Stop Fasciculation with Procaine

In my I noted dramatic cessation of after an intravenous MC. The MC was 1% . Given that I've taken all the nutrients in the MC in high supplementary oral doses during my strongest twitching period without effect, the one item I've not taken prior to the MC stands out as the leading candidate for my twitch allevation. And sure enough, there is published research showing that procaine is anti-fasciculatory. Note that lidocaine was found to be stronger.

This may be the first time this abstract has been made available online since the citation for it in PubMed does not include its abstract, as is the case with most older studies. So without further ado, please note that in 1968 Usubiaga and Standaert reported in



The effects of local anesthetics on motor nerve terminals. The effects of four local anesthetics, procaine, lidocaine, tetracaine and dibucaine, were studied on the soleus neuromuscular preparation of the cat in vivo. All local anesthetics injected i.a. or i.v. depressed the posttetanic potentiation of the soleus muscle and abolished the neural repetitive afterdischarge of the motor nerve terminals. In addition, local anesthetics modified the pattern of tetanic muscle contraction. Lidocaine was 1.5, tetracaine was 10 and dibucaine was 15 times more potent than procaine in depressing posttetanic potentiation. Recovery of posttetanic potentiation (PTP) was rapid following procaine and lidocaine, but it was prolonged after tetracaine and dibucaine administration. Since PTP and posttetanic repetitive activity are neural events and local anesthetics depressed them without depressing the transmission of single twitches, it is concluded that local anesthetics act by selective depression of the motor nerve terminal. The correlation between drug potencies for PTP suppression and local anesthetic potency for blocking conduction in peripheral nerves and the agreement between doses depressing PTP and those affecting central nervous system neurons also support a neural locus of action. The possibility of a postjunctional effect of local anesthetics is considered, but, according to the dose-response relationship, it only occurs after the injection of larger doses.
 
The next study abstract from Wikinski et al preceded Usubiaga & Standaert above. Wikinski et al found the anti-fasciculatroy effect of procaine and lidocaine and raised questions about the causal mechanics of such that Usubiaga & Standaert answered above:



PREVENTION OF SUCCINYLCHOLINE FASCICULATION WITH LOCAL ANESTHETICS.

Fasciculations secondary to succinylcholine injection were prevented in surgical patients by pretreatment with adequate doses of procaine and lidocaine. Lidocaine was more effective in equal dosage. The protective effect did not appear to depend on circulatory factors or inhibition of the plasma cholinesterase system. The site of action appears to be at the myoneural junction, suggesting an effect on the acetylcholine system and presynaptic membrane.
 
Here's a more recent study (1997) that's free online and that tested lidocaine (marketed as and shown to be better than procaine in the above studies) against fasciculations. It found the incidence of fasciculations was 40% in the -treated group, 30% in the lidocaine- and Atracurium-treated group, 85% in the lidocaine-treated group versus 100% among controls.

Please see: .
 
Given the above data, and given that my MC was 1% procaine (which given its volume suggests I had a massive dose), I think the best hypothesis for is that it was a result of procaine-induced motoneural calming. Frankly, this makes me question the cost of the MC treatment (over $100) given that the last study I cite suggests that a muscle relaxant is better than lidocaine, and lidocaine was shown to be better than procaine in the first two studies above. This also makes me more confident that I've not found a "cure" (like perhaps if I had a mineral deficiency and the MC cured it, which wouldn't even make sense since I've taken megavits & mins for years plus a good whole-food diet) and thus whatever my "BFS" actually is (and hopefully is just that), it's still waiting for me as soon as the calming drug wears off. :(

Oh well, be it cure or merely calmative, it's been nice to have a breather from 5 or 6 weeks of almost 24/7 !
 
If the twitching really isn't that bothersome why try to mask it? It's will simply reappear once the medication wears off. If all you have is twitching consider yourself lucky. If you suffer from muscle tightness/cramps it's a different story.

Swift_TaySwift20
 
Thats some good homework twitchOmatic.

Kudos

I'm with you; the twitching isn't going to kill me but it's annoying enough to try and find a cure.

Jeff

Once again; Good work.
 

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