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http://mastcelldisorders.wallack.us/yabb/YaBB.pl General Mast Cell Disorders Discussion >> General Mast Cell Disorder Discussion >> Suggested Experiment with H1's H2's Singulair http://mastcelldisorders.wallack.us/yabb/YaBB.pl?num=1342103960 Message started by Futurehope on 07/12/12 at 03:39:20

Title: Suggested Experiment with H1's H2's Singulair
Post by Futurehope on 07/12/12 at 03:39:20

I spoke to the nurse and finally understand what I am to do.

This is my current regimen, before seeing the MC doctor:

H1
Xyzal 1/2 of a 5 mg tablet in the AM
Hydroxyzine HCL 2 25 mg tablets before bed

H2
Tagamet OTC 200 mg before bed

Leukotriene inhibiter
Singulair 10 mg in the AM

I will experiment as follows:
I will only change one thing at a time. This is my preference.

I will be increasing Tagamet 200 mg to twice/day first. I will wait 4 -5 days before doing anything else. If I am worse, I will go back to my baseline dose of once/day.

Whether I go back to baseline or whether I remain on the twice/day Tagamet, in either case, my next experiment will be to take the Xyzal 1/2 tablet twice/day.

Again, if I do worse, I will discontinue it.

So, ideally if all goes well, I would be on the H1 and the H2 twice/day instead of once/day. And that is a big if.

Once the above experiment is resolved with increased doses, I can go ahead after 2 weeks, and double the amount of Hydroxyzine HCL to two 50 mg doses/day instead of one. I already told the nurse this was not going to happen since the extreme sleepiness and fatigue I would experience would not be worth it. But, it was mentioned to me as an option anyway. I doubt this will materialize.

Once I am on the H1 and H2 twice/day, the next experiment would be to increase the Singulair to 2X/day.

So, by my next visit in September, I should have tried using an H1 and an H2 and Singulair, all three twice/day. We'll see.

For all who have followed my saga up until now, this does NOT mean that other things will not be added. I can only change one thing at a time and the doctor prefers the cheapest route first. Since, these are the medicines I have been on, he's starting with them.

All for now.