Nycpac33 Posted August 14, 2018 Share Posted August 14, 2018 Medications you have prescribed in your experiences? Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 14, 2018 Moderator Share Posted August 14, 2018 Diamox and decadron. That being said, The best treatment for altitude sickness is prevention. slow acclimatization at a rate of no more than 1000 feet/day. Link to comment Share on other sites More sharing options...
StevenBrule Posted August 14, 2018 Share Posted August 14, 2018 Also apparently...acetamenophen and ibuprofen are somewhat effective as a prophylactic as well. https://www.wemjournal.org/article/S1080-6032(17)30009-1/fulltext Wilderness med live podcast has an episode where they go over this article as well. Fun stuff. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 14, 2018 Moderator Share Posted August 14, 2018 I remember a few years ago there was talk of viagra for altitude sickness too. apparently it didn't pan out: https://www.ncbi.nlm.nih.gov/pubmed/21962063 Link to comment Share on other sites More sharing options...
AdamPAC Posted August 14, 2018 Share Posted August 14, 2018 Not a practicing PA, but just began my Thesis for school on a topic in AMS Diagnosis (admittedly not treatment either). The only prophylactic with good evidence I saw in Wilderness Medical Society’s 2014 CPG’s was, like EMEDPA said, Acetazolamide. Ascent profile is probably one of the most important factors, but of course many need/want to climb higher/faster. For actually treating, Dexamethasone has been a standard go-to. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 14, 2018 Moderator Share Posted August 14, 2018 the other important issue is that one should use decadron to get down, not to allow them to go higher... Link to comment Share on other sites More sharing options...
jmj11 Posted August 15, 2018 Share Posted August 15, 2018 There has been some thought about triptans being effective. It is hard to control for altitude induced migraine or early AMS. But here is one study. I have only been at ? 16,000 feet (I wish I could say higher) and I took acetazolamide and 1/2 2.5 MG naratriptan and did well. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 15, 2018 Moderator Share Posted August 15, 2018 I did sea level to 14,500 in 1 day (Mt Whitney), took diamox, urinated like a racehorse(it's a diuretic), still got a headache, and did fine with just naproxen. Link to comment Share on other sites More sharing options...
BruceBanner Posted August 15, 2018 Share Posted August 15, 2018 Acetazolamide BID 24 hours before ascent and for 2-3 days there after. Common s/e are extremity paresthesias, and of course diuresis. I use it, it works. Link to comment Share on other sites More sharing options...
sas5814 Posted August 15, 2018 Share Posted August 15, 2018 I swear every time this pops up with a new reply I read the title ATTITUDE SICKNESS and I think....I have that..... Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted August 19, 2018 Administrator Share Posted August 19, 2018 On 8/14/2018 at 12:35 PM, EMEDPA said: I remember a few years ago there was talk of viagra for altitude sickness too. apparently it didn't pan out: https://www.ncbi.nlm.nih.gov/pubmed/21962063 I seem to recall a similar trial with Cialis, which is, of course, prescribed in a daily regimen sometimes, unlike Viagra, which is prn. Link to comment Share on other sites More sharing options...
TimothyH Posted August 20, 2018 Share Posted August 20, 2018 Timothy H. Jones provide the best prescription according to your need. Link to comment Share on other sites More sharing options...
CAAdmission Posted August 20, 2018 Share Posted August 20, 2018 On 8/19/2018 at 1:11 AM, rev ronin said: I seem to recall a similar trial with Cialis, which is, of course, prescribed in a daily regimen sometimes, unlike Viagra, which is prn. If I recall correctly, the Viagra and Cialis weren't related to altitude sickness. They were just supposed to keep you from accidentally rolling down hill while you slept. Link to comment Share on other sites More sharing options...
sk732 Posted August 20, 2018 Share Posted August 20, 2018 56 minutes ago, CJAdmission said: If I recall correctly, the Viagra and Cialis weren't related to altitude sickness. They were just supposed to keep you from accidentally rolling down hill while you slept. You almost owed me a new laptop - had a mouth full of coffee when I read that, lol I've seen altitude sickness at sea level...largely because of holier than thou specialists with their noses too high in the air though. SK Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.