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Thread: The AMS thread

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    Senior Member chuckp7600's Avatar
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    The AMS thread

    Quote Originally Posted by villaski View Post
    Biking is a great way to lower your bone density if you don't also do anaerobic weight training.

    AMS can affect anyone, regardless of their athletic/aerobic condition.

    For rapid ascent, there are options, all accomplishing slightly different things.

    Ginko Biloba: thought to reduce vascular permeability in the brain via inhibition of nitric oxide synthase enzymes. Qualitative improvement in AMS symptoms; unknown effect on pulmonary edema.

    Viagra: Helps with pulmonary edema

    Albuterol: In asthmatics especially, can facilitate better breathing and can reduce chances of pulmonary edema.

    Acetazolamide: prevents respiratory alkalosis and stimulates hyperventilation at high altitudes; assists kindeys in removal of bicarbonate

    Dexamethasone and portable hyperbaric chambers: You need these in emergencies, but descent down to Denver will be MANDATORY if cerebral edema is suspected. The classic sign of cerebral edema is ataxic gait (clumsy uncoordinated walking), and there are other signs as well.

    Straight oxygen is unlikely to help that much as the partial pressure of O2 will instantly be reduced when it leaves the oxygen tube and enters your nasal canal.
    Thought I'd start a thread for this so that we don't mess up a very good thread started by Fastman - any more than it has already been messed up.

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    Senior Member chuckp7600's Avatar
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    For starters - decreased bone density from cycling. Funny stuff - that research was done on pro cyclers who spent all of their time biking. Not something that applies to the average Nastar cubicle jockey.

    Ginko - Ok, that one is legal for anyone to buy

    The rest of those are all prescription meds

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    Of course they are prescription meds, chuck. None of them are controlled, and thus are easy to get from your doctor.

    As always, plug any and all medicines and supplements you may take into the "drugs.com drug interaction checker" and discuss potential interactions with your doctor.

    Acetazolamide can't be used in people allergic to sulfa drugs (such as sulfamethoxazole, an antibiotic used in Bactrim and Septra). It also carries the theorectical risk of electrolyte disturbances (such as hypokalemia and/or hyponatremia) which can elicit life-threatening cardiac arrhythmias. Make sure to eat bananas and drink lots of sports drinks (even if you are not on acetazolamide), to maintain electrolyte concentration in your blood. Also, if you need to take aspirin while on acetazolamide, discuss this with your doctor.

    Viagra carries the risk of syncope and priapism.

    Inhalation albuterol has very very little risk for side-effects.

    Dexamethasone is bad news, but if you're at a point you need it, you have bigger concerns and would already be under medical attention.




    Point to consider about Ginkgo: due to the dietary supplements act passed by congress, you aren't guaranteed to even get any ginkgo, let alone the right/listed amount of any active constituent of the extract.

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    Senior Member jclose8's Avatar
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    I take Viagra every few hours.

    ...just in case.




    Luckily I haven't had any syncope or priapism.
    OREDOCK BREWING COMPANY SKI BUMS
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    Senior Member chuckp7600's Avatar
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    I don't take drugs that are not forced on me by my doctor, I certainly wouldn't go in with a grocery list of stuff I might need. Of course I also don't take any suppliments and somehow I've survived.

    My .02 on dealing with altitude - for the average person. This is based on what used to happen to my wife when we went to Keystone every year.

    She was in really good shape when we were in our 20's - former figure skater, gymnast, cheerleader - always active but didn't do any aerobic excercise to speak of - I was a distance runner and did triathalons. Everytime we went to Keystone she would be sick as a dog for a couple days and then would be fine. Then she started aerobics, running, biking and kickboxing in her early 30's - next time and ever since, when we go into the mountains she has no issues at all.

    I'm not saying that if you start running/biking/whatever today that its going to do much for you in 2 weeks, but as a long term plan it is better than popping a handfull of pills everytime you feel bad.

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    Senior Member chuckp7600's Avatar
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    Quote Originally Posted by jclose8 View Post
    I take Viagra every few hours.

    ...just in case.




    Luckily I haven't had any syncope or priapism.
    I hear that it is good for people who constantly roll out of bed.

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    Senior Member Racer X's Avatar
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    Quote Originally Posted by jclose8 View Post
    I take Viagra every few hours.

    ...just in case.
    Just in case you begin to develop AMS, correct?

    ........Just want to be clear about that

    :)


    That's my preferred preventive therapy regimine too, by the way
    Last edited by Racer X; 03-09-2012 at 08:36 PM.
    If you win, but in so doing, lose the respect of your competitors, you've not won anything at all - Paul Elvestrom - 4 time Danish Olympic gold medalist in Sailing

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    Quote Originally Posted by chuckp7600 View Post
    but as a long term plan it is better than popping a handfull of pills everytime you feel bad.
    Acetazolamide is actually a prophylactic medication. So you don't "pop" it when you "feel bad," you take it before your trip and continue to take it the first few days at elevation.

    It allows people to enjoy the mountains that would otherwise get sick, during rapid ascent.

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    Senior Member chuckp7600's Avatar
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    Quote Originally Posted by villaski View Post
    Acetazolamide is actually a prophylactic medication.
    Ahh, I see it goes along with the viagra

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    Those are all options, my post was not to imply you should take all.


    If you read it that way, I don't know what to say.

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