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Note 44.398 MOUNT-L 398 of 517 CUPIDO::STRITAR "Andrej Stritar,IJS,(61)-371-321" 87 lines 26-MAY-1994 15:51
CUPIDO::STRITAR "Andrej Stritar,IJS,(61)-371-321" 87 lines 26-MAY-1994 15:51
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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: MOUNT-L@vm.cc.metu.edu.tr

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
>

That's partly what I said adding the rest of my Email from above:

> > .... The last time I used a pain killer, Advil, was 2 years ago and
> > it wasn't to kill pain, but to reduce muscle swelling. I don't every
> > remember taking a "pain killer" for pain. Anyway, they told me I
> > would most likely need a minimum of 1200mg of Ibuprofen a day for the
> > entire trip. This sounds absurd to me, but given that others will be
> > taking this amount, what high altitude related problems could occur
> > with the Ibuprofen or any of the other drugs I listed? Any data would
> > be greatly appreciated.

I guess I didn't explain their reason for taking pain killers. It's
not for AMS headache, but for muscle and joint pain. They told me
that the pain would get so bad that you couldn't sleep at night. I
could see that given a long enough time climbing with a 60 to 70 lbs
pack would make for some problems. I have had some problems before,
like a minor knee injury from stupidly going up and then too fast
downhill 1000's of feet on each hill for many days with 60 lbs pack,
or slight muscle soreness, but never enough that I wanted pain killers
or had even the slightly problem sleeping. Anyway, I don't care what
they say, I am not taking any pain killers until I absolutely have to
and then I will think twice about it.

Thanks for the list of drugs for the first aid kit. I think we have
all of them except the dexamatheasone and nifedipine. I always take
Diamox along on my high altitude trips, but I have never taken any.
The others do realize that Diamox is only a stop gap measure and no
cure for AMS, but it's nice to have when someone is real sick and
descent is not possible for a while.

Willie

PS

What's a 4Kmasochist? I can only imagine what 4K (4000) stands for.

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