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I probably shouldn't revive this subject, but on the other hand, I just
finished going through 500+ mails and this is one of the few directed to
me personally.
I really think (ie. have an opinion, but acknowledge the lack of hard
evidence) that anti platelet and anti-inflammatory drugs are not going
to stop bubble formation directly. They MAY help reduce the cascading
injury by reducing local inflammation, improving both intra and extra
vascular movement of gasses, and thus reduce ongoing damage. I don't
think they substitute for recompression treatment in the case of DCS
symptoms. On the other hand, if you've taken them before a dive and you
don't have any symptoms after the dive, you didn't have DCS.
Esat Atikkan wrote:
>
> Interesting point except what escapes me is how the
> anti-platelet activity is going to eliminate the
> putative autochtonous bubble mediated DCS symptomology
> - as in cord.
> Safe bubbles
> Esat Atikkan
>
> > In terms of "masking" DCS. No.
> > These drugs actually get to the root of the
> > symptoms. They stop DCS
> > symptoms because they block a key part of the
> > illness. If you have
> > symptoms despite taking these drugs, seek treatment.
> > If you don't have
> > symptoms, you probably don't have DCS. This is not
> > like taking morphine
> > to prevent pain from a stab wound. Its more like
> > taking quinine to
> > prevent malaria.
> > BTW, I'm going diving in the deep blue for a week!
> > Later guys!
> > Wendell G
> >
> >
> > > Wendell,
> > >
> > > That is what I've suspected. It's been said for
> > years that aspirin was
> > > "maybe" an aid--probably a very small one--for the
> > prevention of DCS. That
> > > some aggressive divers are taking it and other
> > such over-the-counter
> > > medications isn't surprising given the insidious
> > and unpredictable nature of
> > > DCS.
> > >
> > > The conclusion I read everywhere is that there
> > isn't enough research,
> > > there's only a intelligent-guess suspicion that it
> > works. If it has been
> > > "long recommended" as SOP for deco diving, who has
> > recommended it and what
> > > do they base that recommendation on? I'd still
> > like to see research that
> > > definitively says, "aspirin and ibuprofen can
> > reduce the risk of DCS."
> > >
> > > There is research, but within the research I've
> > seen there are probably as
> > > many new questions as there are answers. The best
> > anyone can say is that
> > > aspirin ought to be beneficial. As to dosage, I
> > did read in at least one
> > > diving medicine document that as little as 1/4 of
> > a normal tablet of aspirin
> > > will provide the full platelet effect.
> > >
> > > Ibuprofen affects platelets too, but in a
> > different way. Do you think that
> > > there is any concern at all for divers who are
> > taking larger doses of
> > > aspirin and ibuprofen together? I've seen one
> > person suggest that he takes
> > > 800 mg predive and an additional 800 mg every four
> > hours of ibuprofen and an
> > > unstated amount of aspirin as well.
> > >
> > > How big is the bleeding concern for this type of
> > dosage? And to restate my
> > > previous concern, is there any concern at all that
> > dosages like this could
> > > mask subtle DCS symptoms and thereby delay
> > treatment?
> > >
> > > This isn't a zero-sum game. If it actually works
> > and its been proven that it
> > > does then it's a good thing for all deco divers
> > within the boundaries of
> > > risk that I suggest.
> > >
> > > Thanks,
> > >
> > > JoeL
> >
> > --
> > "There are two kinds of people, those who do the
> > work
> > and those who take the credit. Try to be in
> > the
> > first group; there is less competition
> > there."
> > (Indira Gandhi)
> > --
> > Send mail for the `techdiver' mailing list to
> > `techdiver@aquanaut.com'.
> > Send subscribe/unsubscribe requests to
> `techdiver-request@aquanaut.com'.
>
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"There are two kinds of people, those who do the work
and those who take the credit. Try to be in the
first group; there is less competition there."
(Indira Gandhi)
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