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Author Topic: EPO Can it Heal Your Brain?  (Read 2557 times)
Henry P Snicklesnorter
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« on: March 14, 2011, 02:24:45 AM »

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« Last Edit: October 22, 2013, 03:34:58 PM by Henry P Snicklesnorter » Logged
greg10
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« Reply #1 on: March 14, 2011, 02:41:00 PM »

EPO is a candidate drug for depression.  A better drug for these kind of studies is carbamylated EPO (CEPO) because it does not elevate systemic hematocrit and hemoglobin level.

http://brainposts.blogspot.com/2011/01/is-erythropoetin-epo-candidate-drug-for.html

"Current clinical trial of EPO for depression and neurocognitive symptoms in depression:  The Danish team is now conducting a clinical trial of EPO with the design outlined in the last manuscript below.  The key elements of the design for this study include:
Cases Definition: Treatment-resistant depression or patients with bipolar disorder in full or partial remission with residual cognitive problems
Drug: EPO 40,000 IU IV or placebo once weekly for 8 weeks
fMRI: Screening and week 14
Neuropsych Testing: Baseline, week 9 and week 14
Psychopathological Ratings:  Weekly for 5 weeks, week 9  and 14
Safety monitoring:  Hematology, blood chemistries, BDNF, inflammatory and metabolic markers  regularly throughout the study.
EPO can have adverse effects.  Increased red cell blood mass can produce an increased clotting risk potentially increasing risk for thromboembolism, stroke or myocardial infarction. Despite the potential risk, I think EPO deserves study and with these initial promising results may provide hope for a novel treatment for depression."

http://www.ncbi.nlm.nih.gov/pubmed/18616414?dopt=Abstract

J Neurosurg. 2007 Aug;107(2):392-7.
Treatment of traumatic brain injury in rats with erythropoietin and carbamylated erythropoietin (CEPO).
 Systemic hematocrit was significantly increased at 48 hours and 1 and 2 weeks after treatment with EPO but not with CEPO.
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Newbie caretaker, so I may not know what I am talking about :)
Caretaker for my elderly father who has his first and current graft in March, 2010.
Previously in-center hemodialysis in national chain, now doing NxStage home dialysis training.
End of September 2010: after twelve days of training, we were asked to start dialyzing on our own at home, reluctantly, we agreed.
If you are on HD, did you know that Rapid fluid removal (UF = ultrafiltration) during dialysis is associated with cardiovascular morbidity?  http://ihatedialysis.com/forum/index.php?topic=20596
We follow a modified version: UF limit = (weight in kg)  *  10 ml/kg/hr * (130 - age)/100

How do you know you are getting sufficient hemodialysis?  Know your HDP!  Scribner, B. H. and D. G. Oreopoulos (2002). "The Hemodialysis Product (HDP): A Better Index of Dialysis Adequacy than Kt/V." Dialysis & Transplantation 31(1).   http://www.therenalnetwork.org/qi/resources/HDP.pdf
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