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09-21-2007, 09:54 PM | #1 | |||
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In Remembrance
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So, in 1995 it was "clearly established" that stress may "directly regulate brain function" and that the effects can be short term and/or long term. But nobody told the neurologists what the endocrinologists knew. And nobody told us.
1: J Psychiatry Neurosci. 1995 Nov;20(5):349-56. Steroid effects on brain functions: an example of the action of glucocorticoids on central dopaminergic and neurotensinergic systems. Rostène W, Sarrieau A, Nicot A, Scarceriaux V, Betancur C, Gully D, Meaney M, Rowe W, De Kloet R, Pelaprat D, et al. Inserm U. 339, Hôpital St-Antoine, Paris, France. It is now clearly established that steroid hormones released from peripheral endocrine glands may, through specific receptors in the brain, directly regulate brain function. These effects may be rapid or involve long-term modifications at the genomic level. Concerning the glucocorticoids, their receptors are found in most neuronal cells, an observation which can be related to their widespread effects on neuronal metabolism. Furthermore, glucocorticoids are often related to stress. We have previously demonstrated that neonatal handling of the rat prevented excessive endocrine response to stress. In adults, this action appeared to protect the animal from potential damaging effects of glucocorticoids and from related impairment of cognitive functions. The effects of glucocorticoids are thought to involve an interaction of several central neurotransmitter systems. One such neurotransmitter is neurotensin, a neuropeptide which was reported to be closely related to central dopaminergic system regulation. This paper presents a rapid overview of the central effects of glucocorticoids and possible evidence for the interrelationship between these steroids, dopamine and neurotensin systems in the regulation of the hypothalamo-pituitary-adrenal axis. It provides a new way to approach stress responses and to develop new substances that may become potential drugs in the treatment of some psychiatric disorders. PMID: 8527421 [PubMed - indexed for MEDLINE]
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Born in 1953, 1st symptoms and misdiagnosed as essential tremor in 1992. Dx with PD in 2000. Currently (2011) taking 200/50 Sinemet CR 8 times a day + 10/100 Sinemet 3 times a day. Functional 90% of waking day but fragile. Failure at exercise but still trying. Constantly experimenting. Beta blocker and ACE inhibitor at present. Currently (01/2013) taking ldopa/carbadopa 200/50 CR six times a day + 10/100 form 3 times daily. Functional 90% of day. Update 04/2013: L/C 200/50 8x; Beta Blocker; ACE Inhib; Ginger; Turmeric; Creatine; Magnesium; Potassium. Doing well. |
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09-21-2007, 10:00 PM | #2 | |||
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In Remembrance
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The last line is the important part. Gingko for acute stress and ginseng for chronic stress. Sounds like a promising combo.
1: J Pharmacol Sci. 2003 Dec;93(4):458-64. Anti-stress effects of Ginkgo biloba and Panax ginseng: a comparative study. Rai D, Bhatia G, Sen T, Palit G. Division of Pharmacology, Central Drug Research Institute, Lucknow, India. Stress is a global menace fortified by the advancement of industrialization. Failure of stress management is due to lack of proper evaluation of anti-stress products. We explored the anti-stress potential of the Ginkgo biloba (G. biloba, 30 mg/kg, p.o.) and compared it with that of Panax ginseng (P. ginseng, 100 mg/kg, p.o.) against acute stress (AS) and chronic stress (CS) models in rats. Immediately after AS and CS, the rats were sacrificed, and adrenal glands and stomach were dissected out for weight determination and scoring of the ulcer index (UI), respectively, as well as changes in biochemical parameters like plasma glucose (GL), triglycerides (TG), cholesterol (CL), creatine kinase (CK), and serum corticosterone (CORT) were also estimated. AS significantly increased UI, adrenal gland weight (AGW), GL, CK activity, and CORT, whereas G. biloba significantly reduced them. P. ginseng significantly reverted GL and CK activity. In CS, a significant increase was found in the UI, AGW, CK activity, and CORT with a decrease in the level of CL and TG. G. biloba did not produce any significant effect on CS-induced alterations. P. ginseng reduced the UI, AGW, plasma GL, TG, CK activity, and CORT level significantly. From the above study, G. biloba is more effective in AS, whereas for CS, P. ginseng will be a better option. Hence these extracts possess significant anti-stress properties and can be used for the treatment of stress-induced disorders. PMID: 14737017 [PubMed - indexed for MEDLINE]
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Born in 1953, 1st symptoms and misdiagnosed as essential tremor in 1992. Dx with PD in 2000. Currently (2011) taking 200/50 Sinemet CR 8 times a day + 10/100 Sinemet 3 times a day. Functional 90% of waking day but fragile. Failure at exercise but still trying. Constantly experimenting. Beta blocker and ACE inhibitor at present. Currently (01/2013) taking ldopa/carbadopa 200/50 CR six times a day + 10/100 form 3 times daily. Functional 90% of day. Update 04/2013: L/C 200/50 8x; Beta Blocker; ACE Inhib; Ginger; Turmeric; Creatine; Magnesium; Potassium. Doing well. |
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09-22-2007, 02:00 AM | #3 | ||
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it was a particularly stressful job that sparked my latent PD into life.
Neil. |
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09-22-2007, 12:43 PM | #4 | |||
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I knew that stress was a factor in my ailment long before anyone ever suggested PD. I am a former military officer and had been in very stressful situations during my military career--sometimes life or death sort of situations. When I retired from the military, the stiffness and gait problems started. Very gradually symptoms started to appear that I now know are part of the PD package. Then, after about nine years in my second career in higher education administration, a new boss came in who seemed resolved to make life miserable for me. It was during this stressful time that the PD symptoms really started to affect my life.
The early symptoms came gradually over a long period of time and were tolerable as I gradually adjusted to them. During and after the conflict with my new boss, the problems worsened and they now seem seem to be getting worse at a more rapid rate. Sinemet helped my gait problem. But this last week I started working again--just two hours a day at first, then I'm supposed to gradually add more hours as I adjust. Unfortunately, I'm back working for the same boss. Remarkably, as I was walking from the parking lot to the office my first day back, the gait problem returned, even though it hadn't bothered me since I started the sinemet. My conclusion: It's that stress thing again. My experiences tell me that stress is very clearly a major factor that affects how well I feel. It is the main antagonist in the drama I call my life. Karl |
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09-22-2007, 02:24 PM | #5 | |||
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In Remembrance
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And it won't get any better. That is, the boss is going to still be an SOB. The traffic is still going to be nasty. The world will continue to turn with no thought of us at all. And continued stress will continue to kill neurons long term and mess up our circuits short term.
So, since the world won't change for us, if we are gonna save our own butts then we have to change either ourselves or our corner of the world. Once we accept the idea that stress is not a symptom but rather a cause, things change and opportunities arise that we didn't have before. Exercise lowers levels of stress reaction. Tai chi does too. Ditto for meditating. Yoga exercises and breathing techniques. Biofeedback and hypnosis. Massage, reiki, bodywork of various types. Certain music. Nature. Of course, the job's gotta go. All those seemed to be ways to manage symptoms when things got bad enough. Now I know that they are things that have the potential to stop PD and just maybe allow me to repair myself. The difference is subtle but huge.
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Born in 1953, 1st symptoms and misdiagnosed as essential tremor in 1992. Dx with PD in 2000. Currently (2011) taking 200/50 Sinemet CR 8 times a day + 10/100 Sinemet 3 times a day. Functional 90% of waking day but fragile. Failure at exercise but still trying. Constantly experimenting. Beta blocker and ACE inhibitor at present. Currently (01/2013) taking ldopa/carbadopa 200/50 CR six times a day + 10/100 form 3 times daily. Functional 90% of day. Update 04/2013: L/C 200/50 8x; Beta Blocker; ACE Inhib; Ginger; Turmeric; Creatine; Magnesium; Potassium. Doing well. |
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