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Dr. Bob is Robert Hsiung, MD,
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Posted by farshad on March 23, 2018, at 7:35:23
In reply to Re: How can I block Cortisol?, posted by baseball55 on March 22, 2018, at 18:16:47
> You know, you seem to believe that your anxiety is caused by high cortisol. But the reality is that anxiety itself CAUSES high cortisol. People with Cushing's do not feel anxiety due to the high cortisol. You should look up the symptoms for Cushing's before you conclude that you have a cortisol problem.
What people with chusings do not feel anxiety? how do u know?
also I said I have mutations in my cortisol/acth genes causing this high cortisol if not the tumour. or some autoimmune disorder. so eventually my cortisol would get high becuase of the mutations no matter what becuase you cant avoid stress.
https://www.ncbi.nlm.nih.gov/m/pubmed/20011602/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312460/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1884405/
Posted by farshad on March 23, 2018, at 23:16:39
In reply to Re: How can I block Cortisol? » ed_uk2010, posted by farshad on March 16, 2018, at 8:53:47
guys just 1/2 last questions.. Are the CRH (Corticotropin-releasing hormone) receptor 1 and 2 part of the Glucocorticoids? and Miconazole will block that?
Posted by ed_uk2010 on March 24, 2018, at 0:17:59
In reply to Re: How can I block Cortisol?, posted by farshad on March 23, 2018, at 23:16:39
>guys just 1/2 last questions.. Are the CRH (Corticotropin-releasing hormone) receptor 1 and 2 part of the Glucocorticoids? and Miconazole will block that?
Hi,
CRH receptors aren't glucocorticoids, no.
The natural glucocorticoid in the body is cortisol. Synthetic glucocorticoids used in medicine include prednisone, prednisolone and dexamethasone. Glucocorticoids act on glucocorticoid receptors and have numerous effects... for example, reduction of inflammation and elevation of blood glucose.
>Miconazole will block that?
Miconazole does not block CRH receptors.
The related drug ketoconazole is used to treat Cushing's syndrome because it reduces the synthesis of cortisol, and may (possibly) be an antagonist of the glucocorticoid receptors. Miconazole itself is generally only used as a cream to treat fungal infections.
Posted by farshad on March 24, 2018, at 11:22:14
In reply to Re: How can I block Cortisol?, posted by ed_uk2010 on March 24, 2018, at 0:17:59
> >guys just 1/2 last questions.. Are the CRH (Corticotropin-releasing hormone) receptor 1 and 2 part of the Glucocorticoids? and Miconazole will block that?
>
> Hi,
>
> CRH receptors aren't glucocorticoids, no.
>
> The natural glucocorticoid in the body is cortisol. Synthetic glucocorticoids used in medicine include prednisone, prednisolone and dexamethasone. Glucocorticoids act on glucocorticoid receptors and have numerous effects... for example, reduction of inflammation and elevation of blood glucose.
>
> >Miconazole will block that?
>
> Miconazole does not block CRH receptors.
>
> The related drug ketoconazole is used to treat Cushing's syndrome because it reduces the synthesis of cortisol, and may (possibly) be an antagonist of the glucocorticoid receptors. Miconazole itself is generally only used as a cream to treat fungal infections.but on wiki it says miconazole is an antagonist on Glucocorticoid receptor , wouldnt that affect the Cortisol releasing hormones also if u block that?
Posted by ed_uk2010 on March 24, 2018, at 13:59:35
In reply to Re: How can I block Cortisol?, posted by farshad on March 24, 2018, at 11:22:14
>on wiki it says miconazole is an antagonist on Glucocorticoid receptor , wouldnt that affect the Cortisol releasing hormones also if u block that?
Hi Farshad,
Well... the glucocorticoid receptors are a different type of receptor to CRH receptors. They have a different role.
As far as I know, ketoconazole does not usually alter CRH levels much (from what I read on Pubmed). It may increase ACTH, however.
Miconazole is a drug used in creams, so I wouldn't look at that drug specifically.
Have you been to your doctor to discuss tests yet?
Posted by farshad on March 24, 2018, at 14:09:38
In reply to Re: How can I block Cortisol? » farshad, posted by ed_uk2010 on March 24, 2018, at 13:59:35
> >on wiki it says miconazole is an antagonist on Glucocorticoid receptor , wouldnt that affect the Cortisol releasing hormones also if u block that?
>
> Hi Farshad,
>
> Well... the glucocorticoid receptors are a different type of receptor to CRH receptors. They have a different role.
>
> As far as I know, ketoconazole does not usually alter CRH levels much (from what I read on Pubmed). It may increase ACTH, however.
>
> Miconazole is a drug used in creams, so I wouldn't look at that drug specifically.
>
> Have you been to your doctor to discuss tests yet?
>
>
>
>
>
>so it wouldnt work? what about Metyrapone? that inhibits 11b hydroxylase. wouldnt that lead to less CRH release? btw what happens if u have high 11-Deoxycortisol lvls? Since inhibiting 11b hydroxylase will increase 11-Deoxycortisol, im wondering what the conseuqneses of that is .. increased aldosterone??
no havent been to the doc yet. becus i dont know what to test for.
I asked you but you didnt answer. am I supposed to test for Cortisol and ACTH ? is it possible to test for CRF1?
Posted by ed_uk2010 on March 24, 2018, at 16:13:39
In reply to Re: How can I block Cortisol? » ed_uk2010, posted by farshad on March 24, 2018, at 14:09:38
Hi F,
>that inhibits 11b hydroxylase. wouldnt that lead to less CRH release?
Not as far as I know. It leads to lower cortisol and higher ACTH like other cortisol synthesis inhibitors.
>btw what happens if u have high 11-Deoxycortisol lvls? Since inhibiting 11b hydroxylase will increase 11-Deoxycortisol, im wondering what the conseuqneses of that is .. increased aldosterone??
Metyrapone does increase 11-deoxycortisol, yes. The effects of this during Cushing's treatment aren't entirely clear.
In terms of aldosterone, metyrapone itself reduces aldosterone synthesis.... but because it increases ACTH, it may lead to the body attempting to produce more aldosterone. The overall effect could be either more OR less aldosterone being produced. During treatment, doctors carefully monitor potassium levels to help keep track of this.
>no havent been to the doc yet. becus i dont know what to test for.
I asked you but you didnt answer. am I supposed to test for Cortisol and ACTH ?I did answer :) Testing ACTH is not usual when initially looking for the possibility of high cortisol, no.
Although it's up to your doctor, and depends on your local lab, common tests when looking at the possibility of high cortisol are the overnight dexamethasone suppression test, and the 24 hour urinary cortisol collection test.
>is it possible to test for CRF1?
No, it's not possible to test for the level of CRF-1 receptors.
Alcohol is a common substance believed to activate CRF-1. So if you don't already, you could try a period of no alcohol and see if it helps your mental health.
Posted by farshad on March 24, 2018, at 16:22:21
In reply to Re: How can I block Cortisol? » farshad, posted by ed_uk2010 on March 24, 2018, at 16:13:39
> Hi F,
>
> >that inhibits 11b hydroxylase. wouldnt that lead to less CRH release?
>
> Not as far as I know. It leads to lower cortisol and higher ACTH like other cortisol synthesis inhibitors.
>
> >btw what happens if u have high 11-Deoxycortisol lvls? Since inhibiting 11b hydroxylase will increase 11-Deoxycortisol, im wondering what the conseuqneses of that is .. increased aldosterone??
>
> Metyrapone does increase 11-deoxycortisol, yes. The effects of this during Cushing's treatment aren't entirely clear.
>
> In terms of aldosterone, metyrapone itself reduces aldosterone synthesis.... but because it increases ACTH, it may lead to the body attempting to produce more aldosterone. The overall effect could be either more OR less aldosterone being produced. During treatment, doctors carefully monitor potassium levels to help keep track of this.
>
> >no havent been to the doc yet. becus i dont know what to test for.
> I asked you but you didnt answer. am I supposed to test for Cortisol and ACTH ?
>
> I did answer :) Testing ACTH is not usual when initially looking for the possibility of high cortisol, no.
>
> Although it's up to your doctor, and depends on your local lab, common tests when looking at the possibility of high cortisol are the overnight dexamethasone suppression test, and the 24 hour urinary cortisol collection test.
>
> >is it possible to test for CRF1?
>
> No, it's not possible to test for the level of CRF-1 receptors.
>
> Alcohol is a common substance believed to activate CRF-1. So if you don't already, you could try a period of no alcohol and see if it helps your mental health.
>hm... might try Alcohol then to disrupt my natural CRF1 activation, becuase it even has an effect on the CRF1 it should help my anxiety somewhat since its changing its natural course. And no I dont drink Alcohol ...So the only thing that would work for me is an CRH/CRF1 antagonist ...... F#ck!.... IM DOOMED..... Doctors dont prescribe CRF1 antagonists! And you can hardly find these online!
Posted by ed_uk2010 on March 24, 2018, at 16:51:50
In reply to Re: How can I block Cortisol?, posted by farshad on March 24, 2018, at 16:22:21
>hm... might try Alcohol then to disrupt my natural CRF1 activation, becuase it even has an effect on the CRF1 it should help my anxiety somewhat since its changing its natural course.
No, alcohol stimulates CRF-1 more. Since you are concerned about CRF-1, it would make sense to keep avoiding it. Sure, it might help anxiety for a bit... but it can get worse when it wears off.
>the only thing that would work for me is an CRH/CRF1 antagonist ......
If you only learn one thing from this forum, it should be that you never really know what will work until you try it. I don't think you're doomed at all. If you want treatment suggestions, you will need to share a lot more about your actual symptoms and what you've tried before. Give us more about you. How old are you, when did symptoms start? How do you feel? You are getting into scientific theories which could be completely false.
Posted by farshad on March 24, 2018, at 17:07:16
In reply to Re: How can I block Cortisol? » farshad, posted by ed_uk2010 on March 24, 2018, at 16:51:50
> >hm... might try Alcohol then to disrupt my natural CRF1 activation, becuase it even has an effect on the CRF1 it should help my anxiety somewhat since its changing its natural course.
>
> No, alcohol stimulates CRF-1 more. Since you are concerned about CRF-1, it would make sense to keep avoiding it. Sure, it might help anxiety for a bit... but it can get worse when it wears off.
>
> >the only thing that would work for me is an CRH/CRF1 antagonist ......
>
> If you only learn one thing from this forum, it should be that you never really know what will work until you try it. I don't think you're doomed at all. If you want treatment suggestions, you will need to share a lot more about your actual symptoms and what you've tried before. Give us more about you. How old are you, when did symptoms start? How do you feel? You are getting into scientific theories which could be completely false.
>
>
well I told u everything to know. im stuck at this now. zyprexa is the only med that worked for me. I didnt know why until today. it inhibit stimulated CRH release from the hippocampus.
Posted by Phillipa on March 24, 2018, at 17:46:21
In reply to Re: How can I block Cortisol?, posted by farshad on March 24, 2018, at 17:07:16
Hi F, Ed is extremly knowledgeable. It would be very helpful to know your age. And especially a list of the meds you have tried. And if you have a doctor who prescribed them all? Also the country you are living it might help Ed as he knows what meds are available in different countires. So you have been on zyprexa. But it didn't help you? Do you have any sort of diagnosis? thanks Phillipa
Posted by ed_uk2010 on March 24, 2018, at 18:05:20
In reply to Re: How can I block Cortisol?, posted by farshad on March 24, 2018, at 17:07:16
>Zyprexa is the only med that worked for me. I didnt know why until today. it inhibit stimulated CRH release from the hippocampus.
Olanzapine (Zyprexa) is a really broad-spectrum medication which hits many receptors. So it's difficult to pinpoint exactly why it helped.
So, if it helped, why did you stop taking it?
Posted by ed_uk2010 on March 24, 2018, at 18:09:20
In reply to Re: How can I block Cortisol? » farshad, posted by Phillipa on March 24, 2018, at 17:46:21
Thanks Phillipa.
Unfortunately, mental healthcare isn't the most scientific area. There are so many possible causes of symptoms, it's impossible to know the true cause of most people's illness. Genetic tests may appear scientific, but they don't really provide the answers. If they did, psychiatrists would be doing them as routine.
In general, a detailed history can provide clues as to what might help. Nothing definite, but it can point in the right direction.
Posted by farshad on March 24, 2018, at 20:03:47
In reply to Re: How can I block Cortisol? » farshad, posted by ed_uk2010 on March 24, 2018, at 18:05:20
> >Zyprexa is the only med that worked for me. I didnt know why until today. it inhibit stimulated CRH release from the hippocampus.
>
> Olanzapine (Zyprexa) is a really broad-spectrum medication which hits many receptors. So it's difficult to pinpoint exactly why it helped.
>
> So, if it helped, why did you stop taking it?
>
>well no other drug has worked for me and ive tried like 40 different drugs. various supplements etc. I always had an idea in my mind that this receptor was causing my problem etc and ive gone trough everything I know . Ive blocked NMDA, blocked serotonin receptors, increased serotonin , blocked DOpamine, many things... No drug has worked besides zyprexa.. and ive come to the conclusion its becuase it inhibits CRH in the hippocampus. then this all would make sense why zyprexa worked. and based on the SNPS/genes everything.. Im fairly certain my problem is related to CRF1 . I got a low dose zyprexa becuase I was at a hospital to help calm me down. I dont know why they used zyprexa no idea, but at the time i didnt care I just took the dose and I hadnt heard about zyprexa before.and I realized it helped tremoundsly with anxiety, since then this drug has been on my mind and ive always asked myself why it worked. I never got it prescribed .
Posted by ed_uk2010 on March 24, 2018, at 20:10:43
In reply to Re: How can I block Cortisol?, posted by farshad on March 24, 2018, at 20:03:47
Have you taken any other atypical antipsychotics? If so, how did you respond?
About Zyprexa, do you mean you just took one dose in hospital to calm you down?
Posted by farshad on March 24, 2018, at 20:16:53
In reply to Re: How can I block Cortisol?, posted by ed_uk2010 on March 24, 2018, at 20:10:43
> Have you taken any other atypical antipsychotics? If so, how did you respond?
>
> About Zyprexa, do you mean you just took one dose in hospital to calm you down?yes it wasnt a hospital but one of those imaginary places people with mental issues can go to and you can like stay there and they can take care of you or somth.They gave me zyprexa before I went home.
I have tried seroquel that didnt work as well.
Posted by farshad on March 24, 2018, at 20:17:25
In reply to Re: How can I block Cortisol?, posted by farshad on March 24, 2018, at 20:16:53
> > Have you taken any other atypical antipsychotics? If so, how did you respond?
> >
> > About Zyprexa, do you mean you just took one dose in hospital to calm you down?
>
> yes it wasnt a hospital but one of those places people with mental issues can go to and you can like stay there and they can take care of you or somth.They gave me zyprexa before I went home.
>
> I have tried seroquel that didnt work as well.
Posted by farshad on March 24, 2018, at 20:18:09
In reply to Re: How can I block Cortisol?, posted by farshad on March 24, 2018, at 20:16:53
> > Have you taken any other atypical antipsychotics? If so, how did you respond?
> >
> > About Zyprexa, do you mean you just took one dose in hospital to calm you down?
>
> yes it wasnt a hospital but one of those imaginary places people with mental issues can go to and you can like stay there and they can take care of you or somth.They gave me zyprexa before I went home.
>
> I have tried seroquel that didnt work as well.wow did i really say imaginary places...I meant those places people with mental issues can go to so they dont kill themselves.
Posted by Phillipa on March 24, 2018, at 20:23:57
In reply to Re: How can I block Cortisol?, posted by farshad on March 24, 2018, at 20:18:09
A psychiatric hospital? Is this what you meant to write? Phillipa
Posted by farshad on March 24, 2018, at 20:27:07
In reply to Re: How can I block Cortisol? » farshad, posted by Phillipa on March 24, 2018, at 20:23:57
> A psychiatric hospital? Is this what you meant to write? Phillipa
maybe but it was very small.. not sure what it was. well anyway I went there and i talked to them for a few hours and I got zyprexa then went home the same day.
Posted by ed_uk2010 on March 24, 2018, at 20:35:05
In reply to Re: How can I block Cortisol?, posted by farshad on March 24, 2018, at 20:16:53
I did wonder what you meant my imaginary places :)
It sounds like an urgent care centre for mental health, right?
It's common for people with depression + anxiety/agitation to be calmed by olanzapine (Zyprexa) or a small amount of risperidone (Risperdal). The dose of risperidone used in non-psychotic illness is usually very small.
Posted by farshad on March 24, 2018, at 20:41:21
In reply to Re: How can I block Cortisol?, posted by ed_uk2010 on March 24, 2018, at 20:35:05
> I did wonder what you meant my imaginary places :)
>
> It sounds like an urgent care centre for mental health, right?
>
> It's common for people with depression + anxiety/agitation to be calmed by olanzapine (Zyprexa) or a small amount of risperidone (Risperdal). The dose of risperidone used in non-psychotic illness is usually very small.
>
>
>
>
>So what should I do man? is it possible to get zyprexa from the family doctor?
Also I wanna do a cortisol test. You say you cant test for CRH but can you test ACTH? is not really not possible to measure CRF1
Posted by farshad on March 24, 2018, at 20:42:10
In reply to Re: How can I block Cortisol?, posted by farshad on March 24, 2018, at 20:41:21
> > I did wonder what you meant my imaginary places :)
> >
> > It sounds like an urgent care centre for mental health, right?
> >
> > It's common for people with depression + anxiety/agitation to be calmed by olanzapine (Zyprexa) or a small amount of risperidone (Risperdal). The dose of risperidone used in non-psychotic illness is usually very small.
> >
> >
> >
> >
> >
>
> So what should I do man? is it possible to get zyprexa from the family doctor?
> Also I wanna do a cortisol test. You say you cant test for CRH but can you test ACTH? is not really not possible to measure CRF1``Is it really not possible to measure CRF1 is what I meant
Posted by ed_uk2010 on March 24, 2018, at 21:11:12
In reply to Re: How can I block Cortisol?, posted by farshad on March 24, 2018, at 20:41:21
>is it possible to get zyprexa from the family doctor?
Potentially. It is more common to get olanzapine from a psychiatrist.
I don't think it's appropriate to take antipsychotics with pramipexole. You might want to look at reducing and stopping that.
>You say you cant test for CRH but can you test ACTH? is not really not possible to measure CRF1CRF-1 is a receptor. You cannot test for receptors using a blood test.
Posted by farshad on March 24, 2018, at 21:23:38
In reply to Re: How can I block Cortisol?, posted by ed_uk2010 on March 24, 2018, at 21:11:12
> >is it possible to get zyprexa from the family doctor?
>
> Potentially. It is more common to get olanzapine from a psychiatrist.
>
> I don't think it's appropriate to take antipsychotics with pramipexole. You might want to look at reducing and stopping that.
>
>
> >You say you cant test for CRH but can you test ACTH? is not really not possible to measure CRF1
>
> CRF-1 is a receptor. You cannot test for receptors using a blood test.oh okay. Why can I not take zyprexa with prami? Its not the dopamine antagonism of the antipsychotic im out for its bcus it inhibits CRH. Is it just becuase it would be dangerous? Im willing to quit prami tho no problem... Im currently on 4 meds , I can quit the 3 I get online (prami, armmodafinil and selegline) and I get wellbutrin from my doc . So wellbutrin + zyprexa it will be then... But i doubt I will get zyprexa..
So I have to do a MRI scan for the CRF1? got it..
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