Home Forums Main Forum Media & News Chlorcyclizine

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  • #21560
    Avatar photoLondonGirl
    • Guardian Angel
    • ★★★★★
    @londongirl

    Ok, found something with the same name. They are marketed as an anti-motion sickness. There are quite a few warnings regarding interactions, so I would tread carefully and don’t recommend anyone here thinking about it., not sure they make them here at all on much (confusing) reading

    LG


    GT1a Dec14 F2/8.7 VL 900000-2.5M
    Jan16 Hepcivir-L MonkMed/Redemption
    Baseline: VL 913575 Alt 76 Platelets low
    Wk2 VL1157 Alt 23
    DET Wk 8 VL 32 Alt19 ‘In the slow lane’
    June16 Fibro 5.7 F0/1 LIF 1.5
    Wk 11 VL<12 Alt 13 Det/Unq
    Extending tx 12 wks Mylan Sofo/Dac MonkMed
    Wk 14 VL <12 Det/Unq
    Wk 16 VL UNDETECTED
    Wk 22 + 4 Wks Sunprevir FixHepC
    Wk 24 UNDETECTED Alt 13
    Wk 12 post tx SVR12 Wk 26 SVR24
    Thank-you Tim, Dr Debasis @ MonkMed & Dr Freeman @ Fix HepC

    #21561
    Avatar photofitz
    • Guardian Angel
    • ★★★★★
    @fitz

    No worries, LG. The US manufacturer appears to ship internationally. Not recommending for or against.

    #21569
    Avatar photosonix
    • Guardian Angel
    • ★★★★★
    @sonix

    Just did a quick search about this. There are some serious possible side effects including hallucinations that you don’t realize you’re having, a la Datura (which I had once as a silly teenager and don’t recommend). Also potentially abused by opiate users to increase effects.
    DO NOT take this without consultation with your doctor.
    It does not even appear to be registered for use in Australia.


    M 61yo HCV+ ~ 30 yrs Gt1a F2 VL 223,000 ALT 54 AST 42 Tx start Sof/Dac 17Dec15.
    SVR4 at 7Apr16 ALT 22 AST 22
    SVR12 at 9Jun16 ALT 23 AST 25
    Melbourne, Australia

    #21574
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    DO NOT take this without consultation with your doctor.

    Thanks sonix, that is excellent advice. :+1:


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    #21579
    Avatar photofitz
    • Guardian Angel
    • ★★★★★
    @fitz

    Here’s a quick link which covers some possible side effects and contraindications: (Link removed due to erroneous content by the publishing website).

    ETA: Drugs.com seems to have made an error with regard to the active ingredient. See Gaj’s post below.

    #21583
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    Okay, I really need to emphasise some caution here.

    My chemistry is a little bit rusty but please note that the product that has just been linked does not appear to be Chlorcyclizine.

    Chlorcyclizine = 1-[(4-Chlorophenyl)(phenyl)methyl]-4-methylpiperazine

    image-2-3-4-5-6-7-8-9-10.png

    However the product that is linked to is listed as:

    Chlorpheniramine = 4-chlorophenyl)-N,N-dimethyl-3-pyridin-2-yl-propan-1-amine

    image-2-3-4-5-6-7-8-9-10-11.png

    I fully understand everyone’s enthusiasm for clearing this horrible virus from our bodies and indeed feel the same way. However this thread appears to be getting perilously close to advocating use of medication combinations based on media reports and the third hand retelling of the private musings of researchers and doctors……it concerns me that this may put readers at risk so would suggest that perhaps it is time to take a step back and seek expert advice?


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    #21590
    Avatar photoLondonGirl
    • Guardian Angel
    • ★★★★★
    @londongirl

    Hi Sonix, yes, this is what I found under the same name in the UK. I am not sure it’s the same product? The USA product says it’s for allergies, sneezing, hives and itching etc and the the UK product with the same name (drug wise, not marketing name) says it’s an anti-sickness med, used also for Parkinsons and Meniers and diseases of the inner ear, also with sx warnings for hallucinations and such and with many drug interactions including alcohol. Like I said, confusing. Are they the same product? They don’t sound the sameI don’t know, but they have the same chemical name, so yes, caution is definitely advised until this is sorted out. It will be interesting to read the insert notes Fitz when they arrive. They sound completely different, but why the same name?

    It would be very odd if the US were marketing such a med as a simple anti-histamine when it’s something else? or maybe not?! If people are still on treatment, I’d be extremely wary of taking it. If the US product is simpy a antihistamine, then will need to check with an expert for interactions with HCV meds before taking.

    Agree Gaj, definitely worth getting expert advise, although I don’t profess to understand your chemistry diagram :lol:
    The UK product I found is saved on my other computer, will dig it out later.

    LG


    GT1a Dec14 F2/8.7 VL 900000-2.5M
    Jan16 Hepcivir-L MonkMed/Redemption
    Baseline: VL 913575 Alt 76 Platelets low
    Wk2 VL1157 Alt 23
    DET Wk 8 VL 32 Alt19 ‘In the slow lane’
    June16 Fibro 5.7 F0/1 LIF 1.5
    Wk 11 VL<12 Alt 13 Det/Unq
    Extending tx 12 wks Mylan Sofo/Dac MonkMed
    Wk 14 VL <12 Det/Unq
    Wk 16 VL UNDETECTED
    Wk 22 + 4 Wks Sunprevir FixHepC
    Wk 24 UNDETECTED Alt 13
    Wk 12 post tx SVR12 Wk 26 SVR24
    Thank-you Tim, Dr Debasis @ MonkMed & Dr Freeman @ Fix HepC

    #21621
    Avatar photofitz
    • Guardian Angel
    • ★★★★★
    @fitz

    Good catch, Gaj. AHIST is in fact Chlorcyclizine – and while Drugs.com referred to the brand name AHIST, they seem to have erroneously listed side effects for a completely different drug “Chlorpheniramine”. They should be notified about this, and I will email them later today.

    It appears Sonix may have looked at the same result I did when I posted the Drugs.com listed side effects. A brief search of other sources for information did not turn up any dire warnings about the same sorts of intense hallucinations one might experience from Datura, which is common here as ‘Jimson Weed’ (colloquially “Loco Weed”;). However, the precautions, and side effects I am reading about seem similar to those for Pseudoephedrine, and other powerful antihistamines, so obviously clearly not equivalent to ‘Loco Weed’.

    I think it is fair to assume that any drug powerful enough to potentially suppress the replication of HCV is going to have side effects, and possibly serious side effects.

    Once again, I am theorizing here, and I not in any way suggesting, or recommending that anyone should take this medication unless expressly advised to to so by their physician.

    Medical advice should absolutely be sought, and common sense and an abundance of caution should be exercised when exploring any new treatment option. The point I want to make is that given the research, I think Chlorcyclizine is worth an eye level look, and should not be dismissed out of hand, or inaccurately characterized.

    Alarmist statements aren’t particularly helpful or truly informative. We owe it to ourselves to simply explore the facts.

    #21623
    Avatar photoMeg
    • Topics: 3
    • Replies: 92
    • Total: 95
    • Guardian Angel
    • ★★★★★
    @meg

    Hi everyone. From what I have observed and known of you guys – we are pretty much free and independent thinkers (kind of rebels actually :whistle: ) who do our own research and go after solutions and answers to challenges (such as relapses), differently than most of the population who waits – sometimes in vain – for a miracle to descend upon us. We all “have been around” and as grown ups with plenty of life experience I am sure we would not follow any a ” tip” without a thorough analysis, research and talking to our doctors first. Having said that I see no danger in us discussing the benefits of adding Chlorcyclilzine in our regimen, specially as someone else has mentioned even Dr James Freeman thought about it already. It might be that it will indeed give a hand to the DAAs by stopping the Hep C virus to re-enter the cells and increasing our chances to SVR. So if you Fitz want to be the “guinea pig” <img style=illy:' /> in this experiment, you have all it takes to. I trust your discernment!


    Blood transfusion in 1992 – Diagnosed in 2007
    Tx naive -G1b – F1
    VL 2.270.000
    ALT 40
    Start tx June 4th/2016 with DAAs – Sof/Led from India
    Bloods on two weeks of tx (June 18th)
    AST 17 – ALT 10 – GGT 19
    Virus UND
    Bloods on six weeks of tx (July 16th)
    AST 17 – ALT 8 – GGT 12
    Virus UND
    EOT on August 8th (did 9 weeks and 3 days)

    SVR 4 Virus UND (September 7th)
    AST 13 – ALT 5

    SVR 14 Virus UND (November 12th)

    #21626
    Avatar photofitz
    • Guardian Angel
    • ★★★★★
    @fitz
    Meg wrote:

    Hi everyone. From what I have observed and known of you guys – we are pretty much free and independent thinkers (kind of rebels actually :whistle: ) who do our own research and go after solutions and answers to challenges (such as relapses), differently than most of the population who waits – sometimes in vain – for a miracle to descend upon us. We all “have been around” and as grown ups with plenty of life experience I am sure we would not follow any a ” tip” without a thorough analysis, research and talking to our doctors first. Having said that I see no danger in us discussing the benefits of adding Chlorcyclilzine in our regimen, specially as someone else has mentioned even Dr James Freeman thought about it already. It might be that it will indeed give a hand to the DAAs by stopping the Hep C virus to re-enter the cells and increasing our chances to SVR. So if you Fitz want to be the “guinea pig” <img style=illy:' /> in this experiment, you have all it takes to. I trust your discernment!

    Thanks Meg (you’re so awesome!) :) While I would like to enhance my chances for SVR, I am not so intrepid as to not consult Dr James first, before making any changes to my treatment regimen.

    He’s been sort of busy lately, and I’m not in any hurry – so will give him a chance to settle back in after his ground breaking journey to Bangladesh.

    #21658
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    Hi fitz and Meg,

    Thanks. I mostly agree with both of you. This site does allow and encourage discussion about all the various aspects of HCV and its treatment including new developments and theories. Some of which are well ahead of currently accepted treatment practice.

    As a result I do believe that we should always remember that we are not just discussing these issues as a small group of like minded individuals in a private chat room where everyone will immediately understand the theoretical discussion and the consequences of any actions we as individuals take. We should keep in mind that we do have an international audience many of whom may not be fluent in English and as a result are using either the language translator built into this site or Google Translate or similar. Most of these translators give a rather literal version of what is written and may not adequately cover the context of the discussion. Occassionally the translation can even be the opposite of what we really mean. Also sometimes people may not read the full thread from start to end so may miss important bits of information.

    The same sort of thing applies with links to information on other sites. Please don’t just assume that because it is a reputable site the information is correct, they can still make mistakes. Please check thoroughly before you post the link.*

    With those points in mind please ensure that our larger audience is always aware that topics such as being discussed here are your own thoughts and frequently remind anyone thinking of following the same path that they should always seek expert medical advice before doing so.

    Thanks in advance. :+1:

    *Remember the old joke quoting Abraham Lincoln as saying “You can’t believe everything you read on the Internet” :lol:


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    #21660
    Avatar photofitz
    • Guardian Angel
    • ★★★★★
    @fitz

    Points taken, Gag. Thank you! :+1:

    #21673
    Peach
    • Topics: 1
    • Replies: 11
    • Total: 12
    • Acolyte
    • ★★
    @peach

    I wonder why Chlorcyclizine isn’t listed on the hep drug interactions website?

    http://www.hep-druginteractions.org/checker


    genotype 1a
    viral load 160,000
    age 29, F0, treatment naive, il28bcc
    unable to function due to chronic fatigue, joint/muscle pain, low immune system, depression, anxiety, skin issues, brain fog (etc) : (
    12 weeks daclatasvir/sofosbuvir started 11 march 2016 through pbs

    week 4 – alt 12
    week 12 – viral load undetected
    svr12 – NOT DETECTED!

    #21735
    Avatar photofitz
    • Guardian Angel
    • ★★★★★
    @fitz

    I will venture a guess, and would make clear that this is only a guess. Chlorcyclizine is most likely not listed as a Hep C med because it has not yet been proven effective in human trials, and is currently not approved for treatment of Hep C.

    There is at least one human study currently underway: https://clinicaltrials.gov/ct2/show/NCT02118012

    #21748
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Hi Fitz,

    I’m aware of chlorcyclizine, and also aware of some patients (who responded slowly to DAAs) using it.

    Theoretically it looks ok, if you can tolerate the sedation, but it’s experimental. This drug is a first generation antihistamine (like phenergan aka promethazine) and as such is quite sedating.

    My attempts to contact the owners of the study https://clinicaltrials.gov/ct2/show/NCT02118012 have been met with silence.

    The trial dose is double the accepted maximum dose (75 mg/day). https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d50b5154-20a3-4c5b-ad7b-08c081340b12

    Lethal dose is about 50mg/kg so trial dose is theoretically safe.

    The mode of action is different from DAAs so, once again, theoretically, it should not make DAAs less effective and might be a useful 3rd drug.

    We are in the process of getting ethics approval to run a trial in Bangladesh using Sof+Dac+Chlorocyclizine in GT3


    YMMV

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