Having watched the Sudafed drag on for a while, I thought I would add some comments which I hope are more light and less heat...I am not a MD nor do I have an professional training in DCI medicine, so what follows is speculation. I, too, checked with DAN, who as others have noted said "yes some involvement, but statistics are low". I then called some friends in the research diving community. Their reply was "Sudafed=DCI". Essentially, in the research diving groups locally it is STRONGLY discouraged and they know of many incidents and complications. As a drug designer/modeler, I want to point out that the effects of many antihistamines are highly highly variable from one person to the next and without knowing the molecular basis for the Sudafed problems, I think that there isn't much that one can conclusively say about whether or not it is likely to happen to any one person. I think that we can say that it does happen and you can reduce your chances for DCI if you are not taking it.(Blocks are another story.) Personally, I have my own guesses and I bet that almost any decongestent, including caffeine has a measurable effect due to the constriction of the capillaries and the resultant decrease in area for gas exchange, but I do NOT KNOW THAT THIS IS THE CASE. GUESS ONLY! As an aside, Seldane and its related compound Hismanal are special antihistamines- they do not cross the blood/brain barrier at normal pressure. This means that virtually all of the neurological side effects (jitters/vertigo/ drowsiness) are absent. I would ASSUME that this is also true under pressure but I do NOT KNOW that it is the case. Since these compounds do not contain drugs like adrenaline and caffeine, the blood vessels are not constricted and (in my private guessing) are probably not as likely to interfere with outgassing, but this is only a guess based on how I personally think the process works. Again, without knowing the molecular causes, it is hard/impossible to extrapolate. I hope this helps, Peter
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