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Re: Probenecid

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Hi,

Just FYI I thought you might be interested in info on how Probenecid works.

From the PDR:

BENEMID (brand name Probenecid) is a uricosuric and renal tubular blocking

agent. It inhibits the [renal] tubular reabsorption of urate, thus

increasing the urinary excretion of uric acid and decreasing serum urate

levels. Effective uricosuria reduces the miscible urate pool, retards urate

deposition and promotes resorption of urate deposits.

BENEMID inhibits the tubular secretion of penicilllin and usually increases

penicillin plasma levels by any routs the antibiotic is given. A 2-fold to

4-fold elevation has been demonstrated for various penicillins.

BENEMID also has been reported to inhibit the renal transport of many other

compounds including aminohippuric acid (PAH), aminosalicylic acid (PAS),

indomethicin, ......

[urate/uric acid deposits in joints are the source of pain and tissue damage

in gout.]

Jerry

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  • 5 years later...

Probenecid slows the metabolism of some drugs.

Here's a good site for an explanation:

http://www.cai.mcgill.ca/meded/drugdb/probenecid/probenecid_db.htm

It's given for convenience (and to save money when it's mixed with

exspensive AIDS drugs)

It's used with some drugs so the patient can extend the time between

doses - but this stuff has to be metabolised too- and I don't like to

take drugs I don't absolutely need to.

Amoxy has a very short half life (like an hour or so in young people-

double that in older people)- so when I was on Amoxy- just took it

often enough.

Barb

> >

> > > I have those refs just asking around. I re-read Art Doherty (6

> grams

> > > a day) and asked on lymenet--they did as low as 4 grams a day

and

> as

> > > high as 24 grams a day....ay yay yay.

> > >

> >

> > Burrascano says for Lyme: *Amoxicillin- Adults: 1g q8h plus

> probenecid

> > 500mg q8h; doses up to 6 grams daily are

> > often needed

> >

> > The probenecid is supposed to keep the levels of Amoxicillin

> higher --

> > keep it from leaving the body.

> >

> > - Kate

> >

>

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Thanks for the link. I think your idea of just taking the Amoxy more

often might be best, since the second sentence of this article states:

" Probenecid is not effective for acute attacks of gout and actually can

aggravate inflammation if administered during the initial stages. "

Inflammation does not sound like a good idea! Although maybe it's only

applicable to gout. I dunno. Possible " increase in gastointestinal

adverse reactions " doesn't sound like something we need either.

- Kate

On Tuesday, November 1, 2005, at 09:20 AM, Barb Peck wrote:

> Probenecid slows the metabolism of some drugs.

> Here's a good site for an explanation:

>

> http://www.cai.mcgill.ca/meded/drugdb/probenecid/probenecid_db.htm

>

> It's given for convenience (and to save money when it's mixed with

> exspensive AIDS drugs)

>  

> It's used with some drugs so the patient can extend the time between

> doses - but this stuff has to be metabolised too- and I don't like to

> take drugs I don't absolutely need to.

> Amoxy has a very short half life (like an hour or so in young people-

> double that in older people)- so when I was on Amoxy-  just took it

> often enough.

>

> Barb

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Exactly. I'm taking it every 8 hours but who knows maybe one should

take more often. Still I think peaks and troughs are good and I'm

going to pulse it too. Because any organism that gets used to

something develops resistance. You have to surprise it. Rotating abx

and herbs and so on should be wise.

> > >

> > > > I have those refs just asking around. I re-read Art Doherty

(6

> > grams

> > > > a day) and asked on lymenet--they did as low as 4 grams a day

> and

> > as

> > > > high as 24 grams a day....ay yay yay.

> > > >

> > >

> > > Burrascano says for Lyme: *Amoxicillin- Adults: 1g q8h plus

> > probenecid

> > > 500mg q8h; doses up to 6 grams daily are

> > > often needed

> > >

> > > The probenecid is supposed to keep the levels of Amoxicillin

> > higher --

> > > keep it from leaving the body.

> > >

> > > - Kate

> > >

> >

>

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