Date: 4/12/2012 12:36:02
From: Bubblecar
ID: 236365
Subject: Grapefruit Dangers
<font size="3"color="orange">Something I didn't know, which has now been reinforced by further research:</font><br> !http://i72.photobucket.com/albums/i199/bubcar9/grapefruit.jpg! <font size="3"color="orange">An apple a day might keep the doctor away, provided you eat the peel. But not all fruit is as good for us as we are led to believe. A review article published in the Canadian Medical Association Journal reveals that a chemical in grapefruit increases the risk of overdosing on certain medications, and can prove potentially fatal. It has been known for some time that the chemical in certain citrus fruits (including grapefruit, lime, pomelo and bitter orange such as the Seville) blocks the enzyme that breaks down some drugs. But the new review reveals the number of drugs that interact badly with grapefruit is higher than previously thought. They include some antiobiotics, cholesterol drugs, statins, heart and cancer medications. "We've known about it interacting with certain medications for a while," said Kathy Chapman, chairwoman of Cancer Council Australia's nutrition and physical activity committee. "Now it is a much wider list . . . Grapefruit is a seemingly innocuous type of food, but sometimes, particularly when concentrated as in grapefruit juice, it leads to high levels of the medicine in the bloodstream and that could cause problems." "Full report":http://www.smh.com.au/lifestyle/diet-and-fitness/not-all-fruit-is-good-fruit-20121203-2aquw.html#ixzz2E2h1Sp5p</font><br>
Reply Quote

Date: 4/12/2012 12:37:28
From: poikilotherm
ID: 236368
Subject: re: Grapefruit Dangers

Grapefruit interactions (and fruits that have similar chemicals) have been known for decade(s).

Reply Quote

Date: 4/12/2012 12:38:25
From: Bubblecar
ID: 236370
Subject: re: Grapefruit Dangers

Well, jolly good, but this is for all the people out there who weren’t aware.

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Date: 4/12/2012 12:41:02
From: OCDC
ID: 236374
Subject: re: Grapefruit Dangers

Bubblecar said:


Well, jolly good, but this is for all the people out there who weren’t aware.

Drugs that are affected generally get a sticker on the box to warn about it.

Reply Quote

Date: 4/12/2012 12:41:20
From: OCDC
ID: 236375
Subject: re: Grapefruit Dangers

Bubblecar said:


Well, jolly good, but this is for all the people out there who weren’t aware.

Drugs that are affected generally get a sticker on the box to warn about it.

Reply Quote

Date: 4/12/2012 12:41:29
From: OCDC
ID: 236376
Subject: re: Grapefruit Dangers

Bubblecar said:


Well, jolly good, but this is for all the people out there who weren’t aware.

Drugs that are affected generally get a sticker on the box to warn about it.

Reply Quote

Date: 4/12/2012 12:41:42
From: kii
ID: 236377
Subject: re: Grapefruit Dangers

Interesting…from the POV that this is the second posting I have read today that mentions grapefruits. The other one was a fb status update about how nice it is to walk to uni eating a grapefruit and not having it freeze…..like it does in Idaho at this time of the year.

Yeah, I know….strange people.

Reply Quote

Date: 4/12/2012 12:42:56
From: Bubblecar
ID: 236379
Subject: re: Grapefruit Dangers

I’m on statins and I don’t recall seeing any grapefruit stickers.

Reply Quote

Date: 4/12/2012 12:43:05
From: OCDC
ID: 236380
Subject: re: Grapefruit Dangers

OCDC said:


Bubblecar said:

Well, jolly good, but this is for all the people out there who weren’t aware.

Drugs that are affected generally get a sticker on the box to warn about it.


My phone is switching between 3G and wifi and I can’t tell if posts go though, so apologies.

Reply Quote

Date: 4/12/2012 12:45:30
From: poikilotherm
ID: 236382
Subject: re: Grapefruit Dangers

Bubblecar said:


I’m on statins and I don’t recall seeing any grapefruit stickers.

Ask your box labellerman/woman…

Reply Quote

Date: 4/12/2012 12:45:54
From: neomyrtus_
ID: 236383
Subject: re: Grapefruit Dangers

Bubblecar said:


Well, jolly good, but this is for all the people out there who weren’t aware.

this was discussed in SSSF for years. Quite a few threads discussed grapefruit, drug interactions with naringin and inter-individual variation in the ability to taste the bitterness of grapefruit.

Reply Quote

Date: 4/12/2012 12:49:19
From: Bubblecar
ID: 236384
Subject: re: Grapefruit Dangers

OK, but this thread is for those who missed those other threads and who don’t have grapefruit stickers on their meds even though they’re affected.

If it saves just one life, it will all have been worthwhile :)

Reply Quote

Date: 4/12/2012 12:50:28
From: OCDC
ID: 236385
Subject: re: Grapefruit Dangers

Is it all statins? I thought fluvastatin was un- or less-affected.

Reply Quote

Date: 4/12/2012 12:52:21
From: poikilotherm
ID: 236387
Subject: re: Grapefruit Dangers

OCDC said:


Is it all statins? I thought fluvastatin was un- or less-affected.

Yes.

Reply Quote

Date: 4/12/2012 12:52:39
From: poikilotherm
ID: 236389
Subject: re: Grapefruit Dangers

poikilotherm said:


OCDC said:

Is it all statins? I thought fluvastatin was un- or less-affected.

Yes.

As in no…um.

Fluvastatin isn’t affected.

Reply Quote

Date: 4/12/2012 12:53:08
From: Peak Warming Man
ID: 236390
Subject: re: Grapefruit Dangers

>>If it saves just one life, it will all have been worthwhile :)

You see, right there is the Albert Schweitzer gene coming out.

Reply Quote

Date: 4/12/2012 12:54:01
From: poikilotherm
ID: 236391
Subject: re: Grapefruit Dangers

pravastatin and rosuvastatin are also not affected iirc.

Reply Quote

Date: 4/12/2012 12:57:38
From: neomyrtus_
ID: 236395
Subject: re: Grapefruit Dangers

Bubblecar said:


OK, but this thread is for those who missed those other threads and who don’t have grapefruit stickers on their meds even though they’re affected.

If it saves just one life, it will all have been worthwhile :)

yeah – but if you are on statins, there are other life-saving changes to your lifestyle which need more attending to than the occasional grapefruit. Like good, regular, effective exercise, weight loss and a reduction in alcohol consumption.

More a case to be aware that grapefruit interacts with oral contraceptives – now that is something to remember!

Reply Quote

Date: 4/12/2012 16:33:51
From: Angus Prune
ID: 236480
Subject: re: Grapefruit Dangers

Bubblecar said:


It has been known for some time that the chemical in certain citrus fruits (including grapefruit, lime, pomelo and bitter orange such as the Seville) blocks the enzyme that breaks down some drugs.

Could that be used to advantage in specific instances? Take a smaller dose of a drug with a breakdown inhibitor, and maintain a more stable level of the drug?

Reply Quote

Date: 4/12/2012 16:39:40
From: poikilotherm
ID: 236481
Subject: re: Grapefruit Dangers

Angus Prune said:


Bubblecar said:

It has been known for some time that the chemical in certain citrus fruits (including grapefruit, lime, pomelo and bitter orange such as the Seville) blocks the enzyme that breaks down some drugs.

Could that be used to advantage in specific instances? Take a smaller dose of a drug with a breakdown inhibitor, and maintain a more stable level of the drug?

Pretty sure if you search the old SSSF you’d find the answer.

In short, no (individual variations to drug response, enzyme levels, absorption etc).

Reply Quote

Date: 4/12/2012 16:42:02
From: poikilotherm
ID: 236482
Subject: re: Grapefruit Dangers

Angus Prune said:


Bubblecar said:

It has been known for some time that the chemical in certain citrus fruits (including grapefruit, lime, pomelo and bitter orange such as the Seville) blocks the enzyme that breaks down some drugs.

Could that be used to advantage in specific instances? Take a smaller dose of a drug with a breakdown inhibitor, and maintain a more stable level of the drug?


Reply Quote

Date: 4/12/2012 16:42:09
From: poikilotherm
ID: 236483
Subject: re: Grapefruit Dangers

fixed?

Reply Quote

Date: 4/12/2012 16:47:57
From: Peak Warming Man
ID: 236484
Subject: re: Grapefruit Dangers

>>Pretty sure if you search the old SSSF you’d find the answer.

Knick Ross has destroyed all the old science threads and stole the name SSSF.
And you know all those new handles that appear every day on there, well Knick is making them up so that the forum has a lot of members and users so he can start putting ads on the site so he can buy a boat.

Reply Quote

Date: 4/12/2012 22:48:16
From: morrie
ID: 236683
Subject: re: Grapefruit Dangers

This thread has gone all orange. Perhaps it is on the wrong forum.

Reply Quote

Date: 5/12/2012 09:42:55
From: Arts
ID: 236755
Subject: re: Grapefruit Dangers

the big danger is in eating the grapefruit.. that pulp can fly, baby.

Reply Quote

Date: 5/12/2012 09:44:46
From: Divine Angel
ID: 236756
Subject: re: Grapefruit Dangers

Might go watch a moofie or sumfink to while away these long hours before work.

Reply Quote

Date: 5/12/2012 09:44:58
From: Divine Angel
ID: 236757
Subject: re: Grapefruit Dangers

Ah crap.

Reply Quote

Date: 6/12/2012 23:43:24
From: OCDC
ID: 237485
Subject: re: Grapefruit Dangers


HALP!!

I’ve just woken from a peri-migrainal snooze on the couch, had a shower, and am about to crawl into bed.

On the ABC science facebook page, there’s that article about grapefruit juice and meds. The first response is the unsurprisingly “big pharma is evil!”. Please someone post an appropriate reply! If necessary I can do it tomorrow night but I have faith in youse and bet we can get it done sooner.

kthxbai

Reply Quote

Date: 7/12/2012 00:17:05
From: neomyrtus_
ID: 237487
Subject: re: Grapefruit Dangers

OCDC said:



HALP!!

On the ABC science facebook page, there’s that article about grapefruit juice and meds. The first response is the unsurprisingly “big pharma is evil!”. Please someone post an appropriate reply! If necessary I can do it tomorrow night but I have faith in youse and bet we can get it done sooner.

kthxbai

The appropriate reply would be,

‘Nick, for fucks sake. Take that fucking alfoil helmet off and listen to the fucking radio program or read the fucking transcript and fucking learn something instead of pouring forth that conspiratorial diarrhoea. Just because you have access to Teh Internetz doesn’t mean you should should be allowed to post your drivel. Grapefruit and some lime and orange cultivars have fucking toxic furocoumarins. These are CYP3A4 and CYP1A2 inhibitors and and calcium channel blocker . M’kay? Naturally occurring plant toxins which thwart the gut’s natural methods to stop uptake of other plant toxins or, in a modern context, a range of pharmaceuticals. Just one of those things.

And, what the fuck has grapefruit drug interactions to do with the beluga whales in the St. Lawrence River .. just.. WTF?”

Reply Quote

Date: 7/12/2012 00:20:43
From: neomyrtus_
ID: 237488
Subject: re: Grapefruit Dangers

+’

Reply Quote

Date: 7/12/2012 00:21:54
From: Stealth
ID: 237489
Subject: re: Grapefruit Dangers

neomyrtus_ said:


OCDC said:


HALP!!

On the ABC science facebook page, there’s that article about grapefruit juice and meds. The first response is the unsurprisingly “big pharma is evil!”. Please someone post an appropriate reply! If necessary I can do it tomorrow night but I have faith in youse and bet we can get it done sooner.

kthxbai

The appropriate reply would be,

‘Nick, for fucks sake. Take that fucking alfoil helmet off and listen to the fucking radio program or read the fucking transcript and fucking learn something instead of pouring forth that conspiratorial diarrhoea. Just because you have access to Teh Internetz doesn’t mean you should should be allowed to post your drivel. Grapefruit and some lime and orange cultivars have fucking toxic furocoumarins. These are CYP3A4 and CYP1A2 inhibitors and and calcium channel blocker . M’kay? Naturally occurring plant toxins which thwart the gut’s natural methods to stop uptake of other plant toxins or, in a modern context, a range of pharmaceuticals. Just one of those things.

And, what the fuck has grapefruit drug interactions to do with the beluga whales in the St. Lawrence River .. just.. WTF?”


And they will hurt if they fall on your head…

Reply Quote

Date: 7/12/2012 00:25:00
From: Bubblecar
ID: 237491
Subject: re: Grapefruit Dangers

I told them this thread might save lives, but no-one believed me.

Reply Quote

Date: 7/12/2012 00:25:45
From: kii
ID: 237492
Subject: re: Grapefruit Dangers

Grapefruits scare me :/ had one squirt me in the eye when I tried to eat it with the special grapefruit spoon.

Reply Quote

Date: 7/12/2012 00:33:19
From: neomyrtus_
ID: 237494
Subject: re: Grapefruit Dangers

Bubblecar said:


I told them this thread might save lives, but no-one believed me.

I haven’t posted this in facebook. Feel free to correct Alfoil Nick if you think this will change the world.

Reply Quote

Date: 7/12/2012 00:34:48
From: morrie
ID: 237496
Subject: re: Grapefruit Dangers

Grapefruit juice makes an excellent solution for cleaning out the bong. A sort of organic bongfresh. Just be sure to replace it with water before use. Wouldn’t want any nasty interactions.

Reply Quote

Date: 7/12/2012 02:30:12
From: roughbarked
ID: 237507
Subject: re: Grapefruit Dangers

morrie said:


Grapefruit juice makes an excellent solution for cleaning out the bong. A sort of organic bongfresh. Just be sure to replace it with water before use. Wouldn’t want any nasty interactions.

erky perky. Don’t have a bong to wash.
I’d rather just drink the grapefruit juice. Though made into ice blocks is good to pour port over.

Reply Quote

Date: 7/12/2012 02:34:56
From: roughbarked
ID: 237508
Subject: re: Grapefruit Dangers

kii said:


Grapefruits scare me :/ had one squirt me in the eye when I tried to eat it with the special grapefruit spoon.

The way to solve this problem is to stab the grapefruit halves with a sharp knife. No viciously.. but gently. Need to sever some of the fibrous connections. Suffice to say there is not much gained from passing the knife right through as the juice just leaks out the bottom but a few cuts are the kindest cut when not wanting the juice to either squirt in eye or over mum’s best furniture.

Reply Quote

Date: 7/12/2012 08:37:07
From: poikilotherm
ID: 237527
Subject: re: Grapefruit Dangers

neomyrtus_ said:


OCDC said:


HALP!!

On the ABC science facebook page, there’s that article about grapefruit juice and meds. The first response is the unsurprisingly “big pharma is evil!”. Please someone post an appropriate reply! If necessary I can do it tomorrow night but I have faith in youse and bet we can get it done sooner.

kthxbai

The appropriate reply would be,

‘Nick, for fucks sake. Take that fucking alfoil helmet off and listen to the fucking radio program or read the fucking transcript and fucking learn something instead of pouring forth that conspiratorial diarrhoea. Just because you have access to Teh Internetz doesn’t mean you should should be allowed to post your drivel. Grapefruit and some lime and orange cultivars have fucking toxic furocoumarins. These are CYP3A4 and CYP1A2 inhibitors and and calcium channel blocker . M’kay? Naturally occurring plant toxins which thwart the gut’s natural methods to stop uptake of other plant toxins or, in a modern context, a range of pharmaceuticals. Just one of those things.

And, what the fuck has grapefruit drug interactions to do with the beluga whales in the St. Lawrence River .. just.. WTF?”

You left out p-gp :)

Reply Quote

Date: 10/12/2012 10:38:11
From: Skunkworks
ID: 239103
Subject: re: Grapefruit Dangers

And brussel sprouts. I used to like tangellos but stopped having them for brekkie just in case.

Brussels sprouts may not be everyone’s cup of tea, but doctors say they definitely should not be on some plates at Christmas.

The controversial vegetable is a traditional festive staple in countries including the United Kingdom.

But it can be a dangerous accompaniment to blood-thinning drugs like Warfarin, as one Scottish patient found out.

The Scottish man was prescribed the drug for heart failure and warned to stay away from green leafy vegetables, especially brussels sprouts.

‘Excessive consumption’

The vitamin K in the vegetable can interfere with the drug and cause adverse effects including bleeding, which can be fatal.

Despite the advice, the man consumed 15 to 20 brussel sprouts on three to four occasions in one week during the festive period and was admitted to hospital three days after Christmas, where his condition improved.

His treating physicians from the Golden Jubilee National Hospital in Glasgow warned doctors and patients about the dangers of consuming excessive quantities of brussel sprouts at the Christmas table.

“Doctors should consider counselling patients who must remain anticoagulated at all times… against excessive consumption of this traditional Christmas fare,” they wrote in the Medical Journal of Australia on Monday.

Grapefruit

Meanwhile, those considering starting Christmas with a grapefruit breakfast or tossing a grapefuit salad might want to check their medication first.

Chemicals in grapefruit called furanocoumarins can interfere with up to 85 known medications, including cholesterol-lowering drugs, and can cause serious side effects in the case of 45 of them.

The fruit interacts with medications to increase the concentration of the drug in the bloodstream, putting patients at risk of overdose.

But Christmas can be a time of overindulgence for everyone, which carries its own risks.

Australasian College for Emergency Medicine president Dr Anthony Cross said emergency departments regularly see the effects of overindulgence at Christmas.

Often, it was a result of too much cheap food and wine, he said.

http://tvnz.co.nz/lifestyle/warning-over-excessive-brussels-sprouts-christmas-5275222

Reply Quote

Date: 10/12/2012 10:42:40
From: Divine Angel
ID: 239107
Subject: re: Grapefruit Dangers

Skunkworks said:

.

His treating physicians from the Golden Jubilee National Hospital in Glasgow warned doctors and patients about the dangers of consuming excessive quantities of brussel sprouts at the Christmas table.

Don’t eat them even if you’re not on any medication. No one likes a farting contest on Christmas Day.

Reply Quote

Date: 10/12/2012 10:50:43
From: pommiejohn
ID: 239110
Subject: re: Grapefruit Dangers

Skunkworks said:

.

His treating physicians from the Golden Jubilee National Hospital in Glasgow warned doctors and patients about the dangers of consuming excessive quantities of brussel sprouts at the Christmas table.

There’s a reason they’re known as the Devil’s Testicles

Reply Quote

Date: 10/12/2012 10:51:32
From: poikilotherm
ID: 239111
Subject: re: Grapefruit Dangers

Divine Angel said:


Skunkworks said:
.

His treating physicians from the Golden Jubilee National Hospital in Glasgow warned doctors and patients about the dangers of consuming excessive quantities of brussel sprouts at the Christmas table.

Don’t eat them even if you’re not on any medication. No one likes a farting contest on Christmas Day.

Warfarin and greens is as old as the hills, vitamin K content is the problem here, different to the grapefruit interaction.

Reply Quote

Date: 10/12/2012 10:55:01
From: kii
ID: 239112
Subject: re: Grapefruit Dangers

Divine Angel said:

Don’t eat them even if you’re not on any medication. No one likes a farting contest on Christmas Day.

You have lived a sheltered life, missy :P

Reply Quote

Date: 10/12/2012 10:55:54
From: Bubblecar
ID: 239113
Subject: re: Grapefruit Dangers

>Warfarin

Sad that some people have to sit down to a plate of Ratsak while others enjoy their Xmas dinner.

Reply Quote

Date: 10/12/2012 11:11:23
From: Michael V
ID: 239120
Subject: re: Grapefruit Dangers

So, that makes me ask:

I make up a drink, cordial-like. Four oranges, three lemons and three tahitian limes are juiced. Normally this makes around 650ml to 750 ml. I use it to flavour water (and tonic water) as though it were a strong cordial. It is diluted about 10:1 for my drinks. I use the juice up over four or five days.

I use lime and lemon in my cooking a bit, too. Both juice and zest are used. Up to two of each fruit for two meals for two people. I cook about half the meals here. About half the meals I cook, I use some citrus.

I also take Simvastatin 40mg daily. The label says “Avoid eating grapefruit or grapefruit juice”. I don’t use grapfruit at all.

Should I be avoiding these other citrus juices and zests too?

Reply Quote

Date: 10/12/2012 11:24:33
From: buffy
ID: 239123
Subject: re: Grapefruit Dangers

>>the man consumed 15 to 20 brussel sprouts on three to four occasions in one week<<

That is an absurd number of sprouts to eat. I like Brussels sprouts, but I eat 4 or 5 (depending on size) per serve.

Reply Quote

Date: 10/12/2012 11:31:00
From: Bubblecar
ID: 239124
Subject: re: Grapefruit Dangers

They might mean 15-20 spread over the 3-4 occasions, which would match your consumption.

Reply Quote

Date: 10/12/2012 11:36:44
From: poikilotherm
ID: 239125
Subject: re: Grapefruit Dangers

Bubblecar said:


>Warfarin

Sad that some people have to sit down to a plate of Ratsak while others enjoy their Xmas dinner.

It’s not ratsak.

Reply Quote

Date: 10/12/2012 11:38:00
From: poikilotherm
ID: 239126
Subject: re: Grapefruit Dangers

Michael V said:


So, that makes me ask:

I make up a drink, cordial-like. Four oranges, three lemons and three tahitian limes are juiced. Normally this makes around 650ml to 750 ml. I use it to flavour water (and tonic water) as though it were a strong cordial. It is diluted about 10:1 for my drinks. I use the juice up over four or five days.

I use lime and lemon in my cooking a bit, too. Both juice and zest are used. Up to two of each fruit for two meals for two people. I cook about half the meals here. About half the meals I cook, I use some citrus.

I also take Simvastatin 40mg daily. The label says “Avoid eating grapefruit or grapefruit juice”. I don’t use grapfruit at all.

Should I be avoiding these other citrus juices and zests too?

Got muscle pain? Generally feelings of malaise?

Reply Quote

Date: 10/12/2012 11:42:39
From: Boris
ID: 239127
Subject: re: Grapefruit Dangers

death by brussel sprout is probably not the best way to be remembered.

Reply Quote

Date: 10/12/2012 12:12:30
From: Michael V
ID: 239130
Subject: re: Grapefruit Dangers

poikilotherm said:


Michael V said:

So, that makes me ask:

I make up a drink, cordial-like. Four oranges, three lemons and three tahitian limes are juiced. Normally this makes around 650ml to 750 ml. I use it to flavour water (and tonic water) as though it were a strong cordial. It is diluted about 10:1 for my drinks. I use the juice up over four or five days.

I use lime and lemon in my cooking a bit, too. Both juice and zest are used. Up to two of each fruit for two meals for two people. I cook about half the meals here. About half the meals I cook, I use some citrus.

I also take Simvastatin 40mg daily. The label says “Avoid eating grapefruit or grapefruit juice”. I don’t use grapfruit at all.

Should I be avoiding these other citrus juices and zests too?

Got muscle pain? Generally feelings of malaise?

.

Muscle pain: Yes, but more like stiffness. Mornings, for a couple of hours. Started when I was around 30 and has progressively taken more time to relieve as I have gotten older. Was one hour, has increased to two hours or more every morning. No specific increase since embarking on Simvastatin around 8 years ago.

Very occasionally I get night cramps which can be extremely annoying, very painful and quite difficult to deal with especially when the trunk and/or more than one limb is involved.

Malaise: Yes. I have had general and unaccountable malaise for many years. It started after an extremely bad bout of something with flu-like symptoms in my late 20s. I lost about 15 kg in one week and had serious waking hallucinations for four days. I thought I was going to die. I never got back the energy I had before.

The malaise has gotten stronger over the years – much stronger. It is now almost totally consuming, to the point where I now do very little because I have only small windows where I feel OK-ish. I find it difficult to self-stimulate (too energy-consuming) and if any boredom sets in, I am driven quite quickly to have a sleep. Most days I have at least one day-time sleep.

Perhaps the malaise jumped up a notch a few years back, perhaps not. But whilst worse now than ever before, it was certainly there pre-Simvastatin.

Reply Quote

Date: 10/12/2012 12:21:29
From: poikilotherm
ID: 239133
Subject: re: Grapefruit Dangers

Michael V said:


poikilotherm said:

Michael V said:

So, that makes me ask:

I make up a drink, cordial-like. Four oranges, three lemons and three tahitian limes are juiced. Normally this makes around 650ml to 750 ml. I use it to flavour water (and tonic water) as though it were a strong cordial. It is diluted about 10:1 for my drinks. I use the juice up over four or five days.

I use lime and lemon in my cooking a bit, too. Both juice and zest are used. Up to two of each fruit for two meals for two people. I cook about half the meals here. About half the meals I cook, I use some citrus.

I also take Simvastatin 40mg daily. The label says “Avoid eating grapefruit or grapefruit juice”. I don’t use grapfruit at all.

Should I be avoiding these other citrus juices and zests too?

Got muscle pain? Generally feelings of malaise?

.

Muscle pain: Yes, but more like stiffness. Mornings, for a couple of hours. Started when I was around 30 and has progressively taken more time to relieve as I have gotten older. Was one hour, has increased to two hours or more every morning. No specific increase since embarking on Simvastatin around 8 years ago.

Very occasionally I get night cramps which can be extremely annoying, very painful and quite difficult to deal with especially when the trunk and/or more than one limb is involved.

Malaise: Yes. I have had general and unaccountable malaise for many years. It started after an extremely bad bout of something with flu-like symptoms in my late 20s. I lost about 15 kg in one week and had serious waking hallucinations for four days. I thought I was going to die. I never got back the energy I had before.

The malaise has gotten stronger over the years – much stronger. It is now almost totally consuming, to the point where I now do very little because I have only small windows where I feel OK-ish. I find it difficult to self-stimulate (too energy-consuming) and if any boredom sets in, I am driven quite quickly to have a sleep. Most days I have at least one day-time sleep.

Perhaps the malaise jumped up a notch a few years back, perhaps not. But whilst worse now than ever before, it was certainly there pre-Simvastatin.

Keep having the citrus then, sounds like all your potential interaction issues are related to previous episodes of illness. The increased malaise is concerning, something to bring up next time you see the GP IMO.

Reply Quote

Date: 10/12/2012 12:23:02
From: poikilotherm
ID: 239134
Subject: re: Grapefruit Dangers

Michael V said:

Keep having the citrus then, sounds like all your potential interaction issues are related to previous episodes of illness. The increased malaise is concerning, something to bring up next time you see the GP IMO.

There are treatments for nocturnal cramping too.

Reply Quote

Date: 10/12/2012 12:33:30
From: roughbarked
ID: 239135
Subject: re: Grapefruit Dangers

Michael V said:


So, that makes me ask:

I make up a drink, cordial-like. Four oranges, three lemons and three tahitian limes are juiced. Normally this makes around 650ml to 750 ml. I use it to flavour water (and tonic water) as though it were a strong cordial. It is diluted about 10:1 for my drinks. I use the juice up over four or five days.

I use lime and lemon in my cooking a bit, too. Both juice and zest are used. Up to two of each fruit for two meals for two people. I cook about half the meals here. About half the meals I cook, I use some citrus.

I also take Simvastatin 40mg daily. The label says “Avoid eating grapefruit or grapefruit juice”. I don’t use grapfruit at all.

Should I be avoiding these other citrus juices and zests too?

Not really unless your physician prescribes otherwise.

Reply Quote

Date: 10/12/2012 12:33:34
From: Michael V
ID: 239136
Subject: re: Grapefruit Dangers

Keep having the citrus then, sounds like all your potential interaction issues are related to previous episodes of illness. The increased malaise is concerning, something to bring up next time you see the GP IMO.
——
Thanks.

We have been working on the malaise thing for some years with only one little success. Serum testosterone was very very low (<< 90 year-old mean level). This is now managed by an endocrinologist, as you would expect. 18 months of daily testogel treatment has had a subtle, positive effect on my life-long bouts of mental depression, but probably nothing much else.

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Date: 10/12/2012 12:34:33
From: roughbarked
ID: 239137
Subject: re: Grapefruit Dangers

buffy said:

>>the man consumed 15 to 20 brussel sprouts on three to four occasions in one week<<

That is an absurd number of sprouts to eat. I like Brussels sprouts, but I eat 4 or 5 (depending on size) per serve.

it may only be absurd if you have other greens but if all you have for greens are indeed the devil’s testicles.. would you go without greens?

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Date: 10/12/2012 12:35:11
From: roughbarked
ID: 239138
Subject: re: Grapefruit Dangers

poikilotherm said:


Bubblecar said:

>Warfarin

Sad that some people have to sit down to a plate of Ratsak while others enjoy their Xmas dinner.

It’s not ratsak.

No but it is indeed used in rat poisons?

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Date: 10/12/2012 12:36:23
From: roughbarked
ID: 239139
Subject: re: Grapefruit Dangers

poikilotherm said:

Michael V said:

Keep having the citrus then, sounds like all your potential interaction issues are related to previous episodes of illness. The increased malaise is concerning, something to bring up next time you see the GP IMO.

There are treatments for nocturnal cramping too.


Magnesium salts?

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Date: 10/12/2012 12:38:07
From: Michael V
ID: 239141
Subject: re: Grapefruit Dangers

poikilotherm said:

Michael V said:

Keep having the citrus then, sounds like all your potential interaction issues are related to previous episodes of illness. The increased malaise is concerning, something to bring up next time you see the GP IMO.

There are treatments for nocturnal cramping too.

.
Thanks. Those nocturnal cramping episodes are so infrequent, that I probably wouldn’t entertain ongoing treatment. Are any of the treatments just for acute events?

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Date: 10/12/2012 12:40:30
From: roughbarked
ID: 239143
Subject: re: Grapefruit Dangers

Michael V said:


poikilotherm said:

Michael V said:

Keep having the citrus then, sounds like all your potential interaction issues are related to previous episodes of illness. The increased malaise is concerning, something to bring up next time you see the GP IMO.

There are treatments for nocturnal cramping too.

.
Thanks. Those nocturnal cramping episodes are so infrequent, that I probably wouldn’t entertain ongoing treatment. Are any of the treatments just for acute events?

Poik will probably say see your doctor but I found Crampeze solved the problem in the main.

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Date: 10/12/2012 12:41:38
From: poikilotherm
ID: 239145
Subject: re: Grapefruit Dangers

roughbarked said:


poikilotherm said:

Bubblecar said:

>Warfarin

Sad that some people have to sit down to a plate of Ratsak while others enjoy their Xmas dinner.

It’s not ratsak.

No but it is indeed used in rat poisons?

Nope.

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Date: 10/12/2012 12:42:31
From: poikilotherm
ID: 239147
Subject: re: Grapefruit Dangers

Michael V said:


poikilotherm said:

Michael V said:

Keep having the citrus then, sounds like all your potential interaction issues are related to previous episodes of illness. The increased malaise is concerning, something to bring up next time you see the GP IMO.

There are treatments for nocturnal cramping too.

.
Thanks. Those nocturnal cramping episodes are so infrequent, that I probably wouldn’t entertain ongoing treatment. Are any of the treatments just for acute events?

Most of the effective ones require nightly tablet taking. Alternatively, there is a particular antihypertensive/heart drug that can help (if you’re already on one, it could be changed to this).

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Date: 10/12/2012 12:43:18
From: poikilotherm
ID: 239148
Subject: re: Grapefruit Dangers

roughbarked said:


Michael V said:

poikilotherm said:

There are treatments for nocturnal cramping too.

.
Thanks. Those nocturnal cramping episodes are so infrequent, that I probably wouldn’t entertain ongoing treatment. Are any of the treatments just for acute events?

Poik will probably say see your doctor but I found Crampeze solved the problem in the main.

Yea, seems to work in some, not others. But, again, it’s a daily/nightly thing to be taking which MV isn’t overly keen on.

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Date: 10/12/2012 12:48:29
From: roughbarked
ID: 239151
Subject: re: Grapefruit Dangers

poikilotherm said:


roughbarked said:

poikilotherm said:

It’s not ratsak.

No but it is indeed used in rat poisons?

Nope.

That’s cleared up something for me. ;)

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Date: 10/12/2012 12:53:50
From: Michael V
ID: 239158
Subject: re: Grapefruit Dangers

Cheers, thanks guys.

The nocturnal cramps occur only very, very occasionally and were mentioned in the context of the muscular pain question, to make a more complete answer.

To take regular medication for my cramping would be like taking daily pain-killers just in case I might happen to stub my toe badly.

:)

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Date: 10/12/2012 12:59:18
From: Rule 303
ID: 239162
Subject: re: Grapefruit Dangers

MV, that sounds bloody miserable, quite frankly. If you weren’t feeling depressed before, living with those symptoms would do it to most people.

This is not a loaded question, merely my curiously – How much exercise do you do?

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Date: 10/12/2012 13:49:47
From: Michael V
ID: 239167
Subject: re: Grapefruit Dangers

Rule 303 said:


MV, that sounds bloody miserable, quite frankly. If you weren’t feeling depressed before, living with those symptoms would do it to most people.

This is not a loaded question, merely my curiously – How much exercise do you do?

.
Not much. Certainly nothing that is exercise-for-exercise’s sake. (I choose to use stairs instead of escalators or lifts where possible when I am out – which is not often. Our block is steep and the house has 3 sets of stairs as access to the living level, which is 3 metres above ground at the front, and at ground level at the rear. I try to run up the stairs at least a couple of times a day.) I am most definitely overweight and unfit. I weigh about 6 kg less than I did when I was 32, but 14 kg more than when I was 28 (when I stopped growing) and 36 kg more than when I was 19.

But now I am unemployed, I have started some very serious gardening, which requires very significant effort. You see, I have a steep block (18 degrees, average) and the soil here is hard clay with 40% embedded rock. It is intensely hydrophobic. So hydrophobic that after a month of regular storms delivering about 300mm of rain (a couple of years back), moisture had only penetrated about 20mm. Groundcovers, herbs and vegetables do not grow. The rain just runs off…

I have embarked on a terracing plan. That involves using a crow bar, and/or jackhammer to break the soil, then digging it, bashing and throw-seiving the soil lumps through an old 10mm chain mail bed-base set up at an angle. All coarse rock is removed to a depth of 200-300mm, and the remaining clay lumps are small. I use the coarse-fraction to construct a down-hill “terrace-edge dam”. I then mix in gypsum and compost to the fines and put that back as a properly levelled bed using a spirit level and straight edge. Newspapers collected from neighbours are then used as a basal mulch, covered by leaves and other macerated plant material.

The first bed took seven days to construct, with around 2-3 hours heavy exercise per day. It is 1.5m x 3.5m x 250mm deep (average). It took serious effort. Hopefully it will provide us vegetables soon. I am on to my second garden bed now, but have now worn out my bed-base seive. The chain-mail is failing…

:(

Anyway, the plan is that as I get fitter, I will eventually get to use my bicycle to do the grocery shopping.

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Date: 10/12/2012 13:54:51
From: roughbarked
ID: 239168
Subject: re: Grapefruit Dangers

Michael V said:


Rule 303 said:

MV, that sounds bloody miserable, quite frankly. If you weren’t feeling depressed before, living with those symptoms would do it to most people.

This is not a loaded question, merely my curiously – How much exercise do you do?

.

The rain just runs off…

I have embarked on a terracing plan.
Anyway, the plan is that as I get fitter, I will eventually get to use my bicycle to do the grocery shopping.

All good about terracing. The walking up and down the slope is good exercise. The rest only needs to be done if you are digging for gold. I’d get on the bike sooner and lay the black snake down.

Push wheelbarrows of mulch up the slope and spread it. but first spray the soil with a wetting agent and chuck a couple of packets of worms up at the top of the slope.
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Date: 10/12/2012 13:55:57
From: roughbarked
ID: 239169
Subject: re: Grapefruit Dangers

Yes.. start terracing at the top of the slope and work down.

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Date: 10/12/2012 13:55:59
From: Bubblecar
ID: 239170
Subject: re: Grapefruit Dangers

>No but it is indeed used in rat poisons?

It used to be, but has largely been superseded by brodifacoum, which is more powerful:

Brodifacoum is a 4-hydroxycoumarin anticoagulant, with a similar mode of action to its historical predecessors dicoumarol and warfarin. However, due to very high potency and long duration of action (elimination half-life of 20 – 130 days), it is characterised as a “second generation” or “superwarfarin” anticoagulant.

http://en.wikipedia.org/wiki/Brodifacoum

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Date: 10/12/2012 13:57:38
From: roughbarked
ID: 239171
Subject: re: Grapefruit Dangers

Bubblecar said:


>No but it is indeed used in rat poisons?

It used to be, but has largely been superseded by brodifacoum, which is more powerful:

Brodifacoum is a 4-hydroxycoumarin anticoagulant, with a similar mode of action to its historical predecessors dicoumarol and warfarin. However, due to very high potency and long duration of action (elimination half-life of 20 – 130 days), it is characterised as a “second generation” or “superwarfarin” anticoagulant.

http://en.wikipedia.org/wiki/Brodifacoum

Yes but warfarin will still kill rats?

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Date: 10/12/2012 13:58:37
From: Bubblecar
ID: 239172
Subject: re: Grapefruit Dangers

>Yes but warfarin will still kill rats?

Sure, in the right dosage.

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Date: 10/12/2012 14:21:20
From: Michael V
ID: 239179
Subject: re: Grapefruit Dangers

but first spray the soil with a wetting agent
—-
Tried that. No improvement. Which is (in part) why the current project. Gypsum is working wonders.

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Date: 10/12/2012 14:24:44
From: Skunkworks
ID: 239180
Subject: re: Grapefruit Dangers

Michael V said:


but first spray the soil with a wetting agent
—-
Tried that. No improvement. Which is (in part) why the current project. Gypsum is working wonders.

Biodegradable and septic safe washing detergents are cheaper and do the same as wetting agents.

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Date: 10/12/2012 14:25:25
From: Wocky
ID: 239181
Subject: re: Grapefruit Dangers

poikilotherm said:


roughbarked said:

poikilotherm said:

It’s not ratsak.

No but it is indeed used in rat poisons?

Nope.

Sorry poik, but you’ve been misled. See the Ratsak MSDS http://msds.duluxgroup.com/pdf/SHESS-EN-CDS-010-000000022255.pdf

“3. COMPOSITION/INFORMATION ON INGREDIENTS

Components | CAS Number | Proportion | Risk Phrases
Warfarin | 81-81-2 | 0.05% | R48/25 R52/53 R61
Inerts | – | to 100% | -”

“Medical attention and special treatment:
The active constituent in this product is warfarin, an anticoagulant. Vitamin K1 is antidotal.”

“Product Name: DOUBLE STRENGTH RATSAK

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Date: 10/12/2012 14:28:24
From: Michael V
ID: 239182
Subject: re: Grapefruit Dangers

Michael V said:


but first spray the soil with a wetting agent
—-
Tried that. No improvement. Which is (in part) why the current project. Gypsum is working wonders.
.
Removing over half the 40% stone during the seiving is good, too. As is adding the compost. Terracing is good as it will help trap the rainfall on the block, reduce run-off, increase retention of organics and reduce the amount of reticulated water I have to add.

Roughbarked, you talked of packets of worms. What do you mean?

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Date: 10/12/2012 14:28:42
From: Skunkworks
ID: 239183
Subject: re: Grapefruit Dangers

That fellow the unknown man who was part of the deception plan for D Day invasions died after eating rat poisoned bread.

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Date: 10/12/2012 14:32:03
From: Bubblecar
ID: 239184
Subject: re: Grapefruit Dangers

>“Product Name: DOUBLE STRENGTH RATSAK”

Ah. On their website the active ingredient for most of the range is listed as brodifacoum. But I well remember warfarin being the standard Ratsak ingredient.

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Date: 10/12/2012 14:45:32
From: poikilotherm
ID: 239190
Subject: re: Grapefruit Dangers

Wocky said:


poikilotherm said:

roughbarked said:

No but it is indeed used in rat poisons?

Nope.

Sorry poik, but you’ve been misled. See the Ratsak MSDS http://msds.duluxgroup.com/pdf/SHESS-EN-CDS-010-000000022255.pdf

“3. COMPOSITION/INFORMATION ON INGREDIENTS

Components | CAS Number | Proportion | Risk Phrases
Warfarin | 81-81-2 | 0.05% | R48/25 R52/53 R61
Inerts | – | to 100% | -”

“Medical attention and special treatment:
The active constituent in this product is warfarin, an anticoagulant. Vitamin K1 is antidotal.”

“Product Name: DOUBLE STRENGTH RATSAK

It’s not in Ratsak, it’s in Ratsak Double Strength :P.

Was under the impression it was all replaced with brodifacoum.

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Date: 10/12/2012 14:52:29
From: roughbarked
ID: 239191
Subject: re: Grapefruit Dangers

Michael V said:


but first spray the soil with a wetting agent
—-
Tried that. No improvement. Which is (in part) why the current project. Gypsum is working wonders.

Gypsum does help some soils.

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Date: 10/12/2012 14:53:19
From: roughbarked
ID: 239192
Subject: re: Grapefruit Dangers

Skunkworks said:


Michael V said:

but first spray the soil with a wetting agent
—-
Tried that. No improvement. Which is (in part) why the current project. Gypsum is working wonders.

Biodegradable and septic safe washing detergents are cheaper and do the same as wetting agents.


Well, they are wetting agents.

Reply Quote

Date: 10/12/2012 14:57:08
From: roughbarked
ID: 239193
Subject: re: Grapefruit Dangers

Michael V said:


Michael V said:

but first spray the soil with a wetting agent
—-
Tried that. No improvement. Which is (in part) why the current project. Gypsum is working wonders.
.
Removing over half the 40% stone during the seiving is good, too. As is adding the compost. Terracing is good as it will help trap the rainfall on the block, reduce run-off, increase retention of organics and reduce the amount of reticulated water I have to add.

Roughbarked, you talked of packets of worms. What do you mean?

http://www.gumtree.com.au/s-ad/yenda/landscaping-gardening/worm-tech-stockists-of-compost-worms-worm-farms-fertiliser/1009214009

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Date: 10/12/2012 14:58:05
From: roughbarked
ID: 239194
Subject: re: Grapefruit Dangers

Michael V said:


Michael V said:

but first spray the soil with a wetting agent
—-
Tried that. No improvement. Which is (in part) why the current project. Gypsum is working wonders.
.
Removing over half the 40% stone during the seiving is good, too. As is adding the compost. Terracing is good as it will help trap the rainfall on the block, reduce run-off, increase retention of organics and reduce the amount of reticulated water I have to add.

Roughbarked, you talked of packets of worms. What do you mean?

http://www.gumtree.com.au/s-ad/yenda/landscaping-gardening/worm-tech-stockists-of-compost-worms-worm-farms-fertiliser/1009214009

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Date: 10/12/2012 15:06:40
From: roughbarked
ID: 239195
Subject: re: Grapefruit Dangers

http://wormtech.com.au/about-us.html

I know Adrian well. He’s an honest bloke and has healthy worms.

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Date: 10/12/2012 15:08:50
From: Divine Angel
ID: 239196
Subject: re: Grapefruit Dangers

roughbarked said:


http://wormtech.com.au/about-us.html

I know Adrian well. He’s an honest bloke and has healthy worms.

Well, it is important to have healthy worms. You’d want a nice long tapeworm because hey, if you’ve got one, you may as well do it properly.

Reply Quote

Date: 10/12/2012 15:12:12
From: Michael V
ID: 239197
Subject: re: Grapefruit Dangers

roughbarked said:


Michael V said:

Michael V said:

but first spray the soil with a wetting agent
—-
Tried that. No improvement. Which is (in part) why the current project. Gypsum is working wonders.
.
Removing over half the 40% stone during the seiving is good, too. As is adding the compost. Terracing is good as it will help trap the rainfall on the block, reduce run-off, increase retention of organics and reduce the amount of reticulated water I have to add.

Roughbarked, you talked of packets of worms. What do you mean?

http://www.gumtree.com.au/s-ad/yenda/landscaping-gardening/worm-tech-stockists-of-compost-worms-worm-farms-fertiliser/1009214009

.
Thanks. Didn’t know worms are retail items. I’ll chase and see what I can find nearby.

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Date: 10/12/2012 15:12:45
From: Michael V
ID: 239198
Subject: re: Grapefruit Dangers

roughbarked said:


http://wormtech.com.au/about-us.html

I know Adrian well. He’s an honest bloke and has healthy worms.

.

And they mail them?

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Date: 10/12/2012 15:14:04
From: Michael V
ID: 239199
Subject: re: Grapefruit Dangers

Michael V said:


roughbarked said:

http://wormtech.com.au/about-us.html

I know Adrian well. He’s an honest bloke and has healthy worms.

.

And they mail them?

.

I see. They do. Wow!

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Date: 10/12/2012 15:15:36
From: Divine Angel
ID: 239200
Subject: re: Grapefruit Dangers

The soil where my alyssums are has turned sandy. Think worms will help?

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Date: 10/12/2012 15:23:21
From: roughbarked
ID: 239204
Subject: re: Grapefruit Dangers

Michael V said:


roughbarked said:

http://wormtech.com.au/about-us.html

I know Adrian well. He’s an honest bloke and has healthy worms.

.

And they mail them?

Yes but not in very hot weather, though they do pack them well.

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Date: 10/12/2012 15:24:09
From: roughbarked
ID: 239205
Subject: re: Grapefruit Dangers

Divine Angel said:


The soil where my alyssums are has turned sandy. Think worms will help?

yes worms will always help but sandy soils do need more humus.

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