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Old 02-14-2012, 11:04 AM #31
adelina adelina is offline
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Default ..on Miralax

I have been taking Miralax since the first year of my condition for constipation. I take percocet and oxycontin and a few other meds that all add up to constant constipation, so Miralax is the only thing that works. But since I have been taking it from nearly the beginning there has been no recognizable difference in my pn. Perhaps it does help and I don‘t see it. I also used it with my youngest child who was constipated from birth. We used suppositories until she was a toddler and then I used apple juice, or Miralax when there was extreme conditions. She never was dependent on it and now she has grown out of the problem (too long of a colon) finally at age 5 ½. Dr, Smith - thanks for you links and information it I appreciate these tidbits a lot!
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Old 02-14-2012, 11:27 AM #32
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Lightbulb

I don't think the PEG works orally for PN.... If you check those studies carefully...I would like to see the links in fact...

That PEG was injected into the tissue. And it does not say how much etc.

example:
Quote:
Acta Biomater. 2012 Jan 25. [Epub ahead of print]
Semi-interpenetrating network of polyethylene glycol and photocrosslinkable chitosan as an in-situ-forming nerve adhesive.
Amoozgar Z, Rickett T, Park J, Tuchek C, Shi R, Yeo Y.
Source

College of Pharmacy, Purdue University, 575 Stadium Mall Dr., West Lafayette, IN 47907, USA.
Abstract

An ideal adhesive for anastomosis of severed peripheral nerves should tolerate strains imposed on rejoined nerves. We use blends of photocrosslinkable 4-azidobenzoic acid-modified chitosan (Az-C) and polyethylene glycol (PEG) as a new in-situ-forming bioadhesive for anastomosing and stabilizing the injured nerves. Cryo-scanning electron microscopy suggests that the polymer blends form a semi-interpenetrating network (semi-IPN), where PEG interpenetrates the Az-C network and reinforces it. Az-C/PEG semi-IPN gels have higher storage moduli than Az-C gel alone and fibrin glue. Nerves anastomosed with an Az-C/PEG gel tolerate a higher force than those with fibrin glue prior to failure. A series of ex vivo and in vitro cell experiments indicate the Az-C/PEG gels are compatible with nerve tissues and cells. In addition, Az-C/PEG gels release PEG over a prolonged period, providing sustained delivery of PEG, a potential aid for nerve cell preservation through membrane fusion. Az-C/PEG semi-IPN gels are promising bioadhesives for repairing severed peripheral nerves not only because of their improved mechanical properties but also because of their therapeutic potential and tissue compatibility.

Copyright © 2012. Published by Elsevier Ltd.

PMID:
22310507
[PubMed - as supplied by publisher]
This is a topical application, not oral.

This one also "applied" to both ends of cut nerves in animals.
http://www.ncbi.nlm.nih.gov/pubmed/22302626

This complicated paper uses a PEG film applied to the
surgical wound area:
http://www.ncbi.nlm.nih.gov/pubmed/20421076

So taking Miralax is not going to provide any nerve healing.
It is not absorbed mostly. The huge molecule is too large.
However in some adults a tiny portion may be absorbed. It seems that children have more of an issue with this problem than adults.
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Old 02-14-2012, 02:08 PM #33
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I take it regularly, about a dose and a half daily. When I asked the GI doctor if it was addictive, he laughed in a mean way (he was a mean guy) and said with my problems I was going to be dependent on something or I would never go at all. He was a real bast**d but it was the best advice I ever received. The pain I was in from fissures was much worse than childbirth, and it took about eight months, but the miralax allowed it to finally clear up.
Mine is a hereditary, progressive neuropathy. I have almost no sensation from above the knees down, and am losing muscle control slowly, so if there were improvement it would be offset by deterioration.
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Old 02-14-2012, 05:27 PM #34
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Quote:
Originally Posted by mrsD View Post
I suspect those treatments are topical. PEG is not well absorbed from the GI tract.
Topical would be fine, if it worked. I wasn't thinking of running out and trying anything rash (I don't do rash. ) I was just reading about it, and the neurogenic mentions were intriguing.

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Old 02-14-2012, 05:31 PM #35
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Lightbulb

When I mean topical I mean applied to the cut ends of the nerves. Not on the skin.

The newest study made a film scaffold with chitan (which comes from crab shells and is a fiber). The nerves (axons) were severed and the bond applied to facilitate regrowth.

For us PNers...damaged axons....one would have to have location in which to inject the product once it is approved safe.

Not going to be seen for us for a LONG TIME. May however help people with spinal cord trauma from accidents etc..
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Old 02-14-2012, 11:36 PM #36
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Quote:
Originally Posted by Susanne C. View Post
Jiggered, if the BuTrans patch is causing constipation, try a regular daily dose of miralax. I have had problems with it all my life, (my earliest memories are of mom dosing me with Fletcher's Castoria) and resulting fissures, etc. but several years on miralax have done away with all my GI problems. I consider it a miracle. I am on low dose oxycodone along with my Gabapentin, but my problem far predates opiate usage.
So you find the Butrans effective? Does it have any other side effects? I am considering it for when my 325/5 once or twice a day are no longer effective for what I have to get done.
Hi Susanne,

I'm really liking the Butrans. The first couple of days I was pretty stoned, & I've had a couple of really bad headaches from it. I needed to take some Gravol as I was nauseated as well, but after that initial couple of days it's all been really good. There is a long list of possible side affects, as with any other med.
My pcp just prescribed Motilium & wants me drink some Mag Citrate & some Milk of magnesia. I'll do that tomorrow, so I guess I'll spend my day in the bathroom. I talked to my doc about drinking beer, she said it's okay to have a couple of beer, it will help with my bowel issues. I will cut down though, as when I'm on days off I drink 3 -5 beer a night. I think that's too much.
You should talk to your Dr. about Butrans to see if it's right for you. It's nice cause u just put in on once a week, less pills to remember to pop!!

Hope u feel better.
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Old 02-15-2012, 06:27 AM #37
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How can beer help the bowel issues?

If it enables you to pass your stools, I'd be very suspicious that you have gluten issues. Beer of all the alcoholic drinks is filled with gluten. And people who get loose on beer, are showing a potential sign of gluten intolerance.

Gluten intolerance can be a trigger for PN as well!
This excellent website explains:
http://sites.google.com/site/jccglutenfree/
and this is the PN part:

http://sites.google.com/site/jccglut...eralneuropathy
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Last edited by mrsD; 02-15-2012 at 07:14 AM. Reason: fixing spelling
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Old 02-15-2012, 07:06 AM #38
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Quote:
Originally Posted by jiggered View Post
Hi Susanne,

I'm really liking the Butrans. The first couple of days I was pretty stoned, & I've had a couple of really bad headaches from it. I needed to take some Gravol as I was nauseated as well, but after that initial couple of days it's all been really good. There is a long list of possible side affects, as with any other med.
My pcp just prescribed Motilium & wants me drink some Mag Citrate & some Milk of magnesia. I'll do that tomorrow, so I guess I'll spend my day in the bathroom. I talked to my doc about drinking beer, she said it's okay to have a couple of beer, it will help with my bowel issues. I will cut down though, as when I'm on days off I drink 3 -5 beer a night. I think that's too much.
You should talk to your Dr. about Butrans to see if it's right for you. It's nice cause u just put in on once a week, less pills to remember to pop!!

Hope u feel better.

Don't you think there is a better way to get better bowels then the drinking? I have never heard of beer causing bm but even if so it does not sound like a healthy choice. Sorry if I am out of place but just like laxatives cause bowels one should not take them regularly. I know you stated your doctor said it was ok to drink but that is concerning especially since you are on meds and I am surprised he or she would not feel liable if something happened just from that stand point. That has been my fear of drinking which I don't that meds do mix and I don't want other issues. Plus the liver issue which not from alcohol but I did have issues around and it is not pleasant.
Anyhow sorry if I am out place. I hope you take care
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Old 02-15-2012, 02:01 PM #39
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Beer is made from grains such as wheat, barley and rye. Grains have fiber and that can help with B.M.'s. There is also gluten free beer for those who cannot tolerate it. A beer or two a day won't harm most people. It is when it's overdone that there may be trouble. Jiggered's doctor should know what can be tolerated.
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Old 02-15-2012, 03:45 PM #40
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Quote:
Originally Posted by jiggered View Post
You should talk to your Dr. about Butrans to see if it's right for you.
(ROTFLMAO) Does that sound like one of those TV commercial disclaimers, or what?

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