraine with wine and clonazepam » Phillipa, posted by Squiggles on November 13, 2006, at 18:55:25
Sure feels that way. Love Phillipa
Posted by Squiggles on November 14, 2006, at 10:33:22
In reply to Re: Cluster or migraine with wine and clonazepam » Squiggles, posted by Phillipa on November 13, 2006, at 20:26:51
OK - my headache is going away but only
after, i personally cut the lithium caps
by about 15%, drank lots of water and OJ, as
well as put some salt in the OJ to decrease
the lithium ions; the headache is familiar to
other incidents in my med history where the
lithium went too high;Soooooo, the reaction to a wine with sulfites
in it, may not be so much an allergy but rather
an indirect effect, i.e. an increase in lithium
levels and the allergy effect too.Squiggles
Posted by corafree on November 16, 2006, at 14:07:28
In reply to Re: Cluster or migraine with wine and clonazepam » corafree, posted by Squiggles on November 13, 2006, at 13:39:38
Oh dear .. digging 2 deep. In Synthroid, unreal.
I'll still drink a lil' white vino once in a while. Tylenol at h.s.
I prob' consume lots of sulfites ... and my digestive system is all whacked out, lactose intolerant, IBS, let's see ... don't wanna' remember all!
cf
Posted by Squiggles on November 16, 2006, at 14:20:39
In reply to Re: Cluster or migraine with wine and clonazepam » Squiggles, posted by corafree on November 16, 2006, at 14:07:28
> Oh dear .. digging 2 deep. In Synthroid, unreal.
>
> I'll still drink a lil' white vino once in a while. Tylenol at h.s.
>
> I prob' consume lots of sulfites ... and my digestive system is all whacked out, lactose intolerant, IBS, let's see ... don't wanna' remember all!
>
> cf??
I don't undertand the message above.
Squiggles
Posted by corafree on November 16, 2006, at 16:51:03
In reply to Re: Cluster or migraine with wine and clonazepam » corafree, posted by Squiggles on November 13, 2006, at 13:39:38
>
> > So sulfites are alike or same as sulfa containing drugs, I take it. Some peeps allergic.
>
> Sulfides are found in wine (used for aromatic,
> or preservative purposes), dry fruits, many foods that need preservation apparently. The FDA is trying to put a label on all. I found an interesting article on Wikipedia - take a look at The Straight Dope too.
>
> http://en.wikipedia.org/wiki/Sulfite
> >
> > I've always gravitated towards white wines.
>
> Me too. But this was a wine for an occasion which was missed, so we drank it - Made in Canada, hmm. I also drank some that a friend introduced as "made in Canada" without the usual processing -- whatever that meant, but it did have a strange, sweet aroma and went down easy, but gave me a head bash and landed me in the ER.
>
> >
> > I am not allergic to sulfa. Wonder does white wine contain sulfites? Guess look @ bottle.
> I don't think so.
>
> I just read that SYNTHROID does (i take that)
> -- yikes! but the amount of Sulfites probably varies and the allergic reaction ranges from what i had to death from anaphylactic shock.
>
> As for interactions -- i have been too lazy to look at lithium and sulfites - i will later -- still have the remnants of that headache surprisingly. I am not allergic to many things: shrimp -- but i just found out that they spray shrimp and seafood with sulfites so maybe people are actually allergic to the sulfites and not the seafood.
>
> Squiggles
>
> take care
>Thought were saying Synthroid had sulfites in it, and were going to check lithium.
I think a lot of peeps are allergic to sulfites and don't realize it.
RU trying to eliminate sulfites as the cause of your HA?
cf
ps:
I'm really sick w/ bronchitis and quite depressed re: some life circumstances & Eff-XR letting me down AGAIN; began feel its ineffectiveness more than a week ago; but thought would get better; Nope. Never should have begun it again, but a life event caused me to feel 'useless' and thought I needed something!
Sorry confused u. Pay no attn 2me.
cf
Posted by Squiggles on November 16, 2006, at 17:00:05
In reply to Re: Cluster or migraine with wine and clonazepam » Squiggles, posted by corafree on November 16, 2006, at 16:51:03
....
> Thought were saying Synthroid had sulfites in it, and were going to check lithium.
It's probably a filler - it has never really
bothered me, like these wine incidents-- isolated.
>
> I think a lot of peeps are allergic to sulfites and don't realize it.What are 'peeps'?
>
> RU trying to eliminate sulfites as the cause of your HA?What is 'HA'?
>
> cf
>
> ps:
>
> I'm really sick w/ bronchitis and quite depressed re: some life circumstances & Eff-XR letting me down AGAIN; began feel its ineffectiveness more than a week ago; but thought would get better; Nope. Never should have begun it again, but a life event caused me to feel 'useless' and thought I needed something!Sorry you are taking SSRIs - i have read that
they can be troublesome. I have a friend who
says he will not take any psychiatric drugs that are not older than 40 years, lol.
>
> Sorry confused u. Pay no attn 2me.
>
If Effexor is too stimulating, you might ask
your dr. for a benzo to go with it.Squiggles
> cf
>
Posted by corafree on November 16, 2006, at 17:42:12
In reply to Re: Cluster or migraine with wine and clonazepam » Squiggles, posted by Squiggles on November 13, 2006, at 13:57:38
> Yes, i found many hits with sulfites raising
> the lithium level - never mind the coffee --
> this is serious. Maybe i should report sulfites
> and lithium interaction to Health Canada.
>
> When my headache is over :-)
>
> SquigglesBoy, my bod' & head are all messed up. I actually thought there were 'sulfites' IN lithium. ;{
cf
Posted by Squiggles on November 16, 2006, at 17:44:52
In reply to Re: Cluster or migraine with wine and clonazepam » Squiggles, posted by corafree on November 16, 2006, at 17:42:12
> Boy, my bod' & head are all messed up. I actually thought there were 'sulfites' IN lithium. ;{
>
> cf
>
>No, this was an interaction, presumably; that's
ok -- this is not your case. If you're having
problems with your meds, it's hard to think
clearly. You haven't tried alternative meds
have you? Like St. John's Wort, or something like that?Squiggles
Posted by yxibow on November 17, 2006, at 3:09:30
In reply to Re: Cluster or migraine with wine and clonazepam » corafree, posted by Squiggles on November 13, 2006, at 13:39:38
>
> > So sulfites are alike or same as sulfa containing drugs, I take it. Some peeps allergic.
>
> Sulfides are found in wine (used for aromatic,
> or preservative purposes), dry fruits, many foods that need preservation apparently. The FDA is trying to put a label on all. I found an interesting article on Wikipedia - take a look at The Straight Dope too.
>
> http://en.wikipedia.org/wiki/Sulfite
> >
> > I've always gravitated towards white wines.
>
> Me too. But this was a wine for an occasion which was missed, so we drank it - Made in Canada, hmm. I also drank some that a friend introduced as "made in Canada" without the usual processing -- whatever that meant, but it did have a strange, sweet aroma and went down easy, but gave me a head bash and landed me in the ER.
>
> >
> > I am not allergic to sulfa. Wonder does white wine contain sulfites? Guess look @ bottle.
> I don't think so.
>
> I just read that SYNTHROID does (i take that)
> -- yikes! but the amount of Sulfites probably varies and the allergic reaction ranges from what i had to death from anaphylactic shock.
>It's surprising the number of medications out there that have preservatives in them. I mean, I know they need to be stable, but for example eye and nose care products for people who are sensitive in those areas to begin with often have preservatives so they can have longer shelf lives and they don't have to go through as many procedures to keep them safe. They do sell "preservative-free" saline and other things but they're more expensive.
And then there's the tartrazine (FD&C Yellow #6) allergy -- not totally common, but some people have it, and not only does it appear in candy but it also unnecessarily appears in certain doses of medication to vary the color so people know what size pill it is. Tartrazine is very yellow, agreed, but they could use something else.
Posted by Squiggles on November 17, 2006, at 8:08:20
In reply to Re: Cluster or migraine.... allergic components » Squiggles, posted by yxibow on November 17, 2006, at 3:09:30
And just in case any of you take lithium
and get a piercing headache.... i know that
everyone i have spoken to, and stuff i've
read on reputable sources on the net, say
"oh yeah NSAIDs are bad, but aspirin is ok":I found this:
http://psy.psychiatryonline.org/cgi/content/full/39/3/281
I do find that Xanax help though - pity my supply
is about 3 years old now.Squiggles
Posted by corafree on November 17, 2006, at 15:11:58
In reply to Re: Cluster or migraine with wine and clonazepam » corafree, posted by Squiggles on November 16, 2006, at 17:00:05
peeps - people
HA - headachecf
Posted by corafree on November 17, 2006, at 15:18:11
In reply to Re: Cluster or migraine with wine and clonazepam » corafree, posted by Squiggles on November 16, 2006, at 17:44:52
Tks, but tried SJW & just got sleepy.
But, I have a wart, on one of my fingers, and am pretty sad about it :(
I could use 'a good dose of serotonin'!
cf
Posted by yxibow on November 18, 2006, at 3:36:33
In reply to Re: Cluster or migraine with wine and clonazepam » Squiggles, posted by corafree on November 17, 2006, at 15:18:11
> Tks, but tried SJW & just got sleepy.
>
> But, I have a wart, on one of my fingers, and am pretty sad about it :(
>
> I could use 'a good dose of serotonin'!
>
> cfIf its a real one, salicyclic preparations have been used for ages against them....
Posted by Squiggles on November 18, 2006, at 9:28:05
In reply to Re: Cluster or migraine with wine and clonazepam » corafree, posted by yxibow on November 18, 2006, at 3:36:33
I'm exhausted. But i've finally reached
the plateau. I really thought i had
a brain tumour for a while.I would guess (no knowledge
of psychopharmacology here) that the lithium
had to go UP not down to reach this state.
The clonazepam is important for that too.
Is it possible that the feeling of "brain on
fire, axe/cluster headache" is a result of the manic state of bipolar depression? Or is it the decrease of the drug levels? Has anyone felt this
when there is an interruption in their med
routine?I've been so lucky so far.
Squiggles
Posted by corafree on November 18, 2006, at 14:23:39
In reply to Re: Cluster or migraine with wine and clonazepam » corafree, posted by yxibow on November 18, 2006, at 3:36:33
Hmmm .. I know that's in acne medication. The Compound-W makes it go away, but it keeps coming back. I guess I could ask a 'pharmacist'.
tks, cf
Posted by yxibow on November 18, 2006, at 23:13:39
In reply to Re: Cluster or migraine with wine and clonazepam » yxibow, posted by corafree on November 18, 2006, at 14:23:39
> Hmmm .. I know that's in acne medication. The Compound-W makes it go away, but it keeps coming back. I guess I could ask a 'pharmacist'.
>
> tks, cfThey now sell OTC freezing preparations, similar to those but not quite as powerful, that one would have done at a dermatologist. Personally, the idea of a freezing preparation in the hands of someone who could accidentally freeze their cornea scares me but there are lots of things out there OTC that have dangers, and yet we now have to sign a poison record for Sudafed [end soapbox].
I would suggest a dermatologist appointment if your healthcare plan supports it and it is disturbing or painful enough to warrant it.
-- Jay
Posted by Squiggles on November 21, 2006, at 17:10:03
In reply to Re: Cluster or migraine with wine and clonazepam » corafree, posted by yxibow on November 18, 2006, at 3:36:33
> > Tks, but tried SJW & just got sleepy.
> >
> > But, I have a wart, on one of my fingers, and am pretty sad about it :(
> >
> > I could use 'a good dose of serotonin'!
> >
> > cf
>
> If its a real one, salicyclic preparations have been used for ages against them....
CORRECTION:the article i cited from PubMed on aspirin and
it toxicity for lithium is wrong... I misinterpreted the meaning - it was a combo of many ACEs and NSAIDs AND Aspirin that led to a toxicity NOT aspirin.Dr. Muller-Oerlinghausen B. (CNS Drugs;
Vol. 11, No. 1, Jan. 1999, pp 41-48*8)Abstract:
Long term lithium treatment will often be combined with other pharmacological treatments, due to the need to treat insomnia or anxiety, breakthrough episodes, co-existing psychiatric (schizoaffective psychoses) or non-psychiatric (particularly in elderly patients) disorders, or self-medication with over-the-counter preparations. Adverse drug reactions resulting from such combined medication are primarily pharmacokinetic, and much more rarely pharmacodynamic, in nature. The main risk in such interactions is an increase in the plasma lithium concentration due to decreased renal lithium clearance.
A serotonin (5-hydroxytryptamine; 5-HT) syndrome resulting from the combination of lithium and serotonergic antidepressants such as selective serotonin reuptake inhibitors, or neurotoxic reactions resulting most often from high doses of lithium and antipsychotics, may be observed. In addition, increases in the intra-red blood cell concentration of lithium may occur with simultaneous antipsychotic administration. Marked electroencephalogram changes and tonic-clonic seizures have been observed with the combination of lithium and clozapine.
Combined administration of lithium and anticonvulsants is generally considered to be well tolerated. Potential pharmacokinetic interactions with anticonvulsants appear to be of minor importance.
One of the most significant interactions with lithium is the decrease in renal lithium clearance which occurs with most nonsteroidal anti-inflammatory drugs, including ketorolac. Conversely, aspirin (acetylsalicylic acid) and sulindac do not increase steady-state plasma lithium concentrations.
Another well known interaction is the clinically relevant reduction of renal lithium clearance by combined administration of diuretics. Special caution should be exercised when prescribing thiazides for long term use in patients receiving lithium medication. Potassium-sparing compounds, excluding furosemide (frusemide), can also increase plasma lithium concentrations. Risk of lithium intoxication is increased by simultaneous administration of ACE inhibitors. Finally, a case of a patient with lithium intoxication caused by combined medication with the angiotensin II receptor antagonist losartan potassium (losartan) has been reported.
----------Squiggles
Dumb like a stump -- sorry about that
Posted by Phillipa on November 21, 2006, at 18:57:02
In reply to Re: Cluster or migraine with wine and clonazepam » yxibow, posted by Squiggles on November 21, 2006, at 17:10:03
Sqiggles don't worry about it if you were not human you wouldn't make a mistake right? Love Phillipa
This is the end of the thread.
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