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Re: TD-DMPS

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Good question. If it's the same lab that reports some kids as having no

metallothionein I would disregard the test. Many kids with difficulty

handling oral or TD glutathione are doing fine with the TD-DMPS. Dr. JM

TD-DMPS

>

>

>

> If our daughter can not tolerate glutathione should we not use

TD-DMPS? Her glutathione levels were 3500 on the metallothionein test.

We've tried oral glutathione with results such as extreme hyperactivity -

almost a glazed over expression in her eyes. We're using everything now on

the quintet except glutathione. Does anyone know why her glutathone levels

are so high? I don't think the glutathione is being used properly by her

body. Her copper levels were very high, too.

> Shari

>

>

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I don't believe this test.

To really check zinc and copper levels, which should be done before

starting TD-DMPS, you have to do separate blood tests for these, and get the

copper down and the zinc up before starting. You cannot depend upon the RBC

or whole blood elements for these levels, nor the hair test. Dr. JM

TD-DMPS

>

> If our daughter can not tolerate glutathione should we not use TD-DMPS?

Her glutathione levels were 3500 on the metallothionein test. We've tried

oral glutathione with results such as extreme hyperactivity - almost a

glazed over expression in her eyes. We're using everything now on the

quintet except glutathione. Does anyone know why her glutathone levels are

so high? I don't think the glutathione is being used properly by her body.

Her copper levels were very high, too.

> Shari

>

>

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I had the test initially taken in Kansas City with Dr. Shaw last year. We

started the zinc and she was re-tested about 6 months later using Great Plains.

The results showed the copper was elevated even more and the glutathione as

well. We had her tested again at AR. Children's and were told that copper was no

problem - although, I never saw that test. We had her tested again with Dr.

Kucera - Colorado Springs - the results were sent to Dr. (I think Great

Plains also did this test) showing glutathione levels high and copper high. I

misstated her glutathione levels earlier - I thought it was 3500 - I looked

again and it was 3355. I really want to try the TD-DMPS. Maybe I've had her

tested at the wrong places. I just don't know.

Shari

TD-DMPS

>

> If our daughter can not tolerate glutathione should we not use TD-DMPS?

Her glutathione levels were 3500 on the metallothionein test. We've tried

oral glutathione with results such as extreme hyperactivity - almost a

glazed over expression in her eyes. We're using everything now on the

quintet except glutathione. Does anyone know why her glutathone levels are

so high? I don't think the glutathione is being used properly by her body.

Her copper levels were very high, too.

> Shari

>

>

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  • 3 weeks later...

Dr. M: Was this a notice/letter sent out from Manufacturer to

physicians or just general notice they have put out? Thanks

> Re: Compounded Transdermal DMPS Drug Products

>

> We are writing with regard to DMPS (sodium RS-2,3-

> dimercapto-1 propane sulfonate), a bulk active

> pharmaceutical ingredient ( " API " ) which you have

> purchased in the past from Heyltex Corporation

> ( " Heyltex " ) for purposes of pharmacy compounding.

> DMPS is manufactured by HEYL Chemisch-pharmazeutische

> Fabrik, GmbH & Co. K.G. of Germany ( " Heyl " ),

> Heyltex's parent company. This letter is to inform

> you of recent reports that Heyltex has received

> regarding adverse reactions experienced by some

> patients who have been treated with compounded

> transdermal drug products containing DMPS.

>

> The finished-dosage-form drugs Dimaval (DMPS)

> [capsules] and the DMPS-Heyl (DMPS) [parenteral

> (intravenous or intramuscular)] have been approved

> for use in Germany by BfArM, Germany's counterpart of

> the U.S. Food and Drug Administration ( " FDA " ), for

> the treatment of acute and chronic poisoning with

> mercury and lead. A new drug application, ( " NDA " ),

> has not been submitted in the United States for

> either Dimaval or DMPS-Heyl, and neither drug has

> been approved by the FDA. Similarly, neither drug has

> been approved by Health Canada.

>

> Heyltex has received telephone calls in recent weeks

> from parents of children who have been treated with

> compounded transdermal dosage-form drug products

> containing DMPS. These parents have reported that

> their children have developed application site

> reactions which vary in severity from a mild skin

> rash to sever reactions involving bleeding and

> scarring. It is unknown at this time if the DMPS in

> these multi-ingredient formulations is the causative

> agent of the skin reactions. We have attached

> information from the Heyltex Scientific Monograph,

> 1997 Edition, regarding the known adverse reactions

> for the oral and parenteral dosage form of DMPS. Heyl

> is not aware of any controlled clinical trials

> published in the scientific literature that might

> establish the safety and efficacy of DMPS when

> delivered transdermally, and HEYL is not conducting

> any clinical studies. Consistent with the scientific

> literature and BfArM's approval of Dimaval (DMPS) and

> DMPS-Heyl, Heyl recommends that the DMPS only be

> compounded into an oral or injectable dosage form.

> Based on the scientific literature, an injectable

> form may be less efficacious than oral

> administration. The injectable form is recommended

> when oral administration is not possible.

>

> Given the recent reports of adverse reactions, we

> recommend that you exercise caution and consult with

> the prescribing physician if you receive a

> prescription or order for a compounded transdermal

> DMPS product.

>

> Please do not hesitate to contact me if you have any

> questions.

>

> Sincerely,

>

> Pam Floener

> US and Canadian Representative, Heyl

> 5885 Cumming Highway

> Suite 108 -291

> Sugar Hill, GA 30518 USA

> Tel: Fax:

>

> HEYL Chemisch-pharmazeutische Fabrik, GmbH

>

>

> Jaquelyn McCandless

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