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Mineralocorticosteroids
Treatments with mineralocorticosteroids,
e.g. fludrocortisone, plus large amounts of liquid and salt
(NaCl) have been tried. Here are three references to pharmacological
data, Fludrocortisone Acetate, Florinef, and oral corticosteroids. Dr. Peter Rowe, John Hopkins Hospital, US has
published interesting studies on NMH,
Rowe & Calkins, 1998, and he recommends intravenous NaCl
solution, e.g. 0,5 - 2 l, as treatment for relapse of CFS.
A brochure on NMH from John Hopkins Hospital, brochure, JHH, 1997. It was
also Dr. Rowe's group who published a large fludrocortisone-study, apparently
leaving no hope for this treatment in CFS, Rowe et a., 2001 (in length), and Rowe et al., 2001 (in short). Three letters
of response to this study are worth a read, letters, Rowe et al., 2001. Other Treatments for COI
Inopamil treatment against
night time hypotension,
van de Luit et al., 1998. Dr. Julian Stewart, expert on CFS and hypotension, Center
for Neurovascular Res., NY recommends wearing very tight elastic stockings
for hypotension,
Stewart, address, 2001. A simple technique for muscular compression when
standing, helps according to a Dutch study, news, fainting, 2002. Anesthesia
Special attention must be given
to anesthesia in patients with POTS and COI, McHaourab et al., 2000. |
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Index Welcome CFS
case def. Prevalence Prognosis Brain
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