julyn wrote on Dec 11th, 2010 at 5:50pm:Ok Sorry;
Verapamil
These effects are mediated by inhibition of calcium ion influx into smooth muscle cells of the arteriolar wall.
First I would note that : Arteriolar vasodilators are substances that preferentially dilate arterioles. When used on people with certain heart conditions, it causes a phenomenon known as the cardiac steal syndrome.
Arteriolar vasodilators include:
* hydralazine
* minoxidil
* nitroprusside
Which is not what a CH'er wants or needs we need vasoconstrictors such as O2, and this suggests there is no blockage/constriction but one is needed.Did you actually mean to say arteriole?If Verapamil acts as a calcium blocker...
Where is the blockage prior to the introduction of the Calcium blocker Verapamil? The need for a Calcium blocker would suggest there is no blockage there or that one is needed.julyn wrote on Dec 11th, 2010 at 5:50pm:Proton magnetic resonance studies have been utilized to demonstrate calcium binding to a neutral polypeptide containing only peptide functional groups,
Lithium
was first used in the nineteenth century as a treatment for gout after scientists discovered that, at least in the laboratory, lithium could dissolve uric acid crystals isolated from the kidneys.
Uric acid is more toxic to tissues than either xanthine or hypoxanthine
An unrelated proposed mechanism of action put forth at the University of Pennsylvania in 1996 posits that
lithium ion deactivates the GSK-3B enzyme.
The regulation of GSK-3B by lithium may affect the circadian clock, and recent research (Feb 2006) seems to support this conclusion. When GSK-3B is activated, the protein Bmal1 is unable to reset the "master clock" inside the brain; as a result, the body's natural cycle is disrupted. When the cycle is disrupted, the routine schedules of many functions (metabolism, sleep, body temperature) are disturbed. Lithium may thus restore normal brain function after it is disrupted in some people. The complete mechanism related to mood in this mechanism is not hypothesized.
And then there is this:Lithium carbonate has been found to be effective in treating chronic cluster headaches, possibly due to its ability to its impact on the electrical system within the brain.
Again per the Bold areas if Lithium is doing the Blocking/deactivating where is the prior blockage?
I could go on but after fighting two CH hits already today I am worn out!!
I will however leave you with this JulynCluster headaches have been classified as vascular headaches. The intense pain is caused by the dilation of blood vessels which creates pressure on the trigeminal nerve. While this process is the immediate cause of the pain, the etiology (underlying cause or causes) is not fully understood.
Dilation indicates WIDENING/OPENING not blockage or closing.