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Re: DMPS - wrong dosing

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You *can* switch to 25mg every 6 hours (which is equivalent to 12.5mg

every 3 hours). Because the half-life is 6-8 hours, it shouldn't

really matter how often you dose *within* that timeframe (the only

thing that matters is total dosage). So feel free to switch back to 6

hour dosing which is much easier to do.

.

In frequent-dose-chelation , " Anne " wrote:

>

> Hi everyone,

>

> I started a round on DMPS a couple of days ago and though I know you

> only need to take it every 6-8 hrs I forgot this due to being so used

> to chelating every 3 hrs. I've been taking 12.5mg, so presumably that

> would be almost equivalent to taking 25mg every 6 hrs

>

> I'm also presuming I should carry on at this hourly rate until the end

> of this round rather than change to every 6hrs during this round?

>

> Thanks,

>

> Anne

>

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You *can* switch to 25mg every 6 hours (which is equivalent to 12.5mg

every 3 hours). Because the half-life is 6-8 hours, it shouldn't

really matter how often you dose *within* that timeframe (the only

thing that matters is total dosage). So feel free to switch back to 6

hour dosing which is much easier to do.

.

In frequent-dose-chelation , " Anne " wrote:

>

> Hi everyone,

>

> I started a round on DMPS a couple of days ago and though I know you

> only need to take it every 6-8 hrs I forgot this due to being so used

> to chelating every 3 hrs. I've been taking 12.5mg, so presumably that

> would be almost equivalent to taking 25mg every 6 hrs

>

> I'm also presuming I should carry on at this hourly rate until the end

> of this round rather than change to every 6hrs during this round?

>

> Thanks,

>

> Anne

>

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You *can* switch to 25mg every 6 hours (which is equivalent to 12.5mg

every 3 hours). Because the half-life is 6-8 hours, it shouldn't

really matter how often you dose *within* that timeframe (the only

thing that matters is total dosage). So feel free to switch back to 6

hour dosing which is much easier to do.

.

In frequent-dose-chelation , " Anne " wrote:

>

> Hi everyone,

>

> I started a round on DMPS a couple of days ago and though I know you

> only need to take it every 6-8 hrs I forgot this due to being so used

> to chelating every 3 hrs. I've been taking 12.5mg, so presumably that

> would be almost equivalent to taking 25mg every 6 hrs

>

> I'm also presuming I should carry on at this hourly rate until the end

> of this round rather than change to every 6hrs during this round?

>

> Thanks,

>

> Anne

>

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Guest guest

>

> Hi everyone,

>

> I started a round on DMPS a couple of days ago and though I know

you

> only need to take it every 6-8 hrs I forgot this due to being so

used

> to chelating every 3 hrs. I've been taking 12.5mg, so presumably

that

> would be almost equivalent to taking 25mg every 6 hrs

TK--- the math works slightly differently, because you are taking it

at less than half its half life the blood concentration will rise

higher than it would be than if you were taking 25mg/6hr.

>

> I'm also presuming I should carry on at this hourly rate until the

end

> of this round rather than change to every 6hrs during this round?

TK--- yes, I would stop the round after the third day and see how

you do. If you do fine on this dosage you may be able to use

25mg/6hr

>

> Thanks,

>

> Anne

>

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Guest guest

>

> Hi everyone,

>

> I started a round on DMPS a couple of days ago and though I know

you

> only need to take it every 6-8 hrs I forgot this due to being so

used

> to chelating every 3 hrs. I've been taking 12.5mg, so presumably

that

> would be almost equivalent to taking 25mg every 6 hrs

TK--- the math works slightly differently, because you are taking it

at less than half its half life the blood concentration will rise

higher than it would be than if you were taking 25mg/6hr.

>

> I'm also presuming I should carry on at this hourly rate until the

end

> of this round rather than change to every 6hrs during this round?

TK--- yes, I would stop the round after the third day and see how

you do. If you do fine on this dosage you may be able to use

25mg/6hr

>

> Thanks,

>

> Anne

>

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Guest guest

>

> Hi everyone,

>

> I started a round on DMPS a couple of days ago and though I know

you

> only need to take it every 6-8 hrs I forgot this due to being so

used

> to chelating every 3 hrs. I've been taking 12.5mg, so presumably

that

> would be almost equivalent to taking 25mg every 6 hrs

TK--- the math works slightly differently, because you are taking it

at less than half its half life the blood concentration will rise

higher than it would be than if you were taking 25mg/6hr.

>

> I'm also presuming I should carry on at this hourly rate until the

end

> of this round rather than change to every 6hrs during this round?

TK--- yes, I would stop the round after the third day and see how

you do. If you do fine on this dosage you may be able to use

25mg/6hr

>

> Thanks,

>

> Anne

>

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> > I started a round on DMPS a couple of days ago and though I know

> you

> > only need to take it every 6-8 hrs I forgot this due to being so

> used

> > to chelating every 3 hrs. I've been taking 12.5mg, so presumably

> that

> > would be almost equivalent to taking 25mg every 6 hrs

>

>

> TK--- the math works slightly differently, because you are taking it

> at less than half its half life the blood concentration will rise

> higher than it would be than if you were taking 25mg/6hr.

You are right (strictly speaking) the 2 cases are slightly different,

but the other way around. Taking 25mg/6hr will give higher peak blood

concentrations, but also lower trough blood concentrations. 12.5mg/3hr

will give more stable average blood levels. But both schedules should

be acceptable since they are within the half-life.

.

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> > I started a round on DMPS a couple of days ago and though I know

> you

> > only need to take it every 6-8 hrs I forgot this due to being so

> used

> > to chelating every 3 hrs. I've been taking 12.5mg, so presumably

> that

> > would be almost equivalent to taking 25mg every 6 hrs

>

>

> TK--- the math works slightly differently, because you are taking it

> at less than half its half life the blood concentration will rise

> higher than it would be than if you were taking 25mg/6hr.

You are right (strictly speaking) the 2 cases are slightly different,

but the other way around. Taking 25mg/6hr will give higher peak blood

concentrations, but also lower trough blood concentrations. 12.5mg/3hr

will give more stable average blood levels. But both schedules should

be acceptable since they are within the half-life.

.

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Guest guest

> >

> > Hi everyone,

> >

> > I started a round on DMPS a couple of days ago and though I know

> you

> > only need to take it every 6-8 hrs I forgot this due to being so

> used

> > to chelating every 3 hrs. I've been taking 12.5mg, so presumably

> that

> > would be almost equivalent to taking 25mg every 6 hrs

>

>

> TK--- the math works slightly differently, because you are taking

it

> at less than half its half life the blood concentration will rise

> higher than it would be than if you were taking 25mg/6hr.

Thanks TK, I dont understand, as I'm taking 12.5mg 3hrly, why would

that be different to taking 25mg 6 hrly? As that is half the half

life. Or do you mean the pharmacology of taking 12.5 is different to

25mg? So its not advisable to switch mid round? My head is quite

foggy so I cant work it out, a sign I need to stop the round I think.

Anne

> > I'm also presuming I should carry on at this hourly rate until

the

> end

> > of this round rather than change to every 6hrs during this round?

>

> TK--- yes, I would stop the round after the third day and see how

> you do. If you do fine on this dosage you may be able to use

> 25mg/6hr

>

>

>

> >

> > Thanks,

> >

> > Anne

> >

>

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Guest guest

> >

> > Hi everyone,

> >

> > I started a round on DMPS a couple of days ago and though I know

> you

> > only need to take it every 6-8 hrs I forgot this due to being so

> used

> > to chelating every 3 hrs. I've been taking 12.5mg, so presumably

> that

> > would be almost equivalent to taking 25mg every 6 hrs

>

>

> TK--- the math works slightly differently, because you are taking

it

> at less than half its half life the blood concentration will rise

> higher than it would be than if you were taking 25mg/6hr.

Thanks TK, I dont understand, as I'm taking 12.5mg 3hrly, why would

that be different to taking 25mg 6 hrly? As that is half the half

life. Or do you mean the pharmacology of taking 12.5 is different to

25mg? So its not advisable to switch mid round? My head is quite

foggy so I cant work it out, a sign I need to stop the round I think.

Anne

> > I'm also presuming I should carry on at this hourly rate until

the

> end

> > of this round rather than change to every 6hrs during this round?

>

> TK--- yes, I would stop the round after the third day and see how

> you do. If you do fine on this dosage you may be able to use

> 25mg/6hr

>

>

>

> >

> > Thanks,

> >

> > Anne

> >

>

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Guest guest

> >

> > Hi everyone,

> >

> > I started a round on DMPS a couple of days ago and though I know

> you

> > only need to take it every 6-8 hrs I forgot this due to being so

> used

> > to chelating every 3 hrs. I've been taking 12.5mg, so presumably

> that

> > would be almost equivalent to taking 25mg every 6 hrs

>

>

> TK--- the math works slightly differently, because you are taking

it

> at less than half its half life the blood concentration will rise

> higher than it would be than if you were taking 25mg/6hr.

Thanks TK, I dont understand, as I'm taking 12.5mg 3hrly, why would

that be different to taking 25mg 6 hrly? As that is half the half

life. Or do you mean the pharmacology of taking 12.5 is different to

25mg? So its not advisable to switch mid round? My head is quite

foggy so I cant work it out, a sign I need to stop the round I think.

Anne

> > I'm also presuming I should carry on at this hourly rate until

the

> end

> > of this round rather than change to every 6hrs during this round?

>

> TK--- yes, I would stop the round after the third day and see how

> you do. If you do fine on this dosage you may be able to use

> 25mg/6hr

>

>

>

> >

> > Thanks,

> >

> > Anne

> >

>

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Guest guest

>

>

> > > I started a round on DMPS a couple of days ago and though I

know

> > you

> > > only need to take it every 6-8 hrs I forgot this due to being

so

> > used

> > > to chelating every 3 hrs. I've been taking 12.5mg, so

presumably

> > that

> > > would be almost equivalent to taking 25mg every 6 hrs

> >

> >

> > TK--- the math works slightly differently, because you are taking

it

> > at less than half its half life the blood concentration will rise

> > higher than it would be than if you were taking 25mg/6hr.

>

> You are right (strictly speaking) the 2 cases are slightly

different,

> but the other way around. Taking 25mg/6hr will give higher peak

blood

> concentrations, but also lower trough blood concentrations.

12.5mg/3hr

> will give more stable average blood levels. But both schedules

should

> be acceptable since they are within the half-life.

>

> .

Yes that makes more sense, but I have had to stop the round anyway.

Thanks !

Anne

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Guest guest

>

>

> > > I started a round on DMPS a couple of days ago and though I

know

> > you

> > > only need to take it every 6-8 hrs I forgot this due to being

so

> > used

> > > to chelating every 3 hrs. I've been taking 12.5mg, so

presumably

> > that

> > > would be almost equivalent to taking 25mg every 6 hrs

> >

> >

> > TK--- the math works slightly differently, because you are taking

it

> > at less than half its half life the blood concentration will rise

> > higher than it would be than if you were taking 25mg/6hr.

>

> You are right (strictly speaking) the 2 cases are slightly

different,

> but the other way around. Taking 25mg/6hr will give higher peak

blood

> concentrations, but also lower trough blood concentrations.

12.5mg/3hr

> will give more stable average blood levels. But both schedules

should

> be acceptable since they are within the half-life.

>

> .

Yes that makes more sense, but I have had to stop the round anyway.

Thanks !

Anne

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Guest guest

>

>

> > > I started a round on DMPS a couple of days ago and though I

know

> > you

> > > only need to take it every 6-8 hrs I forgot this due to being

so

> > used

> > > to chelating every 3 hrs. I've been taking 12.5mg, so

presumably

> > that

> > > would be almost equivalent to taking 25mg every 6 hrs

> >

> >

> > TK--- the math works slightly differently, because you are taking

it

> > at less than half its half life the blood concentration will rise

> > higher than it would be than if you were taking 25mg/6hr.

>

> You are right (strictly speaking) the 2 cases are slightly

different,

> but the other way around. Taking 25mg/6hr will give higher peak

blood

> concentrations, but also lower trough blood concentrations.

12.5mg/3hr

> will give more stable average blood levels. But both schedules

should

> be acceptable since they are within the half-life.

>

> .

Yes that makes more sense, but I have had to stop the round anyway.

Thanks !

Anne

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Anne

May I ask you where you got the DMPS from? Was it on prescription?

From what I have read I would prefer to take DMPS to DMSA.

Thanks

Nicola

-- In frequent-dose-chelation , " Anne "

wrote:

>

> Hi everyone,

>

> I started a round on DMPS a couple of days ago and though I know you

> only need to take it every 6-8 hrs I forgot this due to being so used

> to chelating every 3 hrs. I've been taking 12.5mg, so presumably that

> would be almost equivalent to taking 25mg every 6 hrs

>

> I'm also presuming I should carry on at this hourly rate until the

end

> of this round rather than change to every 6hrs during this round?

>

> Thanks,

>

> Anne

>

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Guest guest

Anne

May I ask you where you got the DMPS from? Was it on prescription?

From what I have read I would prefer to take DMPS to DMSA.

Thanks

Nicola

-- In frequent-dose-chelation , " Anne "

wrote:

>

> Hi everyone,

>

> I started a round on DMPS a couple of days ago and though I know you

> only need to take it every 6-8 hrs I forgot this due to being so used

> to chelating every 3 hrs. I've been taking 12.5mg, so presumably that

> would be almost equivalent to taking 25mg every 6 hrs

>

> I'm also presuming I should carry on at this hourly rate until the

end

> of this round rather than change to every 6hrs during this round?

>

> Thanks,

>

> Anne

>

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Guest guest

>

> Thanks TK, I dont understand, as I'm taking 12.5mg 3hrly, why

would

> that be different to taking 25mg 6 hrly?

TK--- You have to do the math correctly, there will be a difference.

As that is half the half

> life.

TK--- The half life is 8hrs not 6hr which needs to be taken into

consideration when doing the math.

Or do you mean the pharmacology of taking 12.5 is different to

> 25mg?

TK--changing times and amounts during a round will cause fluctuations

So its not advisable to switch mid round?

TK--- I would suggest you stop the round if you are going to switch

dosing times as there is a difference and it will cause problems

with chelator fluctuations. Stick with what the protocol suggests.

My head is quite

> foggy so I cant work it out, a sign I need to stop the round I

think.

>

> Anne

>

>

> > > I'm also presuming I should carry on at this hourly rate until

> the

> > end

> > > of this round rather than change to every 6hrs during this

round?

> >

> > TK--- yes, I would stop the round after the third day and see

how

> > you do. If you do fine on this dosage you may be able to use

> > 25mg/6hr

> >

> >

> >

> > >

> > > Thanks,

> > >

> > > Anne

> > >

> >

>

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Guest guest

>

> TK--- I would suggest you stop the round if you are going to switch

> dosing times as there is a difference and it will cause problems

> with chelator fluctuations. Stick with what the protocol suggests.

>

Sorry to keep flogging this subject -- but I thought changing the

timing was OK as long as you went *under the recommended time rather

than over. I generally take doses of ALA every 2.5 hours, but

sometimes 3 or even 2 depending on circumstances. All dosages the

same. But you're saying this is a problem?

Nell

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Guest guest

>

> TK--- I would suggest you stop the round if you are going to switch

> dosing times as there is a difference and it will cause problems

> with chelator fluctuations. Stick with what the protocol suggests.

>

Sorry to keep flogging this subject -- but I thought changing the

timing was OK as long as you went *under the recommended time rather

than over. I generally take doses of ALA every 2.5 hours, but

sometimes 3 or even 2 depending on circumstances. All dosages the

same. But you're saying this is a problem?

Nell

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Guest guest

> >

>

> > TK--- I would suggest you stop the round if you are going to switch

> > dosing times as there is a difference and it will cause problems

> > with chelator fluctuations. Stick with what the protocol suggests.

> >

>

> Sorry to keep flogging this subject -- but I thought changing the

> timing was OK as long as you went *under the recommended time rather

> than over. I generally take doses of ALA every 2.5 hours, but

> sometimes 3 or even 2 depending on circumstances. All dosages the

> same. But you're saying this is a problem?

>

> Nell

If I understand this correctly, it is ideal to always dose at

the same interval to maintain the steadiest possible blood level.

If your intervals for a day are 3, 2, 3.5 2.5, 2, 2, 3.5, or

something like that, you might feel okay and you might not.

When you have been chelating regularly at an interval of 2.5

hours, say, and then you have a 3.5 hour interval, there is a

slight dip in the blood level. For most people it will still

be within a factor of 2 which is what Andy says is important.

Some people will notice it and might have problems.

I suppose the people who notice that dip in the blood level

(I sometimes do) are ones whose personal half life is really

shorter and they should keep their interval on the shorter side.

I feel a lot better when I stick close to my interval, and I find

it gets to be much more important later in the round.

Please someone correct me if I'm wrong about any of this.

--

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Guest guest

> >

>

> > TK--- I would suggest you stop the round if you are going to switch

> > dosing times as there is a difference and it will cause problems

> > with chelator fluctuations. Stick with what the protocol suggests.

> >

>

> Sorry to keep flogging this subject -- but I thought changing the

> timing was OK as long as you went *under the recommended time rather

> than over. I generally take doses of ALA every 2.5 hours, but

> sometimes 3 or even 2 depending on circumstances. All dosages the

> same. But you're saying this is a problem?

>

> Nell

If I understand this correctly, it is ideal to always dose at

the same interval to maintain the steadiest possible blood level.

If your intervals for a day are 3, 2, 3.5 2.5, 2, 2, 3.5, or

something like that, you might feel okay and you might not.

When you have been chelating regularly at an interval of 2.5

hours, say, and then you have a 3.5 hour interval, there is a

slight dip in the blood level. For most people it will still

be within a factor of 2 which is what Andy says is important.

Some people will notice it and might have problems.

I suppose the people who notice that dip in the blood level

(I sometimes do) are ones whose personal half life is really

shorter and they should keep their interval on the shorter side.

I feel a lot better when I stick close to my interval, and I find

it gets to be much more important later in the round.

Please someone correct me if I'm wrong about any of this.

--

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