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Old 03-08-2005, 11:44 PM   #351
calibug
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Join Date: May 2004
Posts: 101
Re: Dry eyes....Help!

Does anyone know if they are still doing trials with a eyedrop (I think it is an eyedrop) called Inspire's INS365? I came across that drop when doing some research on androgens. Wondering if that eyedrop is still being tested or if they gave up on it.

Anyone with more news on diquafosol? Still don't really understand what that drop is suppose to help...the mucus layer or oil layer. Any takers??
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Old 03-09-2005, 04:03 AM   #352
dennis-sj
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Join Date: Jan 2005
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Re: Dry eyes....Help!

Calibug, they did experiments with DHEA eye drops in rabbits at Harvard. The eyedrops thinned out meibomian gland secretions and relieved evaporative dry eye. The experiments were short term, only two weeks long. They speculate longer term use could actually increase the quantity of secretions since the gland reacts very slowly to the hormones. DHEA eye drops are available by prescription but are extremely, extremely, pricey. They've also done the opposite, studied patients on finasteride, a DHT blocking compound. All of these patients, dozens, had mild to severe symptoms of dry eye after several months. The patients were on a very heavy dose of finasteride prescribed for prostate cancer patients. Allergan is expected to introduce an androgen compound for dry eyes in 2005 in Europe called Androgen Tears. Also, lack of androgen has been shown by researchers at USC, I think, to cause white blood cells to migrate to the lacrimal glands where they can cause inflammation. This leads to a disorder called Sojgren's Syndrome. Clearly male hormone deficiency is the key factor in many or most cases of dry eye. Currently 3/4 of dry eye sufferers are women (women have 1/3 less androgen), most are post-menopausal (androgen plummets after menopause), 70% of these had tried hormone replacement therapy. Of sufferers who are male most are older (androgen drops with age), or took medicine that blocked androgen like propecia, proscar, accutane, avodart. These findings only came about around 5 years ago so it takes awhile to get from the lab to the pharmacy.
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Old 03-09-2005, 01:38 PM   #353
ajneedhams
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Join Date: Jul 2004
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Re: Dry eyes....Help!

Hey Dennis!
You sound like you really have done some research on this stuff. I wanted your opinion..... for a woman like me suffering with meibomitis AND lacrimal deficiency, would going on the birth control pill (and one with a higher androgen level) help me?

Amy
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Old 03-09-2005, 02:42 PM   #354
dennis-sj
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Join Date: Jan 2005
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Re: Dry eyes....Help!

They found that the specific androgens that are most beneficial are DHT (the one that causes baldness) and androstenedione (the steroid bodybuilders take). If the birth control pill increases testosterone in your blood it will eventually break down into those above two which should help eye function. Of course androgens have all the negative effects too like thinning hair, aggression, lowered hdl cholesterol. I'm doing the DHEA short term. Maybe 90 days. It's an experiment and it seems to work. I would bet that the birth control pill has much lower levels of androgen than the DHEA tablets due to the fact that the drug maker probably doesn't want to expose the patient to (although they're great for eyes) what are dangerous levels of hormones. Also, I think estrogen and I think it is called progesterone are the dominant hormones in birth control pills. Since hormone replacement therapy contains estrogen and is linked with dry eye syndrome, one would think that birth control pills are a slight negative. Sorry for the rambling response, I just woke up. One last thing, experiments with DHEA capsules (not eyedrops) to relieve the predominantly lacrimal based Sojgren's Syndrome (autoimmune illness related to rheumatoid arthritis) did not produce significant dry eye relief however they did relieve the dry mouth also associated with this disease.

Last edited by dennis-sj; 03-09-2005 at 02:46 PM.
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Old 03-09-2005, 03:13 PM   #355
casinogal
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Join Date: Jan 2005
Location: Canada
Posts: 112
Re: Dry eyes....Help!

Quote:
Originally Posted by dennis-sj
They found that the specific androgens that are most beneficial are DHT (the one that causes baldness) and androstenedione (the steroid bodybuilders take). If the birth control pill increases testosterone in your blood it will eventually break down into those above two which should help eye function. Of course androgens have all the negative effects too like thinning hair, aggression, lowered hdl cholesterol. I'm doing the DHEA short term. Maybe 90 days. It's an experiment and it seems to work. I would bet that the birth control pill has much lower levels of androgen than the DHEA tablets due to the fact that the drug maker probably doesn't want to expose the patient to (although they're great for eyes) what are dangerous levels of hormones. Also, I think estrogen and I think it is called progesterone are the dominant hormones in birth control pills. Since hormone replacement therapy contains estrogen and is linked with dry eye syndrome, one would think that birth control pills are a slight negative. Sorry for the rambling response, I just woke up. One last thing, experiments with DHEA capsules (not eyedrops) to relieve the predominantly lacrimal based Sojgren's Syndrome (autoimmune illness related to rheumatoid arthritis) did not produce significant dry eye relief however they did relieve the dry mouth also associated with this disease.
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