News and views in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): The role of co-morbidity and novel treatments (2019) Comhaire et al.

https://www.sciencedirect.com/science/article/pii/S0306987719309831

 

Thanks for posting. I know many are negative on Comhaire’s work, but at least he is investigating some potential treatment options.

 

@Jaybee00 oh thanks for letting me know haha. Didnt hear his name before. Was just browsing through some studies and found it an interesting read. Because my main symptom right now is frontal brain pain and brain fog to the grade that i forget my own name :/ thats why the Meldonium treatment seemed interesting to me with the brain scans. Also didnt find anyone here in the forum who ever tried it before.

 

@Badpack

Comhaire posts here under the name “ME/CFS”. You could @ him if you have questions.

Meldonium is available online... not so expensive.

 

Famously taken by Maria Sharapova for a decade, according to her. Ended in a 1-year ban.

 

I don't quite understand the rationale of using these drugs.

Meldonium inhibits fatty acid oxidation (through inhibiting carnitine acetyltransferase, Carnitine Transporter 2 and γ‐butyrobetaine hydroxylase).
There is some evidence that fatty acid oxidation is already (compared to controls) relatively inhibited in ME & CFS patients.
https://pubs.rsc.org/en/content/articlelanding/2017/mb/c6mb00600k/
https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-2796.2010.02341.x (suggests that there is already higher peroxisomal utilization of fatty acids, suggesting lower carnitine palmitoyltransferase-I activity)

The therapeutic rationale is to encourage glycolysis but that doesn't seem to be a problem in patients (Fluge & Mela, Hanson etc).

See also (mechanisms of action) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188923/ (Misuse of the metabolic modulator meldonium in sports)

 

Mhh ok sounds pretty dubious after looking into your links. Did some ppl from the forum really try dichloracetat or Meldonium ?

 

I, um, yeah, well, there are definitely more than 5 grains of sand in a handful and a blue whale is definitely at least more than 20kg.

Not much to interpret. Open label with self-reported outcomes. The fatigue questionnaire doesn't look particularly relevant. Doesn't look bad so much as not particularly useful.

 

Noticed today this twitter account trying to push Meldonium in threads concerning CFS. Is that even legal?
https://twitter.com/MeldoniumS