Guest guest Posted June 27, 2001 Report Share Posted June 27, 2001 Rich Murray: : fibromyalgia & aspartame & MSG 6.27.1 rmforall Ann Pharmacother 2001 Jun;35(6):702-6 Relief of fibromyalgia symptoms following discontinuation of dietary excitotoxins. JD, Terpening CM, Schmidt SO, Gums JG. Malcolm Randall Veterans Affairs Medical Center, Gainesville, FL, USA. BACKGROUND: Fibromyalgia is a common rheumatologic disorder that is often difficult to treat effectively. CASE SUMMARY: Four patients diagnosed with fibromyalgia syndrome for two to 17 years are described. All had undergone multiple treatment modalities with limited success. All had complete, or nearly complete, resolution of their symptoms within months after eliminating monosodium glutamate (MSG) or MSG plus aspartame from their diet. All patients were women with multiple comorbidities prior to elimination of MSG. All have had recurrence of symptoms whenever MSG is ingested. DISCUSSION: Excitotoxins are molecules, such as MSG and aspartate, that act as excitatory neurotransmitters, and can lead to neurotoxicity when used in excess. We propose that these four patients may represent a subset of fibromyalgia syndrome that is induced or exacerbated by excitotoxins or, alternatively, may comprise an excitotoxin syndrome that is similar to fibromyalgia. We suggest that identification of similar patients and research with larger numbers of patients must be performed before definitive conclusions can be made. CONCLUSIONS: The elimination of MSG and other excitotoxins from the diets of patients with fibromyalgia offers a benign treatment option that has the potential for dramatic results in a subset of patients. PMID: 11408989 **************************************** Ann Pharmacother 1998 Feb;32(2):196-200 Possible lansoprazole-induced eosinophilic syndrome. JD, Chang KL, Gums JG. Department of Pharmacy Practice University of Florida, Gainesville, USA. OBJECTIVE: To report a case of myalgia with eosinophilia related to lansoprazole administration. CASE SUMMARY: A 50-year-old white woman developed severe myalgia 1 week after starting lansoprazole. During the treatment course, the patient was also found to have eosinophilia. The myalgia and eosinophilia resolved 40 days after lansoprazole was stopped and 18 days after prednisone therapy was begun. The patient was not rechallenged with lansoprazole. DISCUSSION: To our knowledge, this is the first reported case of lansoprazole-induced eosinophilic syndrome. Clinically, it is difficult to distinguish between eosinophilia-myalgia syndrome and eosinophilic fasciitis, which are probably part of a continuum of eosinophilic disorders. This patient presented with symptoms of both syndromes. Although other causes cannot be completely ruled out, the time course strongly suggests that lansoprazole was the causative agent. CONCLUSIONS: It is important to consider medications when diagnosing patients with hypereosinophilia and/or myalgia. PMID: 9496405 Expert Opin Pharmacother 1999 Nov;1(1):71-80 Management of essential hypertension. Terpening C, Gums JG, Grauer K. terpening@... University of Florida, Departments of Pharmacy Practice and Family Medicine 625 SW 4th Ave., Gainesville, FL 32601, USA. terpening@... Hypertension, in spite of a very high prevalence, remains undertreated. This is not due to a lack of effective therapeutic modalities. Non-pharmacological treatments can be effective in many patients. If those treatments fail to reduce blood pressure sufficiently, the physician can choose between numerous classes of antihypertensive agents. However, interpatient variability in response to these agents is high, and use of multiple agents is frequently necessary. Thus, no single class has proven to be superior for the majority of patients. This article will review the different non-pharmacological and pharmacological methods available to treat hypertension, as well as the guidelines that are available to aid in proper selection of a treatment regimen. Publication Types: Review Review, tutorial PMID: 11249566 Terpening CM. The FDA: protector or puppet? Pharmacotherapy. 2000 Jul;20(7):860-1. No abstract available. PMID: 10907979 Gums JG. Empathy to apathy: a consequence of higher education? Pharmacotherapy. 1994 Mar-Apr;14(2):250-1. No abstract available. PMID: 8197049 Miles Terpening Information current as of: 09/09/1999 post doc aso pharmacy practice,uf Campus mg-58 445 po box 100486 gainesville fl 32610-0486 Home u of f box 100846 gvn fl fl 32611 Email cterpeni@... G Gums Information current as of: 09/28/1999 professor pharmacy practice,uf Campus j486 jhmhc po box 100486 gainesville fl 32610-0486 Home 3626 nw 23rd pl gainesville fl 32605-2666 Email gums@... Siegfried O Schmidt Information current as of: 01/27/1900 clin ast prof community hlth & fam med,uf Campus w oak clnic po box 103588 gainesville fl 32610-3588 Home 8120 sw 36th ave gainesville fl 32608-3629 Email siggy@... *************************************************************** Rich Murray, MA Room For All rmforall@... 1943 Otowi Road, Santa Fe NM USA 87505 M.I.T. (physics and history, BA, 1964), Boston U. Graduate School (psychology, MA, 1967): As a concerned layman, I want to clarify the aspartame toxicity debate. http://groups.yahoo.com/group/aspartameNM/message/618 long 40K summary Excellent 5-page review by H.J. in " Townsend Letter " , Jan 2000, " Aspartame (NutraSweet) Addiction " http://www.dorway.com/tldaddic.html http://www.sunsentpress.com/ H.J. , M.D. HJmd@... sunsentpress@... Sunshine Sentinel Press 6708 Pamela Lane West Palm Beach, FL 33405 fax 1038 page text " Aspartame Disease: An Ignored Epidemic " published May 30 2001 $ 85.00 postpaid data from 1200 cases http://www.aspartameispoison.com/contents.html 34 chapters ********************************************************* Quote Link to comment Share on other sites More sharing options...
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