Pain in the Periodic Paralyses

Submitted by deb on Sat, 06/25/2011 – 23:22 Pain Often Overlooked Pain is an often overlooked component of the periodic paralyses. Patients who report muscle pain in association with their episodes are too often told that the periodic paralyses are not painful despite many authoritative reports to the contrary. In fact the pain which accompanies the periodic…

Myoclonus Survey Part 2

Submitted by deb on Sun, 06/26/2011 – 22:39 Description of Myoclonus Here is a description of myoclonus by Joseph Jankovic, M.D: Myoclonus describes a symptom and generally is not a diagnosis of a disease. It refers to sudden, involuntary jerking of a muscle or group of muscles. Myoclonic jerks may occur alone or in sequence, in a pattern or…

Physician’s Sheet: Acetazolamide Drug Interactions

Submitted by deb on Mon, 06/27/2011 – 20:54 Acetazolamide (aka Diamox) is frequently prescribed as therapy for the periodic paralyses. While most patients take this drug without incident it can interact with other drugs. Physicians should be aware of potential problems which might arise. Acetazolamide can decrease excretion of dextroamphetamine, anticholinergics, mecamylamine, ephedrine, mexiletine, or quinidine because…

Starting Acetazolamide (Diamox)

Submitted by deb on Fri, 02/01/2013 – 21:45 Because this is a frequently asked question from patients we post here a reply: Question: My doctor wants to prescribe a medication called acetazolamide. Is that okay for someone with Hypokalemic periodic paralysis. When I look on the web it says this medication causes you to excrete potassium. How…

The Use of Bactrim in the Periodic Paralyses

Submitted by deb on Sat, 07/25/2015 – 18:54 The antibiotic Bactrim is well-known to produce muscle weakness, even paralysis in patients with Hypokalemic Periodic Paralysis. It is contraindicated in patients with Anderson-Tawil Syndrome because of its propensity to produce cardiac arrhythmia, but many clinicians do not realize that it also produces hyperkalemia in a majority of patients…

Sleep Complaints in Periodic Paralysis

Submitted by deb on Mon, 06/27/2011 – 02:57 Giorgio Buzzi, MD, Neurologist Buzzi G, Mostacci B, Sancisi E, Cirignotta F. Sleep complaints in Periodic Paralyses: a web survey. Functional Neurology 2001, 17 (3). From the Sleep Medicine Unit – Dept. of Neurology S.Orsola-Malpighi Hospital – University of Bologna, Italy. SUMMARY Section 1. Background: K+ and REM sleep homeostasis….