Thursday, November 29, 2007

Valacyclovir treatment in EBV/CFS

Dr. Lerner discovered viral heart damage in CFS patients and recommends Holter monitor test results be part of the diagnostic process.

 

http://www.immunesupport.com/library/showarticle.cfm?id=8523&T=CFIDS_FM&B1=EM112807C

  Valacyclovir treatment in Epstein-Barr virus-subset Chronic Fatigue
  Syndrome: Thirty-six months follow-up - Source: In Vivo, Sep-Oct 2007

  by AM Lerner, et al.
  ImmuneSupport.com

  11-23-2007


  Background: We hypothesized that subset classification of Epstein-
  Barr virus (EBV) in chronic fatigue syndrome (CFS) is required.

  At first, a blinded-random placebo-controlled trial of valacyclovir
  in EBV CFS subset was performed (Group 1), and this EBV subset was
  followed for thirty-six months (Group 2).

  Patients were given valacyclovir at 14.3 mg/kg every 6 hours. The
  validated Energy Index (EI) point score assessing physical functional
  capacity, Holter monitor, multigated (radionuclide) MUGA rest/stress
  ventriculographic examination, EBV serum IgM viral capsid antibodies
  (VCA), and EBV early antigen diffuse (EA) were followed.

  n After six-months, Group 1 CFS patients receiving valacyclovir
  experienced an increased mean least square EI point score +1.12 units
  (122 kcal/day), while the placebo cohort increased +0.42 EI units (65
  kcal/day).

  n EI point scores at Group 2 increased progressively. Sinus
  tachycardias decreased and abnormal cardiac wall motion improved.
  Serum antibody titers to EBV VCA IgM decreased. Patients resumed
  normal activities.

  Source: In Vivo. 2007 Sep-Oct;21(5):707-13. PMID: 18019402, by Lerner
  AM, Beqaj SH, Deeter RG, Fitzgerald JT. Department of Medicine,
  William Beaumont Hospital, Royal Oak, MI, USA. [E-mail:
  amartinlerner@yahoo.com]


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