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For help and support with the guai protocol for FMS, please join the Guai-Support Group's discussion list and post your questions there.  I do not answer such questions privately, sorry.  Information about joining the group and managing your subscription can be found here.

 

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My Progress on Guaifenesin

Page 1

I purchased my first guai from Garden Pharmacy, London. It was the Caraco brand, which is a green 600mg sustained-released (long-acting) tablet, with lactose used as a filler. Garden Pharmacy's service was quick and efficient, and I have no hesitations in recommending them for purchases via the internet. (Note added 16 May 2003 - Garden Pharmacy are no longer able to supply guaifenesin for FMS.)

On 14 May 2002 I was mapped by my physiotherapist , and that night I started taking 300mg twice a day (one 600mg pill broken in two). After two days I began to feel very tired and a little unwell. This continued for a few days, and I thought it might be the first signs of cycling, but eventually I came to the conclusion that I actually had a bug of some sort. There were plenty of 'flu bugs going around a the time. Eventually, I decided I wasn't cycling.

On 24 May I increased my dose to 600mg twice daily (1,200mg total). It is supposed to be a week that you stay at that initial dose, but that bug confused me, so I took a little longer to decide if anything was, in fact, happening. I have noted things in my diary which may or may not have been cycling, things like a bit achy, a mouth ulcer turning up (which I've been getting all my life), my hands being more sore than usual (I have osteo-arthritis in them).

On 24 June I had a second map done . It showed some differences around the body, but generally a great consistency with the first map (confirming Lynne's skills as a mapper, in my opinion), and no improvement in the left thigh, which Dr St Amand says is normally the first region to clear. I increased my dose to 1,800mg daily; I chose to do 1200mg at night, 600mg in the morning, but I could have used any combination that suited me. Again over the month I've noted little things, but nothing that I could say 'YES! this is cycling'.

Throughout the whole time, from the first 300mg dose, my nose has run and I've sneezed heaps, mainly first and last thing in the day, an effect of the mucous-thinner.

On 22 July I had my third map done , and this is where things got a little confused. The map showed that my left thigh had broken into two distinct lumps, which I though meant I was cycling and I was on my way. I posted an email to the list to this effect, and started a huge discussion on whether or not the left thigh is supposed to clear completely in a month on the correct dose.

In the middle of this discussion I hooked up with one of the Guai Buddies (a service that Guai-Support Group used to offer to its members) privately, and we talked a lot about what was happening and the experiences the Buddies had put together. Donna also lives in the countryside, so she understood the difficulties I faced with having to go out and do farm-type work and not touch plants. We decided that I was very probably on my cycling dose, but I may have been blocking from too much contact with sals or I might not have been absorbing all the guai. It is quite possible that I am lactose intolerant, but right now I'm not prepared to go dairy-free to find out.

Meantime, I increased my dose to 2,400mg daily (1,200mg twice) on 12 August, still not certain exactly what was going on except that I hadn't cleared my left thigh within a month.

During this time, Jacqui and Megan were doing the work to have a local pharmacist make the capsules for us (see here for details), so I decided that the easiest thing to do was to change to the local product. There would be no question of dyes or fillers impeding absorbency with these capsules.

On 21 August I forgot to take my morning dose, or to take the evening dose with me to Auckland, as I knew I was going to be out for dinner that night before I went home. I decided that this was a good time to take a little break from guai before I switched to the new capsules.

Because we questioned my absorbency of the Caraco tablets, I dropped the dose down when I started the capsules, and on 24 August I started back on guai at 600mg twice daily. Again, I've not noticed a big increase in symptoms, just the occasional thing that may or may not be an indication of cycling.

What has changed for me is that I've now learned to map my left thigh so I can monitor my progress myself. I couldn't work it out to start with, couldn't find these bumps everyone talks about, so I asked Lynne, my physio, to check for me when I saw her one day. The only lumps she could find in either thigh was one near my left knee, otherwise both thighs were quite clear. No wonder I couldn't find anything :-).

Now, I've been talking to Donna about this, and that muscle near the knee isn't included in the muscles that should clear within a month, so that meant my thigh was clear! What we didn't know, because I'd changed my dose part-way, was whether it had been clear before I changed, and whether it would stay that way. I'm not sure myself right now, but I will be seeing Lynne for another map sometime in the next couple of weeks.

Update 05 October 2002:
I had another map done this week and Donna has confirmed for me that I am now clearing nicely, on half the dose I'd needed with Caraco.

Update 12 October 2002:
After offering my volunteer services to Tesa Marcon, owner of the Guai-Support Group (GG) list and website, I have been made a Guai Buddy (a service formerly offered by Guai-Support Group for private support to members of the group) with the added focus of Posting Mentor. This is an honour for me. I will be giving one-on-one guidance to members of the GG list.

Update 06 December 2002
A new map done today showing great progress! Now if I can just keep from blocking by touching all the grass around here! Its a constant problem that I'm working on.

Continued in "My Progress #2"

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