This is a cross-post. The original post was made on the main sunifiram thread. Below is the copy.SUNIFIRAM TOXICITY REPORTThis 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?
Edited by Climactic, 04 June 2013 - 07:31 AM.