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Note 44.396 MOUNT-L 396 of 517 CUPIDO::STRITAR "Andrej Stritar,IJS,(61)-371-321" 49 lines 26-MAY-1994 15:50
CUPIDO::STRITAR "Andrej Stritar,IJS,(61)-371-321" 49 lines 26-MAY-1994 15:50
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From: STENAR::STENAR::MRGATE::"X400::1=de::2=d400::3=tr::5=EDU::4=METU::4=CC::4=VM::6=owner-mount-l"
To: CUPIDO::STRITAR
CC:
Subj: Re: Medications at altitude

From: NAME: Mountaineering Discussion List MOUNT-L
FUNC: edu <6=MOUNT-L@4=VM@4=CC@4=METU@5=EDU@3=TR@2=D400@1=DE@X400@STENAR>
To: NAME: Multiple recipients of list MOUNT-L
FUNC: edu <6=MOUNT-L@4=VM@4=CC@4=METU@5=EDU@3=TR@2=D400@1=DE@X400@STENAR>

RFC-822-HEADERS:
Comments: To: william hunt
Comments: cc: Mount L

Date: 26-May-1994
Posted-date: 26-May-1994

On Wed, 25 May 1994, william hunt wrote:

> Since you are the expert, I'll ask you just how minor or major, common
> drug interaction is with high altitude. Members of our Mt. Logan
> expedition including myself are interested in possible problems with
> pain killers (aspirin, Acetaminophen, Ibuproen, and Codeine),
> caffiene, antibiotics, and decongestants. When they told me to "take
> a 40 day supply of my favorite pain killer" I was surprised. Granted,
> I never been on a trip this long, but then again, I have never used
> pain killers on any of my trips, and I never drink caffiene.

I don't know where you got your advice, but it sounds crazy to me. For a
big trip like Logan you do need to take a reasonable kit, but pain
killers every day? Nonsense unless you are a 4Kmasochist. Ibuprophen
has recently been shown to be effective against the headache of AMS, but
if you have that much AMS you should slow down, take a day off or even
desecnd a bit. Logan does have a high incidence of altitude problems,
partly because of its high LATITUDE. During our 12 years on the Logan
high altitude study we took an ordinary pain killer, codeine, two
antibiotics, anti-diarrheal, antibiotic ointment, steroid ointment (for
piles) and dexamatheasone against HACE. A small supply of Diamox is a
good idea, against AMS, but again, if you're getting sick, better stop
and think a bit. I've evacuated many bad cases from Logan. Today I'd add
nifedipine against HAPE . You can get a good medical kit from CHINOOK
MEDICAL, 2805 Wilderness Place, Boulder 80301. Ask for Carl Darnell. You
would be nuts
to take painkillers every day. Of the medications listed, bad
interactions are very rare and not to worry about. Have a great trip -
it's a beautiful mountain

charlie

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