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DR.BREWER'S NEWS LETTER

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HI ALL...I RECEIVED A FEW REQUESTS FOR THIS...SO HERE IT

IS.....HUGS, SALLY

New Horizons

Brewer Science Library

325 North Central Ave.

2nd floor

Richland Center, WI 53581

Phone: (608) 647-6513

Fax: (608) 647-6797

Email: drbrewer@...

Web: www.mwt.net/~drbrewer

Subscribe to New Horizons

The following article is reprinted from New Horizons newsletter,

published by the Brewer Science Library. Single copies of the

article may be printed for the reader's personal research and study.

Reproduction in any other manner, format or location is expressly

prohibited.

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Can Naltrexone Relieve MS Symptoms?

© 1999 Brewer Science Library, All rights reserved

Excerpted from New Horizons, Winter 1999

The following case was reported to me by a former patient of Dr.

Bernard Bihari, a New York physician who has pioneered the use of

low-doses of the drug naltrexone for over a decade.

DR. BIHARI'S WORK

Most of his work has been with HIV patients. He has a large group of

them that have been stable with no disease progression for as long

as eight years from taking a once daily evening dose of 3 mg of

naltrexone. He has also tried naltrexone in other patients who

suffered with different immune system disorders, whom he felt might

benefit from its immune modulating actions.

HELP FOR MS

What follows is a truly remarkable story of the positive help

naltrexone might provide to people with multiple sclerosis.

Over twelve years ago Dr. Bihari's daughter had a college friend who

experienced three severe exacerbations in the first year of her

recently diagnosed MS. She was hospitalized with two of them. These

were episodes of transverse myelitis with the MS activity in her

spinal cord mimicking severance of the cord. Two were at the waist

level, affecting movement and sensation in her legs as well as

bladder and bowel functions. She experienced a quick spontaneous

recovery of 90-95% from each episode, being left with some residual

numbness in her feet. The third attack was in her spinal cord at a

high level in her neck. In this attack the numbness was throughout

her whole body, from her feet up to her face, and was terrifying to

her. Although she regained over ninety per cent of her physical

functions after these severe attacks, she obviously was worried

about the course of this illness. Dr. Bihari suggested she try low-

dose naltrexone, 3 mg at night.

NO EXACERBATIONS

For the next several years she took naltrexone and experienced no

exacerbations or deterioration in her condition, remaining quite

physically active. In fact, she was doing so well she thought she

probably didn't need the naltrexone any longer. So she stopped

taking it. Several weeks after she had discontinued the naltrexone,

she had an exacerbation with severe muscle spasms in her left arm

causing her extreme pain.

MUSCLE SPASM RELIEF

She called Dr. Bihari in desperation and was again started back on

naltrexone. She reported to him that the day after she took her

first naltrexone pill again the muscle spasms in her arm decreased

significantly and with continued use stopped altogether. She had

some residual loss of nerve function in her left arm, but was able

to adopt her active lifestyle again.

GREAT SUCCESS

She has now been on low-dose naltrexone for over 12 years, and

continues to do very well. She reported to Dr. Bihari that

occasionally she forgets to take her one naltrexone pill at night

and the next day she might experience some muscle spasms. That

reminds her exactly how helpful naltrexone is to her body.

This is certainly a very interesting story. Although some people may

find it easy to negate this wonderful long-term success by

suggesting that her MS just coincidentally remitted, that is

certainly not what this young woman thinks. Without naltrexone her

predicted progress in twelve years might have been directly to a

wheelchair, considering the severity of her exacerbations in her

twenties. The relief of muscle spasms alone would be considered

beneficial by most MS patients.

FUTURE POSSIBILITIES

Intervention in this young woman's MS was begun very early in her

disease process. Until a significant number of cases are followed

and clinical trials are completed, it is unknown whether naltrexone

can provide any help for individuals who have chronic progressive MS

or whose disease process is much more advanced. A few other multiple

sclerosis patients as well as patients with other autoimmune

disorders have also responded positively to low-dose naltrexone.

IMMUNE MODULATOR

The small dose taken in the evening before bed indirectly results in

the pituitary gland increasing its production of beta-endorphin

during the middle of the night. It also causes a rise in the adrenal

gland's production of metenkephalin, another type of endorphin.

These endorphins have a modulating effect on the body's immune

functions.

PERSONAL TRIAL

Some individuals who have experienced either no benefit or side

effects from other MS therapies may request their doctor's

cooperation in a personal trial of naltrexone.

REPORT YOUR RESULTS

Please contact White at the Brewer Science Library (608)

647-6513 to report your results with naltrexone. This follow-up is

important for other MS patients seeking ongoing information.

TELEPHONE CONSULTATION

Dr. Bernard Bihari, M.D., is available for telephone consultations

with MS patients desiring to try naltrexone.

Phone: (212) 929-4196

Fax: (212) 229-9371

COMPOUNDING PHARMACIES are needed to make the 3 mg caps:

Bigelow (212) 533-2700

Prescription Center (800) 203-9066

Option Care Compounding Pharmacy (800) 679-4667

Subscribe to New Horizons

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