Thread: Advice please
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Old 10-29-2009, 03:55 PM
mhr4
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mhr4
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Mark,

Do you have any evidence that Oxiracetam is harmful for Alzheimers patients? My understanding is that it has been used in studies to treat Alzheimers. This article substantiates this: http://content.karger.com/ProdukteDB...asp?Doi=118805 And the 'racetams' actually have been found to have little to no side effects at all in multiple studies.

HBOT is probably the most contraversial of all of the alternative therapies. I have read about it not working at all to saving someone's life after a major car accident.

Cerebrolysin is certainly not the love child of Dr. Wise Young seeing that he only discovered it a couple of years ago. It has been around since the 1970's in Europe and Asia. It has been demonstrated in studies to be beneficial in the acute (less than 2 years) phase of brain injuries. Here is a link demonstrating this: http://www.springerlink.com/content/j28hlwg135835041/ and this one also: http://journals.lww.com/intclinpsych...ysin_on.3.aspx

You don't need a medical doctor's approval to begin neurofeedback, as you implied. There are plenty of well qualified phd's and such that can diagnose conditions and administer the neurofeedback better than most MD's can. Besides, 99% of MD's either haven't heard of neurofeedback or don't believe in it. So, usually talking with one about it is pointless.



Quote:
Originally Posted by Mark in Idaho View Post
For the PCS head ache, low dose amytryptiline is commonly used with success. I get relief with Tylenol. Tylenol can be combined with aspirin at max dose for an effect like codeine without the risk of codeine. Ibuprophen can be counter-indicated if your are on an SSRI med.

Regarding hyper-baric oxygen therapy (HBOT), One of the studies is posted here:
http://www.ahrq.gov/clinic/epcsums/hypoxsum.htm

This concern has also been mentioned at our local rehab hospital that has an active Hyper-Baric Oxygen Therapy department. They use it more for wound care than brain injuries due to its questionable value in TBI.

Regarding oxiracetam, it has some benefits but it also has some serious downsides. It is very bad for someone with an increased risk for Alzheimer's Disease. Since mTBI/PCS results in a drastic increase in AD risk, I would avoid it.

The various 'racetams' are used in the weight lifting/body building community and by athletes and others who want to maximize performance. Even there, is has downsides.

Cerebrolysin is the love child of Dr Wise Young. Very few others promote it yet. It is still being studied in clinical trials. Just because someone can buy it does not make it safe and effective.

I would wait for the clinical trials to show its value and safety.
btw, It is still in clinical trials all over the world.


Yes, I would integrate any neuro-feedback or other neuro-therapy with the Primary treating physician and sound pre and post diagnostics. To do otherwise will be counter-productive.

If an M.D. learns that you are self treating or seeking separate treatment outside of medical consent, you run the risk of being labeled "somatoform."

Any good rehab facility has all of the disciplines available to consult.

My local rehab facility bases treatment on the consensus of a Rehab/Neurologist M.D., a Nuero-psych Ph.D., OT, PT, ST, and Recreational therapist, a nutritionist, and a social worker.

The OT recommends neuro-therapy if appropriate. They have HBOT on site too.
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