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Re: Substance P

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> When Dr. Nase mentioned MK-869 in the book, he also mentioned that

it was

> going to be an oral drug. It would be nice if it turns out there

are some

> topical studies out there, but since Merck is testing it as a

treatment for

> depression, the odds probably are against this.

I agree, Adam, it doesn't look like MK-869 -- or Zofran, which

apparently also blocks Substance P centrally -- panned out as a oral

pain medication, for rosacea or anyone else. It could turn out to

have an off-label indication for pain syndromes, like Elavil when it

first started out, but from what we're hearing it doesn't sound very

hopeful.

Still, Substance P antagonists, whether peripheral or centrally-

acting, was never expected to treat or cure rosacea, or even impact

on the majority of rosaceas. But neurogenic pain -- if that's the

cause of the burning and stinging in rosaceans -- is an active area

of research in pain control. Again, another example of research not

involving rosacea will likely help that group of rosaceans.

I'm learning a lot. It's nice to read others' contributations to

these research threads. Thank you.

As an aside: has anyone with burning/stinging symptoms tried cea

Care's strontium lotion? I'm not recommending it, I'm just curious.

Marjorie

Marjorie Lazoff, MD

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