Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

hey guys, with all this alochol being blocked by these drugs, were does it all go ? does it just deslove into thin air ? or  does it make it worse ?

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

stedyedy wrote:

Has anyone here tried the Claritine and pepcid combination ???????? I think i might give it a go an see what happens ...

I've tried it a couple of times.  I had one Claritin (10mg) with two Pepcid AC Max (20 mg).  It seems to produce the same results as Pepcid AC alone.  I've not noticed a significant difference using the Claritin combination.  Will continue experimenting.

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

still skeptical wrote:

Well Steph,  I think your body does build a tolerance to it.  I not sure why, but in order for it to work I definitely needed to up the dosage.....at one point 3 didn't cut it, then 5, then 7, now 10 is barely working.  This is a bummer for me, but it also depends on physiology and tolerance to alcohol.  I found out this works best for me: take 10 pills (200mg) 3-4 hours on an empty stomach, THEN eat and drink.  Let the pills dissolve your stomach and do its magic in your intestines FIRST before it works on any other substance (food or alcohol).  The result is a noticable, but not terrible, glow but disappears into a light pink for the rest of the evening.  For best results....drink slowly!  Let yourself get to the light pink stage before drinking more and when you feel and see that the initial glow phase is over, then drink as much as you want.  And just to throw this out there:  Asian girls who get the glow still look helluva lot better than Asian guys....we look f'd up!  I'm sorry bro's....we definitely got the short end of the stick.  Pepcid is not a cure, but it helps, I think it would be better if there were funding for some research on this, some cure or treatment to turn this mutated gene around.  I think there will be in the future, but till then, we got to stick to what we've got.  Oh yeah, Zantac 150 sucks!  Didn't work for me (3 pills of 150mg), all it did was delay the redness....after an hour and 1 beer full on flush like I didn't take any pills at all.  Guess it worked for kyle, more power to her.  So Steph, didn't want to put you down, just giving you my experience... good luck!

I have noticed the tolerance thing too.  That said, I've never gone past 60mg of famotidine.  I am concerned about the huge doses that are well above what the instructions say. 

I'm also with you on the Zantac.  For me, it does *absoulely nothing*.

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

flushie wrote:

hey guys, with all this alochol being blocked by these drugs, were does it all go ? does it just deslove into thin air ? or  does it make it worse ?

Hey Flushie, from what research I've done, what happens is that the H2 blockers help slow the breakdown process of alcohol and that's why we all still get rosy pink instead of beet red.  Our mutated gene breaks down alcohol but creates ethanol, which is poisonous causing the flush reaction (unlike other races where it is processed as a vinegar type of substance).  Please correct me if I'm mistaked.....just some answers I've found.

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

Still Steptical, just how long have you been using Pepcid AC? How often, and at what dosages?

You claim to use 10 tablets, a total of 200mg, way past the recommended dosage. Is it really worth the money, and the risk of damaging your body in the long run?

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

Friday night, went to wedding, took 1 Pepcid AC Extra Strength about 1 hour before drinking.  Started with and stayed with Vodka.  Was drinking Madras (sp?) all night.  Actually, this worked great!  I didn't turn red at all.  Usually, just like everyone else i've read, the redness starts immediately.  Even fast with wine.  And hotter or somethin.

But, I'm 39 yrs. old and 'the glow' isn't so cute anymore.  I just wanted to have a drink or more, without announcing to the whole world that 'HEY - SOMETHINGS GOIN' ON HERE'!

I didn't want to get OVERLY excited by this because, as I've read on here, your body builds a resistance to this?  But, will try this next time too.  And will stay with Madras.  I really like the drink anyway!

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

vagrantblue wrote:

Still Steptical, just how long have you been using Pepcid AC? How often, and at what dosages?

You claim to use 10 tablets, a total of 200mg, way past the recommended dosage. Is it really worth the money, and the risk of damaging your body in the long run?

Vagrantblue,  I been on the Pepcid thing for about two years now, going on three I think...I go out drinking about twice a week and I guess that equals out to anywhere from 300-400 mgs a week.  Is it really worth the money and risk of damaging one's body in the long run?  No, but in a culture ruled by vanity, I'm pretty sure we've all wasted money on some things that would help us look "normal" or "accepted" in a social setting.  But in the case of being Asian, it's not just vanity, I have a very active social life and I also in enjoy alcohol in moderation, but without the dosage, the flush reaction is quite painful.  But thank you for your concern!

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

430pm - Took 40mg Pepcid AC
530pm - First drink was a large sangria. I'm not sure how much wine was in it, but I've had sangria before and turned red pretty quick.
530-830pm - Dinner w/ 1 horchata boracha, 1 mojito.
9pm - Pint of beer

No redness at all, no heart-pounding, no breathing problems, no red eyes. I probably didn't need 40mg considering I can sometimes get by 1 drink with minimal pinkness. I'll try just 20mg next time.

I must say, the ability to drink without turning red and looking beat up is such a relief. I wish I knew this in college. Now I can hang out without being singled out for being drunk, without all the comments and looks.

This weekend will be the real test. House party at my coworker's house. Hopefully I'll be able to drink like everyone else without being the big joke the following Monday.

634

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

Steph wrote:
KMan wrote:

ok just an update on my H1/H2 combi (further to my earlier post).

It works.

How many of each pill did you take and how long did you wait before drinking? Did you drink on an empty stomach?

I'm curious to see if it'll work for me too. Perhaps it can be something that we can alternate with Pepcid :)

I took one tablet each.  I think that is 150mg of Ranitidine (zantac) and 10mg of Loratidine (Clarityne). From the studies I have read, they work in combo. I.e. taking either one would most likely not be effective on its own.

Based on the studies described in the pending patent that I referred to in one of my earlier posts, it is ideal to take it 30 mins or so before drinking, and the effects last about 3 hours on that dosage.

The tests done in the patent are also encouraging, it seems that all the subjects that tested the combo were successful.

I have tried the combo several times now and it works well for me.

Yikes, I just read the Pepcid - hair loss connection. Ok, I guess that's another plus for the Ranitidine-Loratidine combo, hehe. Dont know which is worse, bald or flushed..... Anyway, personally, i rotate between pepcid and the combo. Somehow, I feel like it is better that way.

Again, please, people, the studies do not show that the H1/H2 blockers necessarily lower acetaldehyde (results are unclear).  So we are still poisoning your body as we flushers can't eliminte the acetaldehyde well. Acetaldehyde is a powerful carcinogen. So please don't take the pepcid or ranitidine/loratidine combo as a licence to act like we don't have the asian flush gene. You'll be seriously risking your health.

The only tested compound which I know of which clearly can lower Acetaldehyde is Cysteine. But delivery of Cysteine is difficult as it is unstable. Until a good method is found to deliver cysteine to the parts of our bodies which are brimming with Acetadehyde, we should be cautious with our drink. BTW, there is already a cysteine chewing gum which will lower oral concentrations of acetaldehyde. However, we need something else which can lower our serum, liver, and gut acetaldehyde levels.

635

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

still skeptical wrote:
flushie wrote:

hey guys, with all this alochol being blocked by these drugs, were does it all go ? does it just deslove into thin air ? or  does it make it worse ?

Hey Flushie, from what research I've done, what happens is that the H2 blockers help slow the breakdown process of alcohol and that's why we all still get rosy pink instead of beet red.  Our mutated gene breaks down alcohol but creates ethanol, which is poisonous causing the flush reaction (unlike other races where it is processed as a vinegar type of substance).  Please correct me if I'm mistaked.....just some answers I've found.

I hope I can help clarify this point.

The guilty product of the breakdown of alcohol is not ethanol, but acetaldehyde. That's what makes us go red and gives the rapid pulse. The effect of H2 blockers on blood alcohol has been well studied. Cimetidine (tagamet), Ranitidine (zantac) and our best bud Famotidine (pepcid) were studied. If the blockers slowed the breakdown of alcohol, then you would expect to have elevated alcohol concentrations in your blood after taking H2 blockers. The studies however show that there is only a very mild elevation of blood alcohol for Cimetidine and Ranitidine. Ironically, this forum's favourite H2 blocker Famotidine caused NO elevation in blood alcohol.  Zantac, not Pepcid inhibits alcohol breakdown and the formation of acetaldehyde. The alcohol will be broken down eventually, but at a much slower rate. Slow enough for our defective enzymes to clear out all the acetaldehyde that it produces.

This also basically means that the Pepcid you are popping is stopping the flushing via a different method. This is why I often urge caution against being carried away with one's new found drinking prowess.

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

Hi everyone, i am really really happy to have found this forum. I am half korean half swedish and have had problems with the asian blush from i was a teenager. It is, - as all you guys sure already knows- . a really big issue when it comes to drinking alcohol. One of my biggest problem with the asian blush is that when i get red in the face i also look a little bit swollen in the face due to all the blood i think that pulsing in the face. And that makes me less attractive i think. I am a little bit shy so i have really big problems meeting girls, so its kinda "moment 22" for me. But i have ordered some pepcide AC Maximum on the net now so i am VERY anxious about have them so i can try.

I read somewhere on this forum that some guys have tried this for several years...and i also read that people have experienced that the body builds up an intollerance against pepcide after a while...you guys that have tried this for several years, do you experienced any intollerance?

/Martin

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

KMan wrote:
Steph wrote:
KMan wrote:

ok just an update on my H1/H2 combi (further to my earlier post).

It works.

How many of each pill did you take and how long did you wait before drinking? Did you drink on an empty stomach?

I'm curious to see if it'll work for me too. Perhaps it can be something that we can alternate with Pepcid :)

I took one tablet each.  I think that is 150mg of Ranitidine (zantac) and 10mg of Loratidine (Clarityne). From the studies I have read, they work in combo. I.e. taking either one would most likely not be effective on its own.

Based on the studies described in the pending patent that I referred to in one of my earlier posts, it is ideal to take it 30 mins or so before drinking, and the effects last about 3 hours on that dosage.

The tests done in the patent are also encouraging, it seems that all the subjects that tested the combo were successful.

I have tried the combo several times now and it works well for me.

Yikes, I just read the Pepcid - hair loss connection. Ok, I guess that's another plus for the Ranitidine-Loratidine combo, hehe. Dont know which is worse, bald or flushed..... Anyway, personally, i rotate between pepcid and the combo. Somehow, I feel like it is better that way.

Again, please, people, the studies do not show that the H1/H2 blockers necessarily lower acetaldehyde (results are unclear).  So we are still poisoning your body as we flushers can't eliminte the acetaldehyde well. Acetaldehyde is a powerful carcinogen. So please don't take the pepcid or ranitidine/loratidine combo as a licence to act like we don't have the asian flush gene. You'll be seriously risking your health.

The only tested compound which I know of which clearly can lower Acetaldehyde is Cysteine. But delivery of Cysteine is difficult as it is unstable. Until a good method is found to deliver cysteine to the parts of our bodies which are brimming with Acetadehyde, we should be cautious with our drink. BTW, there is already a cysteine chewing gum which will lower oral concentrations of acetaldehyde. However, we need something else which can lower our serum, liver, and gut acetaldehyde levels.

Pepcid-Hair Loss????  I've not heard of this, but it may explain a few things. ;-)

I agree with you about the fact that we must be cognizant of the elevated levels of acetaldehyde.  I do worry a bit about the adverse effects.

638 (edited by KMan 2006-11-12 21:35:28)

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

The adverse effects of acetaldehyde are serious. There is now ample evidence showing a link between acetaldehyde and cancer. In a recent study, researchers concluded:  "Taken together, the observations from biochemical, epidemiological, and molecular studies, in conjunction with this study, well fit the scenario that acetaldehyde is a primary causative factor in alcohol-induced cancers."

Asian flushers have greatly elevated acetaldehyde levels after drinking.

Initially, it was suggested that pepcid would slow doen the breakdown of alcohol in your system, thus slowing down production of acetaldehyde. However, studies clearly show that subjects taking famotidine do NOT show elevated alcohol levels. I.e., the alcohol is not breaking down any more slowly. So how could pepcid, the H2 antagonist be working? Acetaldehyde affects histamine metabolism. It has been shown to increase histamine release and to slow histamine elmination. Histamine causes flushing.

So alcohol(Ethanol) breaks down to acetaldehyde, acetaldehyde stimulates histamine (and causes cancer), histamine causes flushing. Pepcid and other H1 or H2 blockers may just help by targeting the histamine. BUT that leaves acetaldehyde unaffected and still ravaging our bodies and causing cancer, just without the flushing.

So until we find for certain that these H1/H2 blockers actually reduce the acetaldehyde levels, we should still be very cautious. In fact, the evidence does suggest that pepcid won't reduce acetaldehyde levels. I know I may sound like a nag, but please be careful folks.

639 (edited by flushie 2006-11-14 19:57:13)

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

Hi all, I just got my Acid Reducer in the mail 2day, im gona try them out on sat night (big night out)
will post if it works..... its not Pepcid AC but its a generic Brand with 10mg of Famotidine the ones Dimples25 uses.. hopefully it works better than Zantac!!!

640

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

hey kman, i found a rather intersting article

http://www.annals.org/cgi/content/full/127/5/376#T1

have a read its interesting and might help you

641

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

wai wrote:

hey kman, i found a rather intersting article

http://www.annals.org/cgi/content/full/127/5/376#T1

have a read its interesting and might help you

Thanks for the article Wai. i am not sure how this article helps?

I think we can take it that the cause of acetaldehyde elevation is very well understood by now (the effect of the ADLH2*2 mutated allele is clearly explained in other posts). Nonetheless, it is good that some of you are reading up and learning about the intricacies of our condition.

What would be helpful is if anyone could find recent research to conclusive show how H1/H2 inhibitors affect the flushing syndrome.

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

hey all
does anyone know if you can buy famo or pepcid in dutyfrees??? or in fiji or rarotonga??

643

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

Sweetpea, you're going to Fiji?? Be careful in Suva mate. I hope things don't get worse while you're over there. (For those of you that don't know, Fiji is on the brink of yet another military coup...)

Famo in duty free? I've never seen it -- its a pharmacy medicine so I doubt it.

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

I only very recently discovered these types of discussion forums re. the asian blush and nearly hatched eggs (!) when I read that a little ol indigestion tablet could do the trick!!

Anyway, without wishing to ramble on, I thought I would share my experiences too as I've found the more detailed posts v.useful. 
Perhaps at this point, i should also mention that i am korean born but raised mostly in the UK, oh and  25 yr old female

After resigning myself to a lifetime of drinking in dark bars (highly recommend istanbul, the drinking places there are practically pitch black and you don't even have to leave the safe haven of the dark to go to the bar, as they have waiter service as the norm......italy on the other hand favours the unforgiving spotlight type decor which is not helpful to our cause at all!......i digress) I then discovered that having a vodka and coke roughly 2 hours before going out  would rid me of any serious flushing later.  I would still go v.pink (temperature of room, depending) but being a girl, this wasn't too hard to deal with. 

Then, whilst chatting to a friend about it, she suggested trying beta blockers, propanolol 40mg to be precise, and lent me a few to try out.
I thought it would be too good to be true to expect that I wouldn't go red at all but i then discovered that as long as i had my 'preparation' drink beforehand as usual and then took one of these 30-60mins before having another drink (normally the amount of time it takes to reach the drinking location anyway) i didn't have a second redness at all! woohoo! 

So this is generally what i've been doing for the last 3 years or so and it works for me as i usually only drink at the weekends on BIG nights out.  As a rule, i tend not to have a big meal before a drinking session, just a generous starchy lunch. 
Of course, this doesn't solve the more spontaneous, drink-after-work type problem so that, i guess, is where PEPCID comes in.....
And, most probably like most asian-flushees, i immediately sought out some pepcid ac max strength and found some through ebay (arrived within a matter of days) and gave it a whirl.
I've only tried it a few times now, having  a few drinks after work and (gasp) food too and found that it does reduce the redness quite well.  I'm still pink in the cheeks but, crucially, not red and therefore not really all that noticeable.
And for any girls out there, i also use a brilliant make up which covers the more flushed parts of my face and therefore leaves you feeling much less conscious.  It's actually a stage make up called CHARLES FOX: www.charlesfox.co.uk .  Just a tip, though, don't slather it on, as i have done in the past, the geisha look can be just as scary!! a little dab does the job nicely.
OK, enough of the make up stuff - it's not fair on the blokes!! But if any of you would like some other make up tips that i've used, then let me know, i'd be more than happy to share :)

Well, think it's time to round up this essay and conclude by saying watch this space. 
I'll be trying out the pepcid ac max strength this saturday and keep track of the effects/results.

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

tried pepcid 2 tablets bloody works but i still feel the heat on my face... very strange

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

Hi,

Great forum, lots of useful info on here. I was happy to find out about the flush just to know that it's a genetic defect and that I'm not actually cursed. :)

I will have to try Pepcid as soon as I can get my hands on some, but Zantac will have to suffice for immediate experimentation as it is readily available here. I'm a bit skeptical on how effective Zantac is as the general consensus seems to be that it doesn't work (or just delays the redness). Also I've seen people saying they get drunk easier when they used Zantac, which is not something I'm aiming for. If the Zantac doesn't work then I suppose ebaying some Pepcid will be my last resort.

I'm considering going to my GP to ask him for something with famo in it, but I'm not sure what to tell him. He's not my 'family' GP or anything but I prefer going to him when I'm really sick so if he flat out rejects my request for famo tabs then it's going to make things a bit awkward. Any tips on how I should approach him? He doesn't seem like one of these moral-high-ground docs and he's kinda youngish so hopefully he'll understand. I'm assuming being honest with him is the better route because if I try to fake heartburn he might give me something else, and then when I ask "Erm... have you got anything with famotidine in it?" he'll think I'm some kind of addict. :)

Any advice is appreciated.

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

Ok, tried the Zantac. I had something to eat at around 7:30, popped two Zantacs (150mg) at around 9:00, then started drinking at roundabout 10:00.

After my first bottle of Smirnoff Spin which took me about 30mins to down: slight redness, face feels warm, but nothing that I don't usually experience. My eyes are a bit itchy (from lack of sleep, not so much from the drinking) so I used some eyedrops.
Second bottle of SS: No real difference, face still feels warm and I can feel my brain giving off a very gentle throb. Again, this is nothing unusual from what I normally experience.

Took me about 1h30m to finish off two bottles of Smirnoff Spin, and the Zantac has reduced the redness but not completely eliminated it. I think the eyedrops made the biggest difference, as you don't look too smashed when your eyes are a soberly white. So, my advice would be to always carry around some drops with you if your eyes tend to get red, as bloodshot eyes are a dead giveaway, especially for me. This warmish glow isn't so bad, and it's something I could still face people with without being embarrassed. I'd call this colour "Calm Unripe Tomato".

The other downside is I still got the rapid heartbeat and slight tightness of the chest, and also the warm face. I still need to try some Pepcid, and hopefully that helps alleviate these other symptoms as well as the redness. Zantac is OK in my opinion, it does reduce the redness, but doesn't eliminate it completely. Maybe try the Zantac before you opt for the Pepcid. I think I could've got better results with the Zantac as I didn't have enough sleep last night, I didn't avoid dairy today, and I maybe drank my first drink quicker than I should have. I think what most of us need is something to help us through the initial redness, because after that wears off it's not so noticeable. The most important thing is that it did reduce the redness, and I didn't feel sick, or more drunk than I usually do. I actually feel like I could drink more if I wanted to.

And don't forget those eyedrops. Keeping those eyes white really does help. :)

648 (edited by KMan 2006-12-08 01:08:05)

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

Crimson wrote:

Ok, tried the Zantac. I had something to eat at around 7:30, popped two Zantacs (150mg) at around 9:00, then started drinking at roundabout 10:00.

After my first bottle of Smirnoff Spin which took me about 30mins to down: slight redness, face feels warm, but nothing that I don't usually experience. My eyes are a bit itchy (from lack of sleep, not so much from the drinking) so I used some eyedrops.
Second bottle of SS: No real difference, face still feels warm and I can feel my brain giving off a very gentle throb. Again, this is nothing unusual from what I normally experience.

Took me about 1h30m to finish off two bottles of Smirnoff Spin, and the Zantac has reduced the redness but not completely eliminated it. I think the eyedrops made the biggest difference, as you don't look too smashed when your eyes are a soberly white. So, my advice would be to always carry around some drops with you if your eyes tend to get red, as bloodshot eyes are a dead giveaway, especially for me. This warmish glow isn't so bad, and it's something I could still face people with without being embarrassed. I'd call this colour "Calm Unripe Tomato".

The other downside is I still got the rapid heartbeat and slight tightness of the chest, and also the warm face. I still need to try some Pepcid, and hopefully that helps alleviate these other symptoms as well as the redness. Zantac is OK in my opinion, it does reduce the redness, but doesn't eliminate it completely. Maybe try the Zantac before you opt for the Pepcid. I think I could've got better results with the Zantac as I didn't have enough sleep last night, I didn't avoid dairy today, and I maybe drank my first drink quicker than I should have. I think what most of us need is something to help us through the initial redness, because after that wears off it's not so noticeable. The most important thing is that it did reduce the redness, and I didn't feel sick, or more drunk than I usually do. I actually feel like I could drink more if I wanted to.

:)

Crimson, takign Zantac alone has been shown to be not very effective in tests. If you want to use Zantac, you have to use it in combination with Claritine. That's been shown to work by the researchers filing the patent mentioned in my earlier posts.
And don't forget those eyedrops. Keeping those eyes white really does help.

I have tried both combinations and for me, Zantac + Claritine actually works better than Pepcid. But Pepcid is often more convenient as I just have to pop 1 pill.

Btw, I am a hardcore flusher. Without the pills, I go super red at the first sip.

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

KMan, do you feel any drowsiness after taking the Zantac + Claritine combination?

Since Pepcid isn't sold here I'm more in favour of a Zantac + Claritine combo since both drugs are readily available here.

How many pills do you take of each for it to be effective?

Re: H2 Blockers (Tagamet, Pepcid, Zantac, Axid)

Crimson,
If you are gona use Zantac, i suggest taking it on an empty stomach (2 hours no eating) and wait for about 1 1/2 hours, then start drinking... i found this to help alot for me, hope it does for others. thats my 2 cents