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coumadin ?

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General fitness, health and nutrition
Published
1 November 2003
Last activity
1 November 2003
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Mick Williams
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  1. "Eric Bohlman" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    "CBI" <[email hidden] *must have "Re:" in subject*> wrote in
    :"]news:[email hidden]:

    Quoted message said:

    Chances are if he does not take the Coumadin he will be fine. If he takes the Comedian the
    chances are slightly better that he will be

    Attack of the killer spell-checker? One of the Chicago Tribune's web


    pages

    Quoted message said:

    carried a review of a restaurant called La Cocina Criolla. The author valiantly fought the
    spell-checker, but one instance of "La Cocaine Criolla" got through.

    Exactly - I even saw it happen but couldn't move quickly enough to stop it from posting.

    --
    CBI, MD

  2. In article <[email hidden]>, Steve Harris

    Quoted message said:


    Like all good stories the really correct version is not quite as perfect as you relate, but almost.
    Here's my chance to take erudide revenge over your Canadian quibble.

    Okay, Dr. Harris, I bow to your greater erudition (or better memory)!

    Thanks for the correct, full story.

  3. "Howard McCollister" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:


    "tools" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    You are full of it. Many many times Alternative is better, safer, than drugs. Tell us , how long
    did you study herbal medicine?

    Coumadin has been well-studied in uncountable controlled trials over the last 50 years and it's
    efficacy really isn't debateable. Like most alternative-medicine whackos you are obviously unable
    to provide ANY scientific evidence that ANY alternative medicine approach to anticoagulation will
    work. Wishing won't make it so, yet you and your ilk seem to feel that it you bark loudly and
    persistently enough, that will


    make

    Quoted message said:

    up for the lack of science involved.

    If you want to play Russian roulette with your own life, that's your


    choice.

    Quoted message said:

    But any reasonable person with a shred of objectivity would refrain from giving public advice
    about dangerous medical conditions they know nothing about, and using treatments that are unproven
    beyond anecdotes and wishful thinking.

    HMc

    You sir, may bite me.

  4. In article <[email hidden]>, Steve Harris

    Quoted message said:


    Digoxin is not a natural remedy? What would herbalists prefer-- ground up foxglove leaf, as of old?
    (Days of old = about 1960). That would give you mostly digitoxin (note spelling) but there's
    digoxin in natural foxglove as well. It just happened to be the component that won out in pharmacy
    for ease of use. They still get it from the plant, I'm pretty sure. It's as natural as you can get,
    rather like penicillin G, morphine, and so on.

    AFAIK, digitalis alkaloid drugs, or the starting compounds used to synthesize them, are still
    derived from Digitalis spp (foxgloves), mostly from D.lanata, a yellow-flowered perennial species
    native to Greece and grown commercially for the purpose.

    Isn't one of these drugs called lanoxin or something like that? The name derives from the specific
    epithet of D. lanata.

  5. In article <[email hidden]>, Steve Harris

    Quoted message said:


    I find it fascinating that Dicoumarol of the spoiled sweet clover disease is a fungal product, much
    like the red rice yeast statins. And it performs the same function that antibiotics and statins and
    ergot alkaloids do (if you know the fascinating history of ergotism and rye): it's aimed at
    poisoning fungus-eaters. But the dose makes the poison, and like digitalis and atropine, a lot of
    things meant as toxins, at lower doses turn out to have physiological modifying effects that are
    very useful.

    It can be aimed at deterring or poisoning herbivores too. There can be a symbiosis in which the
    plant supports the fungus and the fungus makes the plant less edible. You can already buy a rye
    grass for your lawn which resists some insects by carrying a fungus as an endoparasite (or
    symbiont).

    Of course, plants often make fungicides, too.

    Quoted message said:

    There's a REASON that all those medicines come from the rain forest. Plants there don't have winter
    to give them a yearly start on the hatching insect hordes. So they've developed a LOT more insect
    poisons. And those are the starting points for meds.

    There are some incredible mutualisms involving more than two species in ancient ecotopes like
    rainforests, but even in temperate climates, there's a whole lot going on. The Douglas fir and its
    relatives extirpated an entire order of insects from North America by synthesizing its juvenile
    hormones, preventing them from reaching

    scientist moved to Oregon and brought his insects with him. The newspaper he used for bedding in
    Oregon came from Douglas fir, and his insects kept growing without ever metamorphosing. Eureka.

    When I was a student I did some work with natural products chemistry. We'd get these burlap bags of
    shredded root bark and stuff from the Amazon, and extract all this alkaloid goo from it. Then we'd
    work on it to separate pure compounds from it, using all kinds of methods including big
    chromatography columns and countercurrent separators. It was a big human symbiosis - the drug
    companies funded it with grants, the students in South America got their degrees for describing new
    plants, the students in the US got their degrees for isolating and determining the structures of the
    new alkaloids discovered, and the drug company got whatever we could isolate at least n grams of to
    test for potential use against dozens of medical problems and diseases. This was several decades
    ago, but I suspect it hasn't changed much, except people are also testing stuff from fungi and
    animals. There's a new, extremely powerful non-sedating peptide analgesic derived from the poison of
    the cone shell mollusk in the works.

  6. Beverly:

    Quoted message said:

    What have you been seeing, Stev? Is it mostly people who get into big trouble by futzing around
    with "alternatives" until the disease they're trying to treat gets too severe? Or is it people who
    destroy their livers with natural herbs like comfrey and chapparal? I don't suppose you'd include
    children poisoned by eating cigarettes or people who consume other natural herbal materials like
    strychnine, or plants like oleander.

    In thirty plus years of laboratory and emergency medicine, I've seen far to many people who were
    persuaded to try this natural cure or that herbal potion to treat coronary artery disease, bacterial
    and viral infections, metabolic diseases, and malignancies, to begin with. Many of them failed to
    receive adequate care from a competent physician until it was too late. I've listened to
    chiropracters tell me that they could cure cancer and diabetes using chiropractic treatment. I've
    seen people poison their selves using herbal concoctions of uncertain strength and combination given
    or sold to them by friends, family, or other idiots who had no idea that there might be adverse
    effects to a "natural" herb or plant. But too much foxglove, can be lethal. Too much St. John's Wort
    can take a patient up to the point where suicide becomes possible and not just ideation.

    What horror stories would you like? The kids who mistook Datura for something less potent and blew
    their livers apart? The young woman who was upset because her husband went deer hunting and got back
    at him by consuming two large boxes of D-Con and someone else's digoxin? The idiot who gave both he
    and his wife headaches by wearing a nitro patch on his penis?

    --
    Stev Lenon MT(ASCP) Confused? Listen to the music play! Save a cow, eat a PETA member
    [email hidden] web.tampabay.rr.comslhomepage92kword.htm

  7. "Beverly Erlebacher" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    Tools is being particularly stupid here because coumadin


    is a coumarin,

    Quoted message said:

    and coumarins are vitamin K antagonist anticoagulants


    found naturally

    Quoted message said:

    in stressed sweet clover. They were discovered when dairy


    farmers

    Quoted message said:

    asked the Wisconsin Alumni Research Foundation (WARF) to


    fund research

    Quoted message said:

    into why their cattle died from internal bleeding after


    grazing on

    Quoted message said:

    frost-burned or drought-stressed forage. The first use


    for this was

    Quoted message said:

    the rat poison warfarin (note the name) which takes long


    enouhg to kill

    Quoted message said:

    the rat that it doesn't make the connection between its


    illness and the

    Quoted message said:

    bait. Later, the medical use was developed. So just like


    digitalis,

    Quoted message said:

    it's a botanical drug too dangerous to be used without the


    kind of

    Quoted message said:

    carefully managed dosing that can only be achieved with a


    purified

    Quoted message said:

    form, since the content of the plants varies much too


    widely.

    COMMENT:

    Like all good stories the really correct version is not quite as perfect as you relate, but almost.
    Here's my chance to take erudide revenge over your Canadian quibble.

    The Wisconsin Alumni Research Foundation WARF did fund the original sweet clover research. But
    clover don't make the active bishydroxycoumarin due to stress-- it's a fungal product formed from
    plant coumarin in wet clover cut in the fields, perhaps made by fungi as a poison, not wanting to be
    eaten. Coumarin from the plant itself (and what you get in normal herbal red clover) is a lovely
    compound, non-toxic, and with odor of newly cut grass. It may yet some clinical uses, but isn't an
    anticoagulant.

    Bishydroxycoumarin, the same stuff from spoiled sweet clover, was used under the tradename
    Dicoumarol in medicine as an anticoagulalant in the 1940's. There is great confusion between
    Dicoumarol and Coumadin, the drug which eventually replaced it, starting 1954. (I don't even think
    you can get medical Dicoumarol in the US anymore, though probably you can in Europe.)

    Coumadin is indeed Warfarin, the old rat poison of the 1950's, and named for WARF and Coumarin. It's
    a synthetic easier to make and longer-acting derivative of bishydroxycoumarin, in which one coumarin
    moiety is replaced by a phenyl group. It may work partly because rats don't associate it with
    immediate illness, as you say, but probably the more important thing is that bleeding rats get
    thirsty and go outside to drink, where they die instead of in your walls or attic.

    A famous attempted suicide case in the early 1950's in which a sailor attempted to kill himself with
    Warfarin containing rat poison (duh, a sort of poison that wouldn't work as well on ships, but tell
    that to the Navy) was saved with vitamin K and transfusions. This brought Warfarin to the attention
    of the medical community as a more powerful and easier to dose Dicoumarol replacement that could be
    reversed if necessary, and Coumadin was born.

    Sweet clover herbal products are certainly not made from extract of fungally spoiled sweet clover.
    They have plant coumarins, but no significant Dicoumarol/bishydroxycoumarin, and are not
    anticoagulants. The presence of plant coumarins has led to many [censored] on both sides of the herb
    issue either warning about clover interacting with anticoagulants (they don't) or advocating (as the
    [censored] on this forum) clover being used as anticoagulants (they don't do that either). Plant coumarins
    are at worst harmless, and at best might have beneficial effects on certain inflammatory processes
    in the body. But that's another topic.

    SBH

  8. Quoted message said:

    It is my opinion that while some "alternative" modalities may indeed play some role in treatment,
    the modern "herbalists" are little more than 21st Century "snake-oil" salespersons. Their only
    interest is in enriching their wallet at the expense of patient lives.


    Wiz <{;-)

    I'll second that. It has been most amusing over the years to watch them come running for the very
    treatments that their products are supposed to replace when they become the patient rather than the
    purveyor. Suddenly they want someone who has wasted all those unnecessary years gaining education
    and credentials in pharmacy, clinical lab, internal medicine, or other appropriate specialty.

    --
    Stev Lenon MT(ASCP) Confused? Listen to the music play! Save a cow, eat a PETA member
    [email hidden] web.tampabay.rr.comslhomepage92kword.htm

  9. "David Wright" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    In article <[email hidden]>, tools

    Quoted message said:


    "Steve Harris" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:


    Don't give advice on life and death matters, if you're completely clueless about the subject
    you're talking about.

    SBH


    Steve, you would do well to follow your own advice.

    As a guy who thinks the answer to all diseases is a heaping glass of urine, you're in a poor
    position to criticize.

    Dr Harris usually can cite the literature. Can you?

    -- David Wright :: alphabeta at prodigy.net These are my opinions only, but they're almost
    always correct. "If I have not seen as far as others, it is because giants were standing on my
    shoulders." (Hal Abelson, MIT)


    Uh, please post anything you can find anywhere that I have said that UT is the answer to all
    disease. If you do not post such, then you sir are lying. Not that such a thing would be anything
    new or with which you do not have experience.

  10. "Beverly Erlebacher" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    In article <[email hidden]>, Steve Harris

    Quoted message said:


    Like all good stories the really correct version is not quite as perfect as you relate, but
    almost. Here's my


    chance

    Quoted message said:
    Quoted message said:

    to take erudide revenge over your Canadian quibble.

    Okay, Dr. Harris, I bow to your greater erudition (or


    better memory)!

    Quoted message said:


    Thanks for the correct, full story.

    Yr welcome. It doesn't help that coumarin and Coumadin look like the same word, and people forget to
    capitalize drug names. Or that Dicoumarol is very similar but not the same as either of the other
    two. Even stuff on the net at pharmacy info sites screws these up.

    I find it fascinating that Dicoumarol of the spoiled sweet clover disease is a fungal product, much
    like the red rice yeast statins. And it performs the same function that antibiotics and statins and
    ergot alkaloids do (if you know the fascinating history of ergotism and rye): it's aimed at
    poisoning fungus-eaters. But the dose makes the poison, and like digitalis and atropine, a lot of
    things meant as toxins, at lower doses turn out to have physiological modifying effects that are
    very useful.

    There's a REASON that all those medicines come from the rain forest. Plants there don't have winter
    to give them a yearly start on the hatching insect hordes. So they've developed a LOT more insect
    poisons. And those are the starting points for meds.

    SBH

  11. "tools" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:


    Quoted message said:

    You sir, may bite me.


    Sadly for the alternative medicine crowd, such erudition always seems to be the end argument.
    Personally, I think those folks ought to be looking for a new champion.

    HMc

  12. "Beverly Erlebacher" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    In article <[email hidden]>, AFAIK, digitalis alkaloid drugs, or the
    starting compounds


    used to

    Quoted message said:

    synthesize them, are still derived from Digitalis spp


    (foxgloves),

    Quoted message said:

    mostly from D.lanata, a yellow-flowered perennial species


    native

    Quoted message said:

    to Greece and grown commercially for the purpose.

    Isn't one of these drugs called lanoxin or something like


    that?

    Quoted message said:

    The name derives from the specific epithet of D. lanata.

    Didn't know that. Lanoxin is one of the more common brands of digoxin (the generic drug name).

    The plant of course is named for the finger shaped leaves. The discovery by Withering that the
    foxglove leaf was the active part of many old herbal concoctions for dropsy treatment, is one of the
    great old pharmacy tales.

  13. Stev Not all herbalists are charlatans. I had a colleague who worked part time in the lab doing
    legitimate medical research and also ran his own herbal medicine practice. On the other hand there
    were a number of remarkably successful treatments of asthma and eczema by Chinese herbs reported
    here a few years ago. At the same time there were other reports of the analysis of herbs which had
    been sold for treatment of asthma which were actually effective only because they had been soaked in
    solutions of corticosteroids which had then been allowed to dry on the outside of the herbs. So if
    you choose to go to a herbalist and avoid western medicine you may end up being treated by the very
    drugs you are trying to avoid.

    --
    Mike Collins UK [email hidden]

  14. slenon said:

    What horror stories would you like?

    Quoted message said:

    The idiot who gave both he and his wife headaches by wearing a nitro patch on his penis?

    This one!
    <Dr. Phil voice>What WAS he thinking?</Dr. Phil voice>

    Tsu

    --
    To doubt everything or to believe everything are two equally convenient solutions; both dispense
    with the necessity of reflection.
    - Jules Henri Poincaré

  15. "slenon" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:


    In thirty plus years of laboratory and emergency medicine, I've seen far


    to

    Quoted message said:

    many people who were persuaded to try this natural cure or that herbal potion to treat coronary
    artery disease, bacterial and viral infections, metabolic diseases, and malignancies, to begin
    with. Many of them failed


    to

    Quoted message said:

    receive adequate care from a competent physician until it was too late. I've listened to
    chiropracters tell me that they could cure cancer and diabetes using chiropractic treatment.


    Odd, I've never heard a Chiro say that. I've seen people poison their selves

    Quoted message said:

    using herbal concoctions of uncertain strength and combination given or


    sold

    Quoted message said:

    to them by friends, family, or other idiots who had no idea that there


    might

    Quoted message said:

    be adverse effects to a "natural" herb or plant. But too much foxglove,


    can

    Quoted message said:

    be lethal. Too much St. John's Wort can take a patient up to the point where suicide becomes
    possible and not just ideation.


    Too much O2 will too, so?

    Quoted message said:

    What horror stories would you like? The kids who mistook Datura for something less potent and blew
    their livers apart?


    Oh I want to hear this one. What did the kid "mistake it for? The young woman who was

    Quoted message said:

    upset because her husband went deer hunting and got back at him by


    consuming

    Quoted message said:

    two large boxes of D-Con and someone else's digoxin?


    Ummmm, You might not know this, but, D-con and digoxin are not Natural remedys. The idiot who gave

    Quoted message said:

    both he and his wife headaches by wearing a nitro patch on his penis?


    Funny, but once again, NOT Natural Medicine.

    Quoted message said:

    --
    Stev Lenon MT(ASCP) Confused? Listen to the music play! Save a cow, eat a PETA member
    [email hidden] web.tampabay.rr.comslhomepage92kword.htm

  16. slenon said:

    What horror stories would you like?

    Quoted message said:

    The idiot who gave both he and his wife headaches by wearing a nitro patch on his penis?

    well now that's actually a scientifically justified patient-directed use of uh...
    "alternative medicine"

    lol

  17. "Howard McCollister" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:


    "tools" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:


    Quoted message said:

    You sir, may bite me.


    Sadly for the alternative medicine crowd, such erudition always seems to


    be

    Quoted message said:

    the end argument. Personally, I think those folks ought to be looking for


    a

    Quoted message said:

    new champion.

    HMc

    Or should I just bite you?

    HMc

  18. "tools" <[email hidden]> wrote in message

    Quoted message said:

    Uh, please post anything you can find anywhere that I have said that UT is the answer to all
    disease. If you do not post such, then you sir are


    lying.

    Quoted message said:

    Not that such a thing would be anything new or with which you do not have experience.

    What diseases is it not suggested for? Name them and explain why. I also note that you never
    answered my questions about fungal infections. erf

  19. "Howard McCollister" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:


    "tools" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:


    Quoted message said:

    You sir, may bite me.


    Sadly for the alternative medicine crowd, such erudition always seems to


    be

    Quoted message said:

    the end argument. Personally, I think those folks ought to be looking for


    a

    Quoted message said:

    new champion.

    HMc


    Ohhhhh! you are so much better than other people, why you should be king.

  20. Quoted message said:

    This one!
    <Dr. Phil voice>What WAS he thinking?</Dr. Phil voice> Tsu

    Sorry to dampen the repartee, but I've never watched this man in any program. I generally avoid
    popular talk shows and always avoid pop-psychologists. I had my fill of popular psychology and
    education when I was in university. I believe that they've both been very damaging to modern
    American culture.

    --
    Stev Lenon MT(ASCP) Confused? Listen to the music play! Save a cow, eat a PETA member
    [email hidden] web.tampabay.rr.comslhomepage92kword.htm

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