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GoldenDelicious said:wow this thread got interesting while i was away
some questions i would like to pose are as follows:
It's a reasonable postulate but those often lead us astray in medicine. The cornea and sclera are largely nourished by simple diffusion (that's the primary reason you should not wear most contacts for more than a few days). There's enough musings to think DNP may cause cataracts. But whether that's DNP in secretions diffusing into the eye or DNP in the bloodstream . . . no one knows. But remember cataracts are opacification of the lens NOT the cornea.1) given that DNP finds its way into ocular secretions, is it not reasonable to postulate that the sclera of the eye, or the conjunctiva has had some of the drug distributed into them, either intra or extracellularly?
You wouldn't want a bili alone. You would actually want a liver panel (AST, ALT, AlkPhos, GGT, PT, direct and total-bili) and if the HMO is paying toss in some albumin, total protein, lactic acid dehydrogenase, and creatine kinase just for curiosity's sake since we are tinkering with energy metabolism.2) given taht there are so many people willing to use DNP, is it not a reasonable idea to jsut get one of those persons exhibiting yellowing of the eyes to get a bilirubin level done and to end this?
nope . . . elevated bilirubin could be excess production and/or inadequate clearance. Gall bladder obstruction (such as simple stones) may raise your bili to a greater extent than typical drug-induced cases such as opiates, aspirin, diuretics, oral contraceptives, and even AAS. On the other side of the ledger, caffeine, high dose aspirin, and barbituates lower bili. In essence, you could easily have an acute change in bilirubin without a substantive change in liver function. But if you are a heavy drinker (cirrhosis) or hooked up with Pam Anderson (Hepatitis C) . . . then yeah you messed up your liver. If you are fat, female, and 40 . . . those are stones.3) is it safe to assume that any elevation in bilirubin is actually a manifestation of a compromised liver, and not in fact an increased level of bilirubin due to another aspect of bilirubin elimination?
Reasonable hypothesis . . .4) in those individuals who exhibit yellowing of the eyes, when does it occur, and how long does it last? the reason i ask this is that i know someone who has used this drug and has had yellowed eyes, and he said that they were transient, lasted only a few hours, and were usually in the morning or after long stints in front of a computer- leading me to believe that it was likely a deposition of DNP on the sclera through ocular secretions and drying, rather than any elevation in bilirubin
As a good pharmacist you know it's often a matter of dosage and timing. Seldane and two glasses of grapefruit juice killed a 29yo man while he mowed the lawn. Seldane is a good allergy medication but it was removed from the market in 1997 due to drug interactions which could lead to fatal heart rhythms.i do not discount the toxicity of this drug, although i would think that its administration to more than 40000 people intraveinously in the 1980s by a doctor in america with a russian last name with no report of increased liver toxicity associated illenss/syndromes does seem to downplay the severity of any reactions to the drug.
Rats often point us in the right direction . . . and sometimes they totally lead us astray.oh im a pharmacist by the way, this is an intersting discussion. although i share the sentiments of previous posters about rat data. i have done a few searches in medline etc on this agent and i have never seen evidence of liver dysfunction in low doses, new or old.
I think one difficulty is that DNP is a poorly studied drug. It is indeed a potent agent and potentially a VERY dangerous one. It does not qualify for orphan drug status so you cannot make money off it's use (except to kill bugs and plants).i have read a few toxicity reports on the agent and liver function was not listed as a sign of toxicity- rather it was heat, breathlessness, sweating etc etc. thats not to say that the liver is impervious to dnp caused harm, but still
anyway, ill check this thread someitme
DangerousG said:this pic is enough to stop me from using it
Fair enough . . .DangerousG said:this pic is enough to stop me from using it