Translations:Dave Johnson's Proletariat Protocol/79/en

Walgreens Wal-Tussin (R) liquid-filled capsules, 20 to a bottle, item #669854. Each cap 15 mg dextromethorphan hydrobromide. Cost $6. Appears to be the same thing as Robitussin Long-Acting Cough-Gels (R). Dosing: 3 times a day. If you have pseudobulbar or bulbar symptoms, this is one of the first things you should try, maybe even the first thing. Many bulbar/pseudobulbar ALS patients experience significant symptomatic benefit from dextromethorphan. You’ll know within 2 days if it helps. If it doesn’t help, discontinue it unless you believe it may slow disease progression (there’s reason to think it may). WARNINGS: Some people metabolize dextromethorphan slowly, causing buildup over several days. If (especially after several days) you notice unusual mental symptoms (which could be just about anything), stop taking it. If after several days of no dextromethorphan the unusual mental symptoms have disappeared and bulbar/pseudobulbar symptoms are returning, then resume dosing at one capsule per day in the morning. Then increase dosage every several days up to a maximum of 3/day or until you get either symptomatic improvement or the unusual mental symptoms return. If the unusual mental symptoms return before you get symptomatic improvement, dextromethorphan is not for you, sorry! ALSO: If you are taking prescription drugs for depression, St. John’s Wort, or tryptophan or 5-HTP or other potent serotonin precursor, do not take dextromethorphan until you have informed yourself about potentially dangerous “serotonin syndrome” and have either discussed with your neurologist or have decided to proceed very cautiously knowing how to manage the risk. AND: dextromethorphan may be synergistic with dopamine-enhancing Parkinson’s drugs: therefore if taking Parkinson’s drugs do not take dextromethorphan unless you’ve had a discussion with your neurologist about recognizing symptoms of excess dopamine.