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-   -   Recruitment Begins for STEADY-PD Phase III Trial of Isradipine (https://www.neurotalk.org/parkinson-s-disease/211580-recruitment-begins-steady-pd-phase-iii-trial-isradipine.html)

Tupelo3 10-31-2014 10:48 AM

Quote:

Originally Posted by badboy99 (Post 1105842)
My doc told me that they were basically looking for drug naive recruits at his hospital.

Yes, exclusion criteria includes use of L/C, agonists, and MAO-B inhibitors. Amantadine is allowed. Again, this has nothing to do with drug interactions. It is strictly due to study design as it's a lot cleaner to test a drug's efficacy if it is used alone rather than with other drugs. This would be particularly true if using Azilect, where there are also claims of neuroprotection. In actuality, the criteria is to be drug free at time of the start of trial with the anticipation of remaining that way for 3 months. They aren't expecting participants to remain drug free for the full 3 year trial.

aquario 10-31-2014 08:28 PM

dosage
 
Quote:

Originally Posted by Tupelo3 (Post 1105809)
A few comments in response:


I'm not going to give anyone any medical advice, but I would be more than happy to share what I learned with anyone interested. As someone who believes in using proper clinical trials to test hypotheses, I do hope this study gets the needed volunteers (336) so we can determine if the drugs really is neuroprtective.

Can you tell us what the dosage amounts and frequency levels are?

Thanks.

Tupelo3 10-31-2014 09:55 PM

Quote:

Originally Posted by aquario (Post 1105915)
Can you tell us what the dosage amounts and frequency levels are?

Thanks.

The trial is using a 10mg/day dose. 5mg twice a day. The lead investigators determined this to be optimal from the phase 2 trial. For hypertension, you can go up to 20mg. But, more side effects were observed at that dosage.

johnt 10-31-2014 11:37 PM

Anyone who does not have high blood pressure who is thinking of DIY'ing isradipine needs to be cautious.

As Tupelo3 says isradipine is used for hypertension. So, it can be expected to lower blood pressure. This could push someone with already lowish blood pressure, common with PD, dangerously low, especially when you include our slowness to change blood pressure on standing (postural hypotension), again common with PD; resulting in fainting and falling. See your GP.

See:
http://www.parkinsons.org.uk/sites/d...odpressure.pdf

John

GerryW 11-01-2014 09:22 AM

diuretic
 
I experimented with isradipine some time ago but had to quit as it had me running to the restrooms very frequently. Unlike other calcium channel blockers, it is also a diuretic.

zanpar321 11-01-2014 02:56 PM

Quote:

Originally Posted by GerryW (Post 1105963)
I experimented with isradipine some time ago but had to quit as it had me running to the restrooms very frequently. Unlike other calcium channel blockers, it is also a diuretic.

Magnesium is also a very inexpensive calcium channel blocker and will cause loose stools too when you take too much!:)

Tupelo3 11-01-2014 09:43 PM

Quote:

Originally Posted by zanpar321 (Post 1105993)
Magnesium is also a very inexpensive calcium channel blocker and will cause loose stools too when you take too much!:)

Unfortunately, magnesium would not help as a calcium channel blocker for PD. There are many different calcium channels. The channels linked to PD are L-type. Mg is primarily a N-type Ca channel blocker and only has minimal L-type activity. Isradipine is primarily a L-type blocker, and the reason why it was chosen for PD research.


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