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» LymeNet Flash » Questions and Discussion » Medical Questions » 5htp & rx antibiotics- Marnie?

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Author Topic: 5htp & rx antibiotics- Marnie?
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I didn't want to hijack the Niacin thread,
http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/39920
but was wondering why it's a bad idea to take 5htp at the same time as rx antibiotics.

Thanks!

Posts: 57 | From western Virginia | Registered: Apr 2009  |  IP: Logged | Report this post to a Moderator
ninjaphire
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It's not. If you look carefully, Marnie was talking about anti-depressants, SRIs.

5htp is converted to Serotonin, so you don't want to use it with a Serotonin Reuptake Inhibitor.

Posts: 330 | From Colorado, USA | Registered: Nov 2008  |  IP: Logged | Report this post to a Moderator
Keebler
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However, if you have any sort of porphyria, tryptophan may not be for you. (5-HTP is a form of that.) There is an explanation of that here:

http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/89790

Topic: NATURAL SLEEP - Links to articles & supplements

=====

Sorry, I just checked that and it's not there. I will have to find it and come back with the link.
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Posts: 48021 | From Tree House | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
Keebler
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As many try 5-HTP for sleep. If that works, fantastic. Your body is likely doing very well with it so continue to enjoy the benefits.

However, if it is a rough ride - at all - don't push it. I tried several times over the years, always with a terrible reaction to even a small dose.

I've know for years that I have two genetic porphyrias - but had been in the dark about 5-HTP. And, it just sounds (on paper) like such a great thing - everything I needed. But my body just could not tolerate it. Then I found out why:
---

Disordered tryptophan can also be a signal to assess porphyria, a deficiency of very specific enzymes made by the liver to help move out a certain classification of toxins that require the Cytochrome P-450 liver detox pathway. Porphyria also involves a disorder in the heme (blood stuff that I can't explain).

** One well-known LLMD estimates that 80% of lyme patients also have a type of porphyria that contributes to their inability(or difficulty) in eliminating toxins - and also trouble metabolizing chemicals and medicines that require the C P-450 set of liver detox pathways.

There are at least 11 kinds of porphyria - Some genetic and quiet until an acute attack that can even be life-threatening; some more chronic, acquired through toxic infections such as lyme or by chemical exposure that damages the liver.

Porphyria attacks with a sudden spike in porphyrin level - or even a lower but chronic level of elevated porphyrins in the body - can cause all the symptoms of lyme (and all the symptoms of a lyme herx).

It can be difficult sorting all this out but that is why liver support is so very essential for all lyme patients - as well as avoiding substances that require or push the C P-450 pathway. Tryptophan is one to avoid. That includes 5-HTP.

==========================

http://www.sciencemag.org/cgi/content/abstract/222/4627/1031

Science 2 December 1983:_Vol. 222. no. 4627,
pp. 1031-1033
DOI: 10.1126/science.6648517

Science, Vol 222, Issue 4627, 1031-1033
Copyright � 1983 by American Association for the Advancement of Science

L-tryptophan: a common denominator of biochemical and neurological events of acute hepatic porphyria?

DA Litman and MA Correia

Excerpt:

These findings suggest that increased tryptophan and 5-hydroxytryptamine in the nervous system may be responsible for the neurologic dysfunctions observed in humans with acute attacks of hepatic porphyria.

=======================================

http://www.ncbi.nlm.nih.gov/sites/entrez

PubMed Search: tryptophan, porphyria- 63 abstracts

Among those:

Biochem Pharmacol. 2008 Feb 1;75(3):704-12. Epub 2007 Oct 2.

Hepatic alteration of tryptophan metabolism in an acute porphyria model Its relation with gluconeogenic blockage.

Lelli SM, Mazzetti MB, San Mart�n de Viale LC.

Laboratorio de Disturbios Metab�licos por Xenobi�ticos, Salud Humana y Medio Ambiente (DIMXSA), Departamento de Qu�mica Biol�gica, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Ciudad Aut�noma de Buenos Aires, Argentina.

Excerpt:

This study focuses on the alterations suffered by the serotoninergic and kinurenergic routes of tryptophan (TRP) metabolism in liver, and their relation with gluconeogenic phosphoenolpyruvate-carboxykinase (PEPCK) blockage in experimental acute porphyria.

==================================

J Assoc Physicians India. 2002 Mar;50:443-5.

Respiratory failure in acute intermittent porphyria.

Tyagi A, Chawla R, Sethi AK, Bhattacharya A.

Department of Anaesthesiology, UCMS and GTB Hospital, Shahdara, Delhi.

We report two patients of acute intermittent porphyria (AIP) who presented with acute respiratory failure.

Only one such previous report could be found. Occasionally, neuropathy may be the presenting feature in AIP which may progress to respiratory embarrassment.

The cause of this neuropathy has been hypothesized to be direct neurotoxicity of delta-ALA by interaction with GABA receptor, altered tryptophan metabolism and may be heme depletion in nerve cells.

=====================

www.porphyriafoundation.com

THE AMERICAN PORPHYRIA FOUNDATION

=======================

http://www.cpf-inc.ca/

CANADIAN ASSOCIATION FOR PORPHYRIA

=======================

http://www.cpnhelp.org/secondaryporphyria

SECONDARY PORPHYRIA: what you should know before starting a CAP (combined antibiotic protocol)

========================

http://flash.lymenet.org/scripts/ultimatebb.cgi/topic/1/87840?

Topic: Porphyria (discussion thread - as relating to lyme, with several lyme-specific links for KPU/HPU)

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Posts: 48021 | From Tree House | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
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Got it. Thanks!
Posts: 57 | From western Virginia | Registered: Apr 2009  |  IP: Logged | Report this post to a Moderator
   

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