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I would like to share this information with everyone. First, I w...

Posted at 2: 6 PM on Apr 02, 2008 by concernedcitizen, #29006
I would like to share this information with everyone. First, I would like to caution all that it does not prove anything regarding the negative side effect of Singulair but it does suggest that there might (only might) be a physiological cause for any side effect that could be attributed to brain function. A Chinese team has been studying the receptor (Cysteinyl leukotrienes receptor 1) that is targeted by Singulair and is responsible for the method of action that makes Singulair successful. Here is one of their studies. 1: Neurosci Lett. 2004 Jun 17;363(3):247-51. Links Expression of cysteinyl leukotriene receptor 1 in human traumatic brain injury and brain tumors.Zhang WP, Hu H, Zhang L, Ding W, Yao HT, Chen KD, Sheng WW, Chen Z, Wei EQ. Department of Pharmacology, School of Medicine, Zhejiang University, 353, Yan An Road, Hangzhou 310031, PR China. Cysteinyl leukotrienes (CysLTs) are potent proinflammatory mediators. CysLT receptor 1 (CysLT(1)) is one of the two CysLT receptors that has been cloned. Although the expression of CysLT(1) in the brain has been demonstrated by Northern blot and RT-PCR analyses, the location of CysLT(1) in the brain remains unknown. The objective of this study was to examine the distribution of CysLT(1) by immunohistochemical analysis in human brains with traumatic injury or tumors. CysLT(1) was expressed intensely in the microvascular endothelial cells in both normal and abnormal conditions. At 8 days after traumatic injury, microvascular regeneration was found and all of the endothelial cells highly expressed CysLT(1). In gray and white matters of the normal regions of the brain, CysLT(1) was expressed weekly or not at all. However, the CysLT(1) expression increased in the neuron- and glial-appearing cells in gray and white matters after traumatic brain injury. CysLT(1) was also detected in astrocytoma, ganglioglioma and metastatic adenocarcinoma, and the expression in the neuron- and glial-appearing cells around brain tumors increased robustly. PMID: 15182953 [PubMed - indexed for MEDLINE] Here is the relevant part of the study. "Although the expression of CysLT(1) in the brain has been demonstrated by Northern blot and RT-PCR analyses, the location of CysLT(1) in the brain remains unknown." That sentence says that these scientists believe that CysLT1 exists in the brain but they don't know what the location in the brain is. It is logical to assume that if a receptor exists in any part of the body that it has a function in other words it does something or tells some other part of the body to do something. So we don't know what part of the brain or what the receptor does in the brain or what the effect on the body is if the receptor does not do it's job. We do know that Singular (montelukast, Cysteinyl leukotriene receptor 1 antagonist) blocks this particular receptor so if the receptor exists in the brain that it COULD BE POSSIBLE that Singular prevents this receptor in the brain from doing it's job whatever that is. I know that it is difficult to argue with doctors. This drug has been around a long time. It would be difficult to understand why we are just learning about problems after so long a period of time. I can see from all of these responses that these problems are very real. Of course, we have no idea if Singulair is related or not. But if you need something supportive to show that it is not impossible for them to be related even though there is no proof that they are related, you could print this out and discuss it with your doctor. This isn't proof of anything but at least it might be a clue.
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Reply 5 months ago on Apr 02, 2008 by losthope18, #6496

All this info was a bit much for me to sift through. Although intelligent,
after my brain injury processing info can be and is a horrendous struggle.
Seemingly you have an understanding of the various studies, therefore may I ask what your opinion is of Singulair on an already somewhat atrophied brain, basal skull fx, and the trememdous worsening of existing the already existing symptoms and recent onset of tinnitus and hearing loss. I am a 50 year old female. Two major symptoms I was relieved to have escaped, (have all the other text book TBI problems) was tinnitus and heaing loss. The injury 22 years old, and after taking Singulair for a little over 3 years..
now, I present with LEFT EAR ONLY tinnitus (hissing - air out of my head type sound) and minor hearing loss. Right ear... perfect hearing and no tinnitus??
What do you think?
Thanks so much for your impressions...
losthope18

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Reply 5 months ago on Apr 02, 2008 by concernedcitizen, #6499

I would suggest that you print out my post and discuss it with your doctor. I don't know the reason why you take Singulair. But if you feel concerned, then definitely ask about getting a prescription for something else.

All of us will have to wait for the FDA to review Singulair.

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