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Medicines Lose Effectiveness In Space

An anonymous reader writes "Scientists at the Johnson Space Center have shown that the effectiveness of drugs declines more rapidly in space. Engineers are working on a project which could bring space travel to the general public but experiments suggest that the health hazards facing astronauts may be greater than previously thought. Astronauts on long space missions may not be able to take paracetamol to treat a headache or antibiotics to fight infection, a study has found. I wonder if diseases are also affected?"

116 comments

  1. Eveything in limbo... by Anonymous Coward · · Score: 0

    Maybe everything procrastinates in space.

  2. Funded by pharmaceutical companies ? by Anonymous Coward · · Score: 0

    Is this study funded by pharmaceutical companies ?

    1. Re:Funded by pharmaceutical companies ? by Anonymous Coward · · Score: 0

      From TFS:

      Scientists at the Johnson Space Center have shown that the effectiveness of drugs declines more rapidly in space.

      And for the ignorant, that's not Johnson as in Johnson & Johnson, it's Johnson as in Lydon B Johnson; it's a NASA facility.

    2. Re:Funded by pharmaceutical companies ? by nacturation · · Score: 1

      Is this study funded by pharmaceutical companies ?

      It must be. When NASA astronauts have a headache, they are prescribed paracetamol which cost millions of dollars to develop. Russian cosmonauts, when faced with the same problem, use a pencil.

      --
      Want to improve your Karma? Instead of "Post Anonymously", try the "Post Humously" option.
    3. Re:Funded by pharmaceutical companies ? by X0563511 · · Score: 1

      Yea, because willow bark tea is so high-tech.

      --
      For large sets, this will be our guide even unto death, for the LORD will work for each type of data it is applied to...
  3. Without a definite reason... by newcastlejon · · Score: 2

    From TFA:

    The research team investigated whether the unique environment of space - including radiation, excessive vibrations, microgravity, a carbon dioxide rich environment and variations in humidity and temperature - affected drugs' effectiveness.

    How about putting them in a box?

    Apart from radiation I don't see how the other environmental issues are unique to space.

    How would microgravity affect chemical compounds? We've known for a while about bone decalcification and muscle atrophy but I always ascribed such things to the fact that astronauts aren't standing on solid ground or exercising as they are on Earth. It's not as though the proteins and whatnot in their bodies are discombobulating while they're up there, is it?

    --
    If God forks the Universe every time you roll a die, he'd better have a damned good memory.
    1. Re:Without a definite reason... by cpghost · · Score: 3, Insightful

      How about putting them in a box?

      Exactly. And if microgravity is a problem (I fail to see how it could be), put that box in a small centrifuge to create constant 1g.

      --
      cpghost at Cordula's Web.
    2. Re:Without a definite reason... by Joce640k · · Score: 4, Funny

      That throbbing red circle you see on the TV adverts for pills actually becomes cone-shaped in space. This means the pill atoms are the wrong shape to be effective. Redesigning them would be prohibitively expensive even for NASA.

      Plus, they're very hard to swallow in microgravity.

      --
      No sig today...
    3. Re:Without a definite reason... by Anonymous Coward · · Score: 0

      I don't think Microgravity would be a problem as the quantum mechanics of atoms will work no matter where they are in this universe. (Except, perhaps, at a black hole)

    4. Re:Without a definite reason... by newcastlejon · · Score: 2

      Plus, they're very hard to swallow in microgravity.

      Fine, then take it intravenously, or as a suppository (seriously), or as drops under the tongue, or as a liquid suspension. There are a number of ways to make drugs as easy to take (in space) as eating/drinking anything else.

      --
      If God forks the Universe every time you roll a die, he'd better have a damned good memory.
    5. Re:Without a definite reason... by Luckyo · · Score: 2

      Intravenous has serious issues in space (controlling drops of blood, air in the tubes, etc).

      Suppositories could work, but I'm not closely familiar with them - granted we (as in humanity as a whole) do have expertise in Japan however where they are significantly more popular then in the rest of the world.

    6. Re:Without a definite reason... by Kurofuneparry · · Score: 1

      How would microgravity affect chemical compounds?

      We needn't think that microgravity affects chemical compounds to explain this. Many more gross physical quantities are often dominant in the effects of drugs. For example, bioavailability (absorption) of drugs can dominate with digoxin, aspirin etc. Thus changing GI motility is a big issue and could be affected by a lack of gravity. We STILL don't know how our GI tract separates gas from liquid and this could easily be gravity dependent.

      Other systems dependent on gravity include veins (the return of blood is gravity dependent especially in the legs) and lymphatic pumping (which is mainly motivated by eccentric/isometric or various contractions of the muscles that occur less in space. For many drugs the limiting factor is proper dispersal in the body (e.g. haloperidol, NSAIDS, antibiotics). Then again, I'm an idiot medical student.......

      --
      ...... and idiots rule the world....
    7. Re:Without a definite reason... by CharlyFoxtrot · · Score: 2

      In dutch a suppository is also know a "poepsnoepje" or "ass-candy." True story.

      Putting in a suppository would be really awkward in a place with little or no privacy and it seems to me like it would be a little difficult to perform in microgravity too, unless you're willing to have a colleague do it.

      --
      If all else fails, immortality can always be assured by spectacular error.
    8. Re:Without a definite reason... by ThunderBird89 · · Score: 2

      Plus, they're very hard to swallow in microgravity.

      No, they're not. Swallowing is not driven by gravity, but by the peristalsis of the smooth muscles in the throat. You can even swallow 'upwards' on Earth, but since you have gravity the muscles need to fight, it's going to feel kinda weird.

      --
      Hyperbole: I use it liberally!
    9. Re:Without a definite reason... by Anonymous Coward · · Score: 0

      Not to rain on anyone's parade, but parent looks like a troll post to anyone who really understands the subject. When you swallow something, it isn't gravity that takes it to your stomach - you have muscles which do that. Don't believe me? Tie a big knot on the end of a (digestable, non-toxic) string and swallow it. (Don't actually do this unless you seriously don't believe me.)

    10. Re:Without a definite reason... by Anonymous Coward · · Score: 0

      That throbbing red circle you see on the TV adverts for pills actually becomes cone-shaped in space. This means the pill atoms are the wrong shape to be effective. woosh!!

    11. Re:Without a definite reason... by ColdWetDog · · Score: 0

      NO! Bad Mods! Bad!

      When you mod a 'funny' post 'interesting' to give the poster some karma points, you do something else that has some serious unintended consequences:

      You give the wrong impression to certain, how shall I say it, very impressionable, persons. They think you're serious. Then they post silly things. It's so messy and unnecessary. Remember folks, Mod points are power! Use the wisely.

      Or leave them to the pros.

      --
      Faster! Faster! Faster would be better!
    12. Re:Without a definite reason... by Anonymous Coward · · Score: 1

      IV injection/infusion is do-able. I helped design and fly an experiment with a modified IV infusion pump (Imed Gemini PC-2) and specially modified IV bags and infusion sets (tubing) that demonstrated the procedures on STS-40 (Spacelab Life Sciences-1) and STS-47 (Spacelab-J).

      Administering sublingual liquids is much more dicey in microgravity.

      There's significant changes to physiology in microgravity, a lot of that associated with the short-term effects of fluid shift and excretion, and still other aspects caused or affected by long-term microgravity exposure (the fluid shift is complete in a week or so). There are changes in caloric requirements, bone demineralization, catabolysis, and other effects, all of which redefine "normal" in microgravity, and differentiate it from "normal" in a 1G field.

    13. Re:Without a definite reason... by ljw1004 · · Score: 2

      Well, yeah, the bones in their bodies are "discombobulating" while they're up there, just like they do here on earth. The issue is that the body rebuilds bone in proportion to how much stress is placed on it. There's less stress in microgravity, so the "rebuilding" rate constant is lower than on Earth.

      In general I'd see the whole human body as a great big bundle of equilibria between opposing processes. It sounds like Aristotelian philosopy but actually this "homeostasis" approach was the central theme of my 1998 medical textbook. Whenever one of the rate constants is altered a little, it's very possible that the body will go out of whack.

      It seems reasonable that microgravity could affect a whole bunch of rate constants to do with medicine absorbtion.

    14. Re:Without a definite reason... by mpe · · Score: 1

      Plus, they're very hard to swallow in microgravity.

      In which case you'd expect it to be hard to sallow anything in that environment. Which would pose some bigger problems than taking pills. Just as well that humans are mammals rather than birds :)

    15. Re:Without a definite reason... by SilverAlicorn · · Score: 1

      Somehow I think that if a team of astronauts is spending several months together in a cramped, hot, strange-smelling canister, eating together, sleeping together, working together, and going to the bathroom together, taking a suppository isn't a big deal.

    16. Re:Without a definite reason... by Zaphod+The+42nd · · Score: 1

      quantum mechanics is HARDLY the only physical property which applies to human biology...

      --
      GCS/MU/P d- s:- a-- C++++$ UL++ P+ L++ E+ W++ N o K- w--- O M+ V- PS+++ PE Y+ PGP t+ 5- X R++ tv+ b++ DI++ D++ G+ e++ h-
    17. Re:Without a definite reason... by Luckyo · · Score: 1

      Reads as "poop snoop" to those not too familiar with your messed up language. I love dutch :D.

    18. Re:Without a definite reason... by painandgreed · · Score: 1

      Exactly. And if microgravity is a problem (I fail to see how it could be), put that box in a small centrifuge to create constant 1g.

      Please explain to me how this would work. The point is for it to experience microgravity. How do you spin something so that it constantly counters the Earth's gravity? If the axis of rotation is perpendicular to the direction of g, you end up with 1.4g at 45 degrees off the axis of rotation. If the axis is in line with g then you end up with 0g at the top of the rotation and 2g at the bottom.

    19. Re:Without a definite reason... by Anonymous Coward · · Score: 0

      Comment was about putting the centrifuge in space to keep things at 1g, not on earth to approximate a microgravity environment.

    20. Re:Without a definite reason... by Anonymous Coward · · Score: 0

      You're a fucking idiot.

    21. Re:Without a definite reason... by Anonymous Coward · · Score: 0

      Exactly. And if microgravity is a problem (I fail to see how it could be), put that box in a small centrifuge to create constant 1g.

      Please explain to me how this would work. The point is for it to experience microgravity. How do you spin something so that it constantly counters the Earth's gravity? If the axis of rotation is perpendicular to the direction of g, you end up with 1.4g at 45 degrees off the axis of rotation. If the axis is in line with g then you end up with 0g at the top of the rotation and 2g at the bottom.

      you are dumb as shit

    22. Re:Without a definite reason... by KingBenny · · Score: 0

      poop candy ? i think dutch is more limited than english, i think it even has fewer words than english and words are as they are a very limited means of communication, formed by a very limited number of combinations. It takes a lot of words to describe one single concept or symbol or idea, its a waste of time but sadly i dont know the formula on how to create the new breed of telepaths. But what i wanted to say : i think awkward is the least of your concern if you are on a 'deep'-space mission and you get the choice between being sick or putting a jello bit up your arse to make it better. As stated above i think these people would be very much used to having little privacy (except for the recreational hour on the holodeck ofcourse ...)

      --
      Free speech was meant to be free for all... how can anyone grow up in a nanny state ?
  4. Because I did not RTFA... by ittybad · · Score: 0

    With no medical background, no research performed (not even a simple Google search), and not even reading the article: In my expert opinion, I believe that perhaps it has something to do with circulation. Gravity may be a crucial element to our circulatory systems and our circulatory systems are important for medication distribution in our bodies.

    --
    No single raindrop believes it is to blame for the flood.
    1. Re:Because I did not RTFA... by Kilrah_il · · Score: 1

      i thought it was implied in the summary, but to make sure I read TFA and just as I thought: the article refers to degradation of drugs in storage, not to being less effective in the body. So, your theory, while nice, is irrelevant in this case.

      --
      Whenever in an argument, remember this.
  5. what about low Gravity like the moon and mars? by Joe+The+Dragon · · Score: 1

    what about low Gravity like the moon and mars?

    this may make having people there long term alot harder.

    1. Re:what about low Gravity like the moon and mars? by skywatcher2501 · · Score: 1

      And what about artificial gravity? Would it undo these effects, or is there another factor I've overlooked?

  6. Hahaha Hohoho by no-body · · Score: 0

    This joke makes my day: "General Public" - Pffffff!

  7. space tourists by Cyko_01 · · Score: 1

    space tourism is will supposedly become a reality in the next few years thanks to sir richard branson and virgin galactic. What about those people who are on anti-psychotics, mood stabilizers, anti-depressants, ritalin, etc? Will they be banned for the protection of the spacecraft, themselves, and everyone in it? Considering how many people are on medication these days, I suspect this would significantly restrict the number of eligible passengers

    1. Re:space tourists by skywatcher2501 · · Score: 1

      It will probably depend on how long they'll stay up there. Virgin Galactic plans are only for a few minutes of weightlessness.

    2. Re:space tourists by Locke2005 · · Score: 1

      Only a few minutes of zero G? What if my wife and I take longer than that to, uh, "complete our mission"?

      --
      I've abandoned my search for truth; now I'm just looking for some useful delusions.
    3. Re:space tourists by Anonymous Coward · · Score: 0

      Only a few minutes of zero G? What if my wife and I take longer than that to, uh, "complete our mission"?

      Don't worry they have a pill for tha.....oh, wait.

  8. Paracetamol = Acetaminophen (Tylenol) by Anonymous Coward · · Score: 2, Informative

    For those of us wondering, here in the United States.

    1. Re:Paracetamol = Acetaminophen (Tylenol) by MobileTatsu-NJG · · Score: 1

      For those of us wondering, here in the United States.

      Thanks. I already worked that out when it said 'to treat a headache'. I also don't complain about typos for the same reason.

      --

      "I like to lick butts!" by MobileTatsu-NJG (#32700246) (Score:5, Informative)

    2. Re:Paracetamol = Acetaminophen (Tylenol) by Anonymous Coward · · Score: 0

      if you're over the age of 30 an aren't sure what APAP is you should probably take a month or so off an read some books.

    3. Re:Paracetamol = Acetaminophen (Tylenol) by Anonymous Coward · · Score: 0

      Well, something 'to treat a headache' could have been ibuprofen, aspirin, acetaminophen, aspirin, naproxin sodium, caffeine, etc, etc. Personally, I always use ibuprofen, because acetaminophen doesn't really do much for me.

  9. News? by seven+of+five · · Score: 1

    With 50 years of manned spaceflight, presumably carefully watched-over by physicians, how could this possibly be news?

    1. Re:News? by hitmark · · Score: 1

      First response when presented with a long term health issue, put the patient on the first available returning transport?

      Not so much a option if one is halfway between Earth and Mars...

      --
      comment first, facts later. http://chem.tufts.edu/AnswersInScience/RelativityofWrong.htm
    2. Re:News? by Kurofuneparry · · Score: 1

      The job of NASA's physicians was to not allow astronauts into space if they were at all unhealthy. Even a suspicion of a coming flu was enough to ground an astronaut from a mission they'd spent years preparing for. Thus, medication has rarely been required in space and tests in space have always been limited and expensive. Then again.... I'm an idiot.....

      --
      ...... and idiots rule the world....
  10. BUT THEN YoU CAN'T HEAR THEM SCREAM EITHER !! by Anonymous Coward · · Score: 0

    So it's a draw. After all, if you can't hear them scream, who cares if they die a horrible death because the flesh-eating microbes just ate the gonads ??

  11. Paracetamol tablets? by Securityemo · · Score: 1

    If we're talking about those little white pills, they're basically just a solid mix of medicine and some sort of binder usually packed in one of those foil/plastic packages that at least looks to be airtight, right? So logically it must be radiation, but how could you easily shield against the kind of radiation that would penetrate into the station's interior? Medicine storage crates with thick lead lining?

    --
    Emotions! In your brain!
    1. Re:Paracetamol tablets? by hitmark · · Score: 2

      One thing to keep in mind is that the same chemical protein have different effects depending on how it is folded...

      --
      comment first, facts later. http://chem.tufts.edu/AnswersInScience/RelativityofWrong.htm
    2. Re:Paracetamol tablets? by Anonymous Coward · · Score: 0

      Spacecraft traditionally have surprisingly low radiation shielding, as do even the highest flying planes. this is due to the weight cost of the shielding, the risk is not too high as you get a relativity low dose but it is an issue, especially for cabin crew going on regular on transatlantic flight. For this reason the ISS is beneath the earth's magnetic protection and actually grasses the top of the atmosphere. This is not a solution that can be used on a Mars trip although I have herd of suggestions I do not know enough to judge their practicality.

    3. Re:Paracetamol tablets? by Anonymous Coward · · Score: 0

      Tech note: paracetamol is known in the US as acetaminophen, that is, Tylenol.
      The drug has two generic names, for some odd reason.

    4. Re:Paracetamol tablets? by Securityemo · · Score: 1

      Microgravity can cause proteins to fold differently? Or radiation? I thought radiation just "smashed" protein chains.

      --
      Emotions! In your brain!
    5. Re:Paracetamol tablets? by Kurofuneparry · · Score: 2

      As I responded elsewhere in the comments:

      We needn't think that microgravity affects chemical compounds to explain this. Many more gross physical quantities are often dominant in the effects of drugs. For example, bioavailability (absorption) of drugs can dominate with digoxin, aspirin etc. Thus changing GI motility is a big issue and could be affected by a lack of gravity. We STILL don't know how our GI tract separates gas from liquid and this could easily be gravity dependent.

      Other systems dependent on gravity include veins (the return of blood is gravity dependent especially in the legs) and lymphatic pumping (which is mainly motivated by eccentric/isometric or various contractions of the muscles that occur less in space. For many drugs the limiting factor is proper dispersal in the body (e.g. haloperidol, NSAIDS, antibiotics). Then again, I'm an idiot medical student.......

      --
      ...... and idiots rule the world....
    6. Re:Paracetamol tablets? by Securityemo · · Score: 1

      I only have HS equivalent chemistry/biology knowledge, but I can see how the mechanics of the body could affect medicine dispersal/absorption. But it does not matter in this case since they sent the medicine back to earth before testing. I don't know what the word "potency" means in this case, but even if they did test them on people/animals it wouldn't have mattered.

      --
      Emotions! In your brain!
    7. Re:Paracetamol tablets? by Anonymous Coward · · Score: 0

      You may only be a medical student but this is a good set of explanations. There's more to it, but there's litle solid information unless you can track down some of the work by John Charles, or Carolyn Huntoon.

    8. Re:Paracetamol tablets? by hitmark · · Score: 1

      just saying that things that look the same chemically can behave differently for non-chemical reasons.

      --
      comment first, facts later. http://chem.tufts.edu/AnswersInScience/RelativityofWrong.htm
  12. So what? by michelcolman · · Score: 1

    If you're going on a long space trip, what are you going to get sick from? If everyone on board is still healthy after a week or so, you're all set. Outer space contains far less microbes and viruses than the typical earthly supermarket, afaik.

    1. Re:So what? by peragrin · · Score: 1

      a contaminated food supply? poor filtration in the drinking water?If it is a long voyage tehn growing your own food also comes with it's own problems.

      --
      i thought once I was found, but it was only a dream.
    2. Re:So what? by Anonymous Coward · · Score: 0

      Not all diseases are contagious. What if someone develops a thyroid issue and needs levothyroxine. Perhaps their blood sugar starts rising and they need metformin or insulin? What about blood pressure?

      Most medications are maintenance meds; not to treat contagious diseases.

    3. Re:So what? by bill_mcgonigle · · Score: 1

      Not all diseases are contagious. What if someone develops a thyroid issue and needs levothyroxine. Perhaps their blood sugar starts rising and they need metformin or insulin? What about blood pressure?

      When every gram of cargo needs to be budgeted for, with our current level of technology, getting people out into space who will develop these conditions can only be seen as a failure of the screening process. Unfortunately for some of us would-be space adventurers, there are enough near-perfect humans who are qualified and eager to be astronauts.

      If this still happened anyway, we'd probably carve out some space for the meds on the first re-supply ship, but it seems very doubtful we'd send more than the bare necessities on the initial voyage.

      --
      My God, it's Full of Source!
      OUTSIDE_IP=$(dig +short my.ip @outsideip.net)
    4. Re:So what? by GPSguy · · Score: 2

      Um... but such changes CAN occur. One of the developments for the Crew Healthcare System included the ability to use available water supplies from stored, or recycled water, to make intravenous solutions, using fluid concentrates (we tried, but the powdered chemicals just don't disolve well and have to be manipulated). The system used a multiple-component water pass-through purification system to prodce at least 50 Mohm water that had also been subjected to ultrafiltration, to assure cellular contaminents such as endotoxins were removed. The system did not use high pressure or heat sterilization, and was demonstrated to meet US FDA and USP standards for ultrapure water for injection, and intravenous fluids.

      Water reuse for long-duration spaceflight missions is already achievable, with only the stigma of using recycled water for drinking and medical uses remaining as a potential problem. The processed water is considerably cleaner than anything you'll drink in a conventional water supply, and certainly better than the tap water at Cape Kennedy.

      --
      Never ascribe to malice that which can adequately be explained by tenure.
    5. Re:So what? by Muad'Dave · · Score: 1

      You can get awfully ill if your or someone else's gut flora makes it into your stomach (or eye, ...). Just because astronauts seem sterile on the outside after a few weeks it doesn't mean they're sterile inside. Add microgravity to that, and the odds of ingesting feces go way up.

      --
      Tiller's Rule: Never use a word in written form that you've only heard and never read. You will end up looking foolish.
  13. Re:Hahaha Hohoho by Anonymous Coward · · Score: 0

    General Public, Major Disaster, Corporal Punishment, Ensign Nada, Captain Obvious, Private Parts, Commander Taco - they're all pretty funny. Oh, wait - you meant something else?

  14. Treat Infection? by Haedrian · · Score: 1

    You're in space. If you haven't gotten the infection before you came on, you're not going to get sick from the microbes in space. You're pretty much in a quarantined area.

    Granted if you have say heart problems you might need your pills, but otherwise there's no real bacteria to worry about.

    1. Re:Treat Infection? by Kurofuneparry · · Score: 3, Informative

      If you haven't gotten the infection before you came on, you're not going to get sick from the microbes in space.

      This is not true. From a relevant Wikipedia article: The human body, consisting of about 100 trillion cells, carries about ten times as many microorganisms in the intestines. Any of this including the most benign cyanobacteria can lead to major infection. In fact, not taking in sufficient bacteria from the environment can be a cause of disease. It's an old disproved myth that "Avoiding illness is as simple as avoiding microbes."

      Additionally, this doesn't account for latent diseases like herpes and many other viruses. Then again ..... I'm an idiot in medical school ......

      --
      ...... and idiots rule the world....
  15. Re: I wonder if diseases are also affected? by Jessified · · Score: 4, Informative

    A: At least one is.

    Salmonella in Space Get Even Nastier
    http://www.space.com/6481-salmonella-space-nastier.html

  16. Here is another reason by burni2 · · Score: 1

    - highly sophisticated filtering systems | CO2 recylcing | UV-light ( for killing germs ) | water treatment ( preventing water from getting brackish)
    by this -> a decline or thinning out of the variaty of germs

    recent research indicates that having a cleaned/near sterile living area makes people more susceptible to allergy, perhaps similar effects happen could happen
    in space also ..

    - biological experiments conducted in space ( bacterial cultures )

  17. Re: I wonder if diseases are also affected? by migla · · Score: 1

    I will purposefully refrain from reading the article you linked to, so that I can put forth the image of vomit and sudden outbursts of diarrhea being nastier in zero gravity.

    --
    Some of my favourite people are from th US; Vonnegut, Chomsky, Bill Hicks.
  18. Re: I wonder if diseases are also affected? by Jessified · · Score: 1

    And that makes me think of the wet burp:

    Space Beer Reaches for Final Frontier
    http://news.discovery.com/space/space-beer-reaches-final-frontier-110303.html

    Surely any beer can be consumed in space, right? Wrong. Not only would the launch costs be astronomical to get a crate of Stella into orbit, it's a physical impracticality to consume any carbonated beverage in space.

    Why? Zero-G has a rather nasty side effect of the "wet burp" phenomenon.

    Think about it, what happens when you swallow a mouthful of beer on Earth? It goes down your throat and sits in your stomach. Gravity ensures the fluid stays in your stomach, allowing the carbon dioxide bubbles to expand and rise to the top of the fluid. You can then sit back and let out an impressive burp to impress your friends as the carbon dioxide is vented out of your mouth.

    Now try doing that in space.

    There's little gravity to keep the fluid in your stomach, but you still need to vent that carbon dioxide that is expanding inside your belly. You try to burp.... but you end up venting the carbon dioxide, beer, and whatever else was inside your stomach through your mouth and nose. This, my friends, is called a "wet burp"; an explosive near-vomit experience guaranteed to gross out anyone who has the misfortune to be floating around with you.

  19. Gravity Does Matter by cychem1 · · Score: 2

    Radiation and other such environmental factor certainly would affect the "shelf life" and effectiveness of all molecular compounds., so in this case packaging and storage would have to be controlled. Apart from these concerns the way molecules travel through the GI tract, the blood stream , the blood brain barrier and in fact all cells is most likely affected by gravity, so that micro gravity certainly would cause these factors to be different and likely produce unpredictable results. It should also be noted that drug metabolism and cell signaling pathways are also likely affected by microgravity and increased CO2 levels.

    The simple answer is that we just don't know because the data set is very limited. The real solution would be to do more research in these environments because it is just as likely that while negative effects may be observed positive beneficial results are just as likely and may lead to a new and fundamentally different understanding of drug and cellular function.

    1. Re:Gravity Does Matter by Locke2005 · · Score: 1

      If it's affecting the shelf life of medicine, isn't it also affecting the shelf life of human beings? I'd be a lot more concerned about the latter than the former.

      --
      I've abandoned my search for truth; now I'm just looking for some useful delusions.
  20. Paracetamol effective? for what? by zippthorne · · Score: 1

    perhaps they should re-evaluate the effectiveness of Paracetamol on earth first.. That crap has never done squat for any of my headaches ever*. Curse the Reye Syndrome scare of my childhood making my parents think that Tylenol was the only safe pain reliever when I was a kid. Safe, perhaps, but useless. Also, from what I've read.. It's really not that safe, either...

    *yes, I realize this has a sample size of one person (though many headaches...). Can anyone say it's worked for them?

    --
    Can you be Even More Awesome?!
    1. Re:Paracetamol effective? for what? by McTickles · · Score: 0

      Paracetamol is the only thing that ever did anything to me.

      Ibuprofen is worthless to me, it doesn't do anything but make my guts bleed.

      When I think some idiots rave about how good ibuprofen is, to me it is quite junk.

    2. Re:Paracetamol effective? for what? by vorpal22 · · Score: 1

      It works for me, and not only does it work, but it's the only common non-prescription pain reliever that I can take due to the fact that I have Crohn's Disease. Ibuprofen and ASA are both known to increase the likelihood of Crohn's flareups and cause issues in Crohn's sufferers.

      Furthermore, I went through a period where I was extremely ill and bed-ridden for about three years. Many days I had fevers of 102-104F. Tylenol brought it down to a much less incapacitating 100-101F. If I have a headache, 600 mg of acetaminophen / paracetamol is enough, generally, to get rid of it completely for me.

      I would much rather take oxycodone / hydromorphone / something similar :D, but for day to day minor pain and fever, acetaminophen works very well for me.

    3. Re:Paracetamol effective? for what? by tbird81 · · Score: 1

      Make sure you take paracetamol regularly. Two tabs (2x500mg) four times per day.

      The mistake people make with Panadol/Tylenol is that they wait til they're really sore, then take a table and complain it doesn't work. It's not going to completely get rid of your pain, but it might take the "edge" off it. It's immensely safer than NSAIDs and fewer side effects that opioids, show you should make sure you're getting a full dose before stepping up to another medicine.

      If you get migraines, then there may be other tablets that help better than the stand pain relievers.

    4. Re:Paracetamol effective? for what? by khr · · Score: 1

      Make sure you take paracetamol regularly. Two tabs (2x500mg) four times per day.

      Isn't that pushing the safe limit, 4000mg per day "regularly"?

      When my migraines get bad I do that for a while, but of course it does nothing for the migraines... It only really works to accelerate the tail end of a migraine... For the last month or so I've just been taking one pill of 250mg paracetamol, 250mg aspirin and 65mg caffeine every morning and that's mostly working. If yesterday was an indication, it's probably the caffeine doing most of it, since I skipped the pill but had a bottle of Manhattan Special espresso soda...

      The best thing I found for a migraine was back in college, a dose of lysergic acid diethylamide. The upside was the migraines were gone quickly, the downside was, so was productivity for the next 12 hours...

    5. Re:Paracetamol effective? for what? by Carnildo · · Score: 1

      It's immensely safer than NSAIDs

      For certain values of "safer", yes. Side effects are less common and less severe, but the gap between "clinical dose" and "overdose" is much smaller, overdose symptoms during the first 24 hours (when treatment is most effective) are often nonexistent, and the impact of an overdose is more severe.

      --
      "They redundantly repeated themselves over and over again incessantly without end ad infinitum" -- ibid.
    6. Re:Paracetamol effective? for what? by zippthorne · · Score: 1

      It's immensely safer than NSAIDs and fewer side effects that opioids

      Well, sure. As long as you weren't using your liver for anything...

      --
      Can you be Even More Awesome?!
  21. No paracetamol? by Ossifer · · Score: 2

    Ok, then just take acetaminophen instead!

  22. I Really Hope Their Doing Ground Control Tests by Anonymous Coward · · Score: 0

    Rather than just comparing to published results or data shared with the government by FDA studies and the like.

  23. I pity the foolish microbes that ate their balls by Dogtanian · · Score: 0

    So it's a draw. After all, if you can't hear them scream, who cares if they die a horrible death because the flesh-eating microbes just ate the gonads ??

    If there's going to be any ball-eating, Mr. T is going to be the one to do it.

    --
    "Slashdot - News and Chat Sites Deviant". (Click "homepage" link above for details).
  24. Paracetamol ? by Gothmolly · · Score: 1

    We get it, you're european. Very trendy. Couldn't you have just said "aspirin" ?

    --
    I want to delete my account but Slashdot doesn't allow it.
    1. Re:Paracetamol ? by Zapotek · · Score: 1

      Why would they? They're the British BBC, Paracetamol is far more common in the UK than any other over the counter analgesic; do you think they care about an American (I'm guessing) Slashdoter's inferiority complex?

      (I realise I didn't contribute anything pertinent to the discussion but I couldn't help myself.)

    2. Re:Paracetamol ? by McTickles · · Score: 0

      Acetaminophen is the american name for paracetamol (the international name)

    3. Re:Paracetamol ? by Anonymous Coward · · Score: 0

      Paracetamol is acetaminophen (Tylenol), not acetylsalicylic acid (Aspirin).

    4. Re:Paracetamol ? by Anonymous Coward · · Score: 0

      also they're not the same thing. paracetamol is also the standard description for acetomenophen in australia. whereas aspirin is the generic name for diacetylsalicylic acid

    5. Re:Paracetamol ? by Anonymous Coward · · Score: 0

      We get it, you're european. Very trendy. Couldn't you have just said "aspirin" ?

      He couldn't have said aspirin instead of Paracetamol as they're different things. Paracetamol is acetaminophen, not aspirin. Thus the dreadful joke "Why is there no aspirin in the jungle?" "Because paracetamol.", and the better one by Ossifer above.

    6. Re:Paracetamol ? by Anonymous Coward · · Score: 0

      Because... It's not the same thing? Aspirin is C9H8O4 and paracetamol C8H9O4 . But if you want we can use the american name: acetaminophen. Way better...

    7. Re:Paracetamol ? by Anonymous Coward · · Score: 0

      They could, but then they'd be WRONG. Paracetamol = Acetaminophen. Very much not the same thing as aspirin

    8. Re:Paracetamol ? by Anonymous Coward · · Score: 0

      Tylenol/acetaminophen, not aspirin.

    9. Re:Paracetamol ? by JonySuede · · Score: 1

      because it is Tylenol !

      --
      Jehovah be praised, Oracle was not selected
    10. Re:Paracetamol ? by Anonymous Coward · · Score: 0

      Paracetamol (or acetaminophen) has nothing to do with aspirin.

    11. Re:Paracetamol ? by Tranzistors · · Score: 1

      Yeah, except those two are two different things.

    12. Re:Paracetamol ? by Anonymous Coward · · Score: 0

      goddamnit.

      paracetamol is APAP which is acetaminophen. NOT aspirin.

    13. Re:Paracetamol ? by Anonymous Coward · · Score: 0

      We get it, you're european. Very trendy. Couldn't you have just said "aspirin" ?

      Paracetamol is called Acetaminophen in the US. Aspirin is a different drug, and it can be dangerous to get the two confused.

    14. Re:Paracetamol ? by tbird81 · · Score: 1

      Paracetamol isn't aspirin! Don't make silly mistakes like that!

      Paracetamol is the same as acetaminophen. The major brand in the US is Tylenol, the major brand outside of US is Panadol.

      For whatever reason, they chose to abbreviate a generic name from the compound slightly differently: para-acetylaminophenol and para-acetylaminophenol.

    15. Re:Paracetamol ? by Anonymous Coward · · Score: 0

      Its called paracetamol because its the International Nonproprietary Name for the said pharmaceutical substance.

  25. The old standbye by flyneye · · Score: 2

    Give 'em a tube of chicken soup, they'll be alright.
    Give em a marijuana brownie for anything not covered by the soup.
    Quit worrying about it.

    --
    *Repent!Quit Your Job!Slack Off!The World Ends Tomorrow and You May Die!
    1. Re:The old standbye by EnsilZah · · Score: 1

      Or just tell them to space-walk it off.

    2. Re:The old standbye by flyneye · · Score: 1

      Yeah, the sissy-pants! In our day we had to take the helmet off in mid walk just to clear the dust off the screen before anti static cover. I bet the lil girls would complain about a little decompression. No wonder the Russkies beat us going up. They did it on baling wire , duct tape and a tin can and landed on their asses in Siberia instead of a cozy girlie splash down. :P

      --
      *Repent!Quit Your Job!Slack Off!The World Ends Tomorrow and You May Die!
  26. Question: by Locke2005 · · Score: 1

    Who exactly are astronauts in space going to contract an infection from? How did Captain James T. Kirk solve the problem of space-acquired STDs?

    --
    I've abandoned my search for truth; now I'm just looking for some useful delusions.
    1. Re:Question: by GPSguy · · Score: 2

      While I can't speak to Kirk's problems, the Shuttle isn't a sterile environment. It is kept as clean as possible, mainly because they don't want any more particulate contamination to fly, and get circulated in microgravity than necessary, but you can't get rid of all of it, Historically, on Shuttle, they set up a fan between Middeck and Flight Deck, in the starboard access area, and used a filter on the inlet side. It captured fine particulate matter... and pens, etc., that were dropped or otherwise lost by the crew on-orbit. It all ended up, eventually, in the filter.

      Also, while there's a 2-week quarantine period preflight, there are SOME diseases where the incubation period is longer than that. In those cases, isolating the crew for 2 weeks wouldn't catch the problem.

      --
      Never ascribe to malice that which can adequately be explained by tenure.
  27. Re: I wonder if diseases are also affected? by Locke2005 · · Score: 0

    So you're saying tequila and Mexican food should probably be banned in space?

    --
    I've abandoned my search for truth; now I'm just looking for some useful delusions.
  28. Russia have most experience in long stays in Space by Anonymous Coward · · Score: 0

    Using medicines in Space have more issues, not mentioned in this article - in Space there is relatively closed water cycle. If one of the Cosmonauts/Astronauts is taking medicines, soon or later the others will start to take it too. At least in the past, Russians have experimented with (considered controversial by the official science today) a kind of electro-puncture. The one of the known devices is called Scenar (most of the information comes from commercial sites, but take a look here - http://www.alternative-doctor.com/specials/scenar.htm)

  29. Re: I wonder if diseases are also affected? by GPSguy · · Score: 1

    Yes. Some bacteria become mor virulent when incubated in a microgravity environment.

    --
    Never ascribe to malice that which can adequately be explained by tenure.
  30. Radiation by sm4096 · · Score: 0

    Could it be radiation that is affecting the body and causing it to operate in a state where the drugs have not been built for?

  31. Re:Russia have most experience in long stays in Sp by GPSguy · · Score: 1

    A lot of the Russian experience, at least when I was active in Space Station stuff and the Russians were still flying Mir, had small populations, n=1-5. You cannot draw significant conclusions very easily from samples that small.

    Electrophoresis is a reasonable drug delivery system for SOME agents, but not all.

    --
    Never ascribe to malice that which can adequately be explained by tenure.
  32. eugenetic 'vaccines' still killing 1000's per day by Anonymous Coward · · Score: 0

    talk about effective? of course, how many space based deaths remains unproven. the good news, & there always is some, is that our enemies think that any vaccine, is a good vaccine, so they drink the stuff like water. also, we're finding that when the poor mommies come in for their narcotics prescriptions, if they are given 100$, they will let the druggist inject all the babies they have with whoknoswhat(patentdead) chemicals of mass reduction. so that takes care of that.

  33. some take 'there can be only one' too seriously by Anonymous Coward · · Score: 0

    they do at that.

  34. A grave issue indeed by macraig · · Score: 1

    So what are they saying, that gravity is actually the best antibiotic? In that case, we should all move to Jupiter.

  35. They're not airtight by Anonymous Coward · · Score: 0

    They're not airtight, exactly. Water can get in through the plastic section of the blister and degrade the drug even under Earth storage conditions: there's a reason why nicorandil has a desiccant included in its blister pack, and Persantin (dipyridamol/aspirin) can't be packaged in blisters (it has a 6-week shelf life even with its desiccant packaging).

    The only reason that isn't regarded as a problem on Earth is most drugs aren't prone enough to hydrolysis for it to matter.

  36. More ancillary benefits from the space program. by Spykk · · Score: 1

    Tired of spending so much money on the drugs that keep you healthy? Buy half as much and then relax in our therapeutic centrifuge for double the drugs effects!

  37. Other impacts on astronaut health by argStyopa · · Score: 1

    In the wake of the recent events in Japan, I've been reviewing serious information on radiation dosage and effects such as that at http://mitnse.com/.

    That's gotten me to think further on a rarely-mentioned impact on astronaut health, and that's the "risk" of persistently higher levels of radiation - it seems that in actuality persistently higher radiation exposures (up to 200x normal background levels, for example) actually INCREASE human health (to a point, obviously), and extend lifespan.

    (Notice no mention of this in popular media accounts of the effects of radiation...http://articles.latimes.com/2011/mar/16/health/la-he-japan-quake-radiation-20110316)

    I would just find it ironic that if, after so much concern for the health and safety of astronauts in regards to radiation, that we might find that they are healthier and live longer than we poor terrestrials.

    --
    -Styopa
  38. Not tonight, I've got a headache by Anonymous Coward · · Score: 0

    This would be a real problem for the future colonisation of space. It would be populate or perish and there won't be much populating if we can't cure headaches.

  39. TURN THIS SHIP AROUND NOW!!!! I HATE YOU!!!! by kimgkimg · · Score: 1

    Guys are sooo looking forward to PMS in space...

  40. Abstract and Actual Paper (freely available) by repapetilto · · Score: 1

    Evaluation of Physical and Chemical Changes in Pharmaceuticals Flown on Space Missions
    Brian Du1, Vernie R. Daniels1, Zalman Vaksman2, Jason L. Boyd3, Camille Crady1 and Lakshmi Putcha4
    Abstract
    Efficacy and safety of medications used for the treatment of astronauts in space may be compromised by altered stability in space. We compared physical and chemical changes with time in 35 formulations contained in identical pharmaceutical kits stowed on the International Space Station (ISS) and on Earth. Active pharmaceutical content (API) was determined by ultra- and high-performance liquid chromatography after returning to Earth. After stowage for 28 months in space, six medications aboard the ISS and two of matching ground controls exhibited changes in physical variables; nine medications from the ISS and 17 from the ground met the United States Pharmacopeia (USP) acceptance criteria for API content after 28 months of storage. A higher percentage of medications from each flight kit had lower API content than the respective ground controls. The number of medications failing API requirement increased as a function of time in space, independent of expiration date. The rate of degradation was faster in space than on the ground for many of the medications, and most solid dosage forms met USP standard for dissolution after storage in space. Cumulative radiation dose was higher and increased with time in space, whereas temperature and humidity remained similar to those on the ground. Exposure to the chronic low dose of ionizing radiation aboard the spacecraft as well as repackaging of solid dosage forms in flight-specific dispensers may adversely affect stability of pharmaceuticals. Characterization of degradation profiles of unstable formulations and identification of chemical attributes of stability in space analog environments on Earth will facilitate development of space-hardy medications.

    http://www.springerlink.com/content/61047706rj720h76/fulltext.html

  41. Don't they watch TV? by Anonymous Coward · · Score: 0

    The drugs need to be in the form of a Hypo-spray to work in space.

  42. Atmosphere & Vacuum by Anonymous Coward · · Score: 0

    Come on, I'm quite surprised that they haven't figured it out. Reactions take place faster in some atmospheres and the lack of gravity may have a role too. I don't think it would be so hard to completely seal a recipient and subject it to earth-like gravity in such a expensive ship.
    Besides, instead of doing such a simple thing they will invest thousands of dollars on a gravity-safe pen instead of using a pencil.
    For research orientation and funding check the non-profit AgingPortfolio.Org