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Thread ID: 114477 2010-12-04 17:23:00 Our token American tut (12033) PC World Chat
Post ID Timestamp Content User
1158780 2010-12-07 20:04:00 I hate people talking to you after they have eaten garlic pewwwww.
:)

I had that problem when I worked near some Koreans too.

I just put a tiny drop of Kim Chi (sp?) on the tip of my tongue and I couldn't smell it on them after that.
SurferJoe46 (51)
1158781 2010-12-08 03:17:00 [QUOTE=SurferJoe46;973545]I told a couple of youse guys via PM from my GTalk IM area and my e-mail addy that I'd be here tonight (no applause, please) and somehow I made it .



****
Why? Because now I know the personal names of the suction-cup people who live in the wallpaper pattern, that's why .
****


SJ, when you see those Animal/Zombie/Walt Disney animations coming out of the wall, it's time to change the medi . ! All the best up there . Get better . :D
BobM (1138)
1158782 2010-12-08 03:37:00 [QUOTE=SurferJoe46;973545]I told a couple of youse guys via PM from my GTalk IM area and my e-mail addy that I'd be here tonight (no applause, please) and somehow I made it .



****
Why? Because now I know the personal names of the suction-cup people who live in the wallpaper pattern, that's why .
****


SJ, when you see those Animal/Zombie/Walt Disney animations coming out of the wall, it's time to change the medi . ! All the best up there . Get better . :D

I actually made breakfast/lunch and dinner today - so I must be somewhat recovered - either that or the Vicadin is working better .

A warning: Elevil is nasty - right Jamuz?
SurferJoe46 (51)
1158783 2010-12-08 04:04:00 (snip)
A warning: Elevil is nasty - right Jamuz?

Did you have grapefruit juice with your breakfast SJ?
John H (8)
1158784 2010-12-08 04:54:00 No - I never eat or drink things that a healthy for me.

I recognize the 'first-pass' scenario near the same time period of meds - not that I would drink/eat it anyway.

Actually a lot of the idea has been sorta debunked - but if one were to consume grapefruit a few times a week, the effect is cumulative.
SurferJoe46 (51)
1158785 2010-12-08 06:03:00 Elavil is amitriptyline ... an antidepressant & don't think grapefruit will have any affect on it ... however ... any opiate based painkillers like Morphine or Oxycodone is a different matter. Taking cough syrup with opiates also has a similar effect if it has Dextromethorphan as an ingredient.

And yes ... I speak from personal experience after letting a surgeon have a play with my back.
SP8's (9836)
1158786 2010-12-08 06:42:00 We have amitriptyline available in New Zealand as "Amitrip" (i.e. a generic).

Grapefruit juice / paste doesn't interact with medications by categories. It interacts by inhibiting a large variety of enzymes belonging to the Cytochrome P450 family (CYP450, also known as). As a result, the activities of the key enzymes that metabolise majority of the drugs in the market such as CYP3A4, CYP2D6, CYP2C19 etc can be inhibited when grapefruit juice and / or its derivative are consumed, causing the plasma level of the drug to slowly increase until it is beyond the safe level.

Personally, if I were asked to recommend a TCA antidepressant, I would stay away from amitriptylinbe. Instead, I would go for nortriptyline because of its better safety profile and lesser anti-cholinergic side effects compared to other TCAs such as dothiepin, amitriptyline etc. HOWEVER, if you are taking a TCA for neuropathic pain management, then amitriptyline seems to be the most preferred medication despite its side effect potential.
Renmoo (66)
1158787 2010-12-08 07:02:00 We have amitriptyline available in New Zealand as "Amitrip" (i.e. a generic).

Grapefruit juice / paste doesn't interact with medications by categories. It interacts by inhibiting a large variety of enzymes belonging to the Cytochrome P450 family (CYP450, also known as). As a result, the activities of the key enzymes that metabolise majority of the drugs in the market such as CYP3A4, CYP2D6, CYP2C19 etc can be inhibited when grapefruit juice and / or its derivative are consumed, causing the plasma level of the drug to slowly increase until it is beyond the safe level.

Personally, if I were asked to recommend a TCA antidepressant, I would stay away from amitriptylinbe. Instead, I would go for nortriptyline because of its better safety profile and lesser anti-cholinergic side effects compared to other TCAs such as dothiepin, amitriptyline etc. HOWEVER, if you are taking a TCA for neuropathic pain management, then amitriptyline seems to be the most preferred medication despite its side effect potential.

You ask us to correct your English!!! Could you change the above into English, Please.? PJ :rolleyes::lol:
Poppa John (284)
1158788 2010-12-08 07:07:00 English version:

Enzymes are proteins that breakdown substances into small molecules, which are then eliminated from the body. There is one particular group of enzymes called Cytochrome P450, which are responsible for breaking down the majority group of medications available in the market. Grapefruit juice contains an ingredient which can stop the Cytochrome P450 enzymes from metabolising the drugs. As a result, if Joe takes amitriptyline and washes it down with a cup of grapefruit juice, the enzyme's activities would come to a halt, allowing the amitriptyline level in the blood to slowly build up, causing toxicity eventually.
Renmoo (66)
1158789 2010-12-08 07:12:00 What about grapefruit juice & morphine Renmoo ??? SP8's (9836)
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