SUNIFIRAM TOXICITY REPORT
This is a critical user report of alleged sunifiram induced toxicity.
Doses: On Wednesday, the 29th of May 2013, I took sunifiram with armodafinil, modafinil, and phenylpiracetam. Only the sunifiram was new. The rest were taken by me together and several times with no problem whatsoever. Here is a an approximate log:
- 2 pm: 75 mg armodafinil
- 6 pm: 5 mg sunifiram
- 6:30 pm: 50 mg phenylpiracetam
- 7 pm: 50 mg modafinil
- 7:30 pm: 10 mg sunifiram
- 8 pm: 50 mg phenylpiracetam
The effective totals were 15 mg sunifiram (purchased from Liftmode), 100 mg R-modafinil, and 100 mg phenylpiracetam. Once again, note that the [ar]modafinil and phenylpiracetam were taken by me several times before, with no issue whatsoever. Even the 15 mg sunifiram was taken by me several times before in isolation, with no issue. The problem, however, was clearly with the combination. As it has been mentioned in this thread previously, sunifiram has a potentiation and a permanence effect to it. Remember now that sunifiram is an ampakine and an LTP inducer. Also remember that phenylpiracetam is alleged to have an ampakine effect.
Symptoms: I have experienced pressure and pain in my temples starting approximately 8 pm that night. This pressure and pain occur together. The severity of the pain varies from 0 to 5 out of 10. It comes and goes. Sometimes the pressure gets more severe, and this is followed by tinnitus. As of today, i.e. 5 days later, there has been no reduction in the symptoms whatsoever. Hospital staff did not notice an elevated cranial pressure, but this evaluation was done when I was temporarily symptom free. I have no past history of tinnitus, and this pressure and pain is unlike anything I have ever had in the past.
Failed treatments: Magnesium threonate and L-theanine seem to help a little, but very temporarily at best. Analgesic painkillers do not help at all. A Toradol (ketarolac) injection, which is supposed to be a very powerful painkiller, was applied by medical staff, with no real effect. Potassium, ethanol, or caffeine worsen the symptoms immediately.
Personal hypothesis: (1) Glutaminergic excitotoxicity via AMPA and possibly NMDA receptors, with these receptors being oversensitized or increased by sunifiram. (2) An LTP effect induced by sunifiram leading to permanence of sunifiram's effects.
Comments: Just one day later, but too late for me, it was duly noted by user lenses that this excitotoxicity could very well happen. On the same day, user deeptrance noted recovery from sunifiram's undesired effects, although I haven't been this lucky.
Recommendations: Do not risk using more than about 5 mg sunifiram stacked with other stimulants. Safer yet, do not mix it with other powerful stimulants or any ampakines at all. Revisit other prior cautionary notes as well.
Requests: I cannot go on living my life like this, and I need to fix this situation. Continued excitotoxicity will kill me slowly. I immediately need effective treatments I can use. I will be seeking professional help, but if you feel you have something useful to share, please respond here or via PM. It is uncertain whether the problem can fix itself or not, or how long this might take. Should I try strong AMPA and/or NMDA antagonists or negative allosteric modulators? What approaches should I look at? Which medical tests should I ask for to confirm or reject my hypothesis? Is there an alternate hypothesis I must consider?
Oh climatic, im sorry to hear that you had to go to the hospital, that must have been scary.
Well the first thing thing that popped into my head is some sort of NMDA receptor upregulation of the wrong type... it will cause major pain sensitivity. The tinnitus is a HUGE sign of that, ya know there are very sensitive NMDA receptors in the ear? .The tinnitus is from over-upregulated NMDA ear receptors.
I remember how sunifiram would make music sound SOOOOOO loud when I took it, and so quiet the day afterwards.Like freaky loud. Sunifiram does a lot to the NMDA me thinks.The head pain is probally from raised blood pressure/increased crainial blood flow from your mod/armo stack...
So what will help you, first off? You are responding to magnesium and ... The first line of treatment would be some NMDA antagonists (potent ones), memantine may help, I have no experience with it so I can't say for sure. If it doesn't clear up in a week, it may be time to break out the ketamine LOL
What does the alcohol do? Does it help even temporarily ? As soon as the alcohol started to clear from your system, I bet the symptoms got even worse.
I was gonna say noopept also, but it will probally only help half of the problem,and its still nootropicey...
I have an inkling that 2000+mgs of Trimethylglycine for a few days will really help... That would be my first line if I were in your shoes.If you responded to magnesium, TMG fits in the same site on the NMDA coreceptor (like zinc or magnesium or lead does...)and causes "cleaner" nmda function. Glycine will round those edges.
I promise you , you will recover, and you will feel better. I've been there too buddy.
Seriously though, go spend 10 bucks at the vitamin shop and try a big dose of TMG.If you responded to magnesium, TMG fits in the same site on the NMDA coreceptor (like zinc or magnesium or lead does...)
If you are working with a doctor, ask for a prescription for gabapentin. Its a widely prescribed, benign, Ca+ Channel blocker.It will REALLY help. You'll probally need to only dose for a week or so.
Are you still taking nootropics?
Edited by lenses, 07 June 2013 - 02:25 PM.