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From: screwloose@ne*.co* (Dunk, John)
To: Peter Heseltine <heseltin@hs*.us*.ed*>
Cc: techdiver@terra.net
Subject: Re: Side effects of Lariam
Date: Wed, 25 Sep 1996 07:39:01 GMT
On Tue, 24 Sep 1996 23:42:43 -0700 (PDT), you wrote:



>In the package inserts, headache is reported with most quinolones at least
>at the 5% level. Seizures and other bad stuff are much more rare. One
>thing to keep in mind: the confidence limits for one are five, whatever
>the risk. So a 5% adverse effect rate is almost always true for any drug.

ok Pete,thanks,this is more understandable.It appeared you were
stating the incidence of the more serious side effects was 5%,and that
did not jive with the figures I had;5% rate of ANY adverse effect is
certainly possible and acceptable.
It would certainly seem that doxycycline is a much better choice;the
subjective info that's been related here seems to suggest that the
photosensitivity issue is not a large problem,(and there seem to be
well-recognized warning signs such as tingling of the hands & feet if
it IS going to be a concern) and the mechanism of action is better
understood.My info does relate that the incidence of G.I disturbance
is high,perhaps as much as 39%,but that much of this can be alleviated
by drinking plenty of water when taking the med.However,my info says
that taking at bedtime seems to produce a higher rate of gastric
distress,and recommends avoiding this dosage.Also,use of sunblocks
seem to have only limited efficacy in preventing the
photosensitivity;corticosteroids and/or antihistamines may be
necessary in the case of a severe reaction.
Hopefully,one of these days I'll be in a position to report on this
first-hand,when i get to take MY trip to PNG ;)
Take care,

   John L. Dunk                   
   Tallahassee,Fl.                 
   screwloose@ne*.co*     

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