Colds and the Flu.

Questions relating to medical issues and treatment. Where possible and appropriate, we will request comment from qualified and reputable NZ-based diving doctors. If your query relates to a personal medical issue, we recommend you contact your GP or relevant medical specialist.

Colds and the Flu.

Postby divepirate » Sun Sep 09, 2012 8:43 am

Has anyone got any 'holy grail' medicines which can be used to get rid of the usual pre season colds and flu.

As I am sitting here looking out the window, nursing the sinuses from hell and that feeling which can only be described as having a 200 lb weight on my chest, I ask, what do the 'professionals' do to ensure that they can get back into the water sooner rather than later.

I am not asking for a cure to the common cold, but surely there is something that might have helped in the past..
Matt.
Forum Administrator.

I cant think of anything more relaxing, than being in the downunder, breathing some nice clean fresh filtered 21% nitrox.
User avatar
divepirate
Forum Administrator
 
Posts: 324
Joined: Tue Jul 31, 2012 8:43 pm

Re: Colds and the Flu.

Postby binklebonk » Sun Sep 09, 2012 11:44 am

For me there's no way in hell I'd dive with the Flu.

For colds well it comes down to how bad they are, In your case, which sounds bad, I doubt there's a safe way to dive. If it's just a mild cold then sudafed can clear the sinuses but there has to be a very good reason for me to want to risk having the meds wear off under water and be faced with the possibility of a reverse block.

If it's worth the risk then Sudafed is probably your best bet. (you'll need a prescription)
User avatar
binklebonk
Member
 
Posts: 1776
Joined: Wed Apr 01, 2009 5:03 pm
Location: Peoples Republic of Wellingtron

Re: Colds and the Flu.

Postby AndrewRawlingson » Sun Sep 09, 2012 12:31 pm

there is nothing that has been proven to help. stay while hydrated and don't dive until you're over it - it just isn't worth the risk to your ears.
Image
User avatar
AndrewRawlingson
Member
 
Posts: 196
Joined: Wed Apr 04, 2012 7:28 am
Location: Northland

Re: Colds and the Flu.

Postby binklebonk » Sun Sep 09, 2012 1:36 pm

AndrewRawlingson wrote:there is nothing that has been proven to help. stay while hydrated and don't dive until you're over it - it just isn't worth the risk to your ears.


I would disagree with this.

A DAN article on the use of pseudoephidrine (Sudafed etc.) has this to say on it's use:

The decongestant pseudoephedrine is a commonly used drug by scuba divers, with mixed - though generally positive - reviews from sport divers, technical divers and diving professionals alike.


DANs position on using pseudoephidrine (Sudafed etc.)

What's the bottom line? In normal, healthy divers breathing air, occasional use of pseudoephedrine at the recommended dose is probably safe. This presumes that the drug has been taken during periods when no diving has occurred and that no undesirable reactions have occurred. However, one should avoid chronic (daily) use when diving, and it seems reasonable to avoid the drug entirely if diving while using oxygen-nitrogen mixes where the PO2 during a dive might exceed 1.4 ata, the current recommended "safe" open-circuit scuba limit.


The article deals mainly with the question of these meds and EAN but can be found here http://www.diversalertnetwork.org/medic ... Air_Diving

I would agree Andrew that if you have no "pressing" need to get in the water it is best to wait till the illness has passed.
User avatar
binklebonk
Member
 
Posts: 1776
Joined: Wed Apr 01, 2009 5:03 pm
Location: Peoples Republic of Wellingtron

Re: Colds and the Flu.

Postby rambaldi » Sun Sep 09, 2012 3:16 pm

Sleep, something that easily gets lost in our busy lives. Still takes time though :(
rambaldi
Member
 
Posts: 138
Joined: Mon May 28, 2012 4:51 pm

Re: Colds and the Flu.

Postby binklebonk » Sun Sep 09, 2012 3:46 pm

Sleep is a poor substitute for caffeine...
User avatar
binklebonk
Member
 
Posts: 1776
Joined: Wed Apr 01, 2009 5:03 pm
Location: Peoples Republic of Wellingtron

Re: Colds and the Flu.

Postby AndrewRawlingson » Sun Sep 09, 2012 4:24 pm

binklebonk wrote:
AndrewRawlingson wrote:there is nothing that has been proven to help. stay while hydrated and don't dive until you're over it - it just isn't worth the risk to your ears.


I would disagree with this.

A DAN article on the use of pseudoephidrine (Sudafed etc.) has this to say on it's use:

The decongestant pseudoephedrine is a commonly used drug by scuba divers, with mixed - though generally positive - reviews from sport divers, technical divers and diving professionals alike.



i was referring to treatment for cold and flu, but the DAN stance on pseudoephedrine isn't proven or even close, just a collection of anecdotal evidence.
Image
User avatar
AndrewRawlingson
Member
 
Posts: 196
Joined: Wed Apr 04, 2012 7:28 am
Location: Northland

Re: Colds and the Flu.

Postby divepirate » Sun Sep 09, 2012 5:52 pm

Generally, I don't think diving with the flu is any good.
A small cold can have different results for different people.

Back when I was taking courses, there was a product called sudamol, which was a non drowsy decongestant, but I don't think it is available anymore.

I wont be back in the water until the cold is packing, as there isn't a dire need to risk blown drums, etc etc.
Sooner it's gone the better though.

It's hard to make plans to book charters and dives when you feel like a cold is never ending..
Matt.
Forum Administrator.

I cant think of anything more relaxing, than being in the downunder, breathing some nice clean fresh filtered 21% nitrox.
User avatar
divepirate
Forum Administrator
 
Posts: 324
Joined: Tue Jul 31, 2012 8:43 pm

Re: Colds and the Flu.

Postby rambaldi » Sun Sep 09, 2012 6:39 pm

binklebonk wrote:Sleep is a poor substitute for caffeine...


For day to day living, I very much agree. As to getting rid of colds...
rambaldi
Member
 
Posts: 138
Joined: Mon May 28, 2012 4:51 pm

Re: Colds and the Flu.

Postby DiveDiva » Sun Sep 09, 2012 10:29 pm

Personally I try to avoid diving if I wasn't feeling 100% - this is partly because I find it extremely hard to equalise if I have even the whisper of a cold but also because diving always makes the cold linger for me. I have done it and don't ever remember enjoying it. I was once 'forced' to take students out on two open water dives when I was really poorly (was threatened with the sack if I pulled out) and the experience of nearly having to OD of pseudoephedrine to combat the symptoms half killed me. Not fun at all.
DiveDiva
Forum Administrator
User avatar
DiveDiva
Forum Administrator
 
Posts: 3062
Joined: Sat Nov 11, 2006 4:23 pm
Location: Pommieland

Re: Colds and the Flu.

Postby binklebonk » Mon Sep 10, 2012 12:32 am

AndrewRawlingson wrote: the DAN stance on pseudoephedrine isn't proven or even close, just a collection of anecdotal evidence.


There is empirical evidence.

Pseudoephedrine, a key ingredient in Sudafed(r), is a commonly used decongestant by divers. A recent study* highlighted its effectiveness. The study compared pseudoephedrine to a placebo in its ability to prevent middle ear squeeze in novice divers. It concluded that a 60-milligram dose of pseudoephedrine administered 30 minutes before the dive was effective. This study was conducted to a depth of 40 feet / 12 meters, with objective data gathered only through otologic (ear) exams. Symptoms of side effects were collected in a questionnaire.
http://www.diversalertnetwork.org/medic ... n_you_dive

*
"Pseudoephedrine for the prevention of barotitis media: A controlled clinical trial in underwater divers," by Brown M., Jones J. and Krohmer J. Ann. Em. Med. 1992; 21(7): 849-52
http://www.ncbi.nlm.nih.gov/pubmed/1610044
Last edited by binklebonk on Mon Sep 10, 2012 12:44 am, edited 1 time in total.
User avatar
binklebonk
Member
 
Posts: 1776
Joined: Wed Apr 01, 2009 5:03 pm
Location: Peoples Republic of Wellingtron

Re: Colds and the Flu.

Postby divepirate » Mon Sep 10, 2012 12:42 am

yes,
I think the last para sums it up the best..

>During our open-water diving classes we all heard that drugs and diving just don't mix: This advice stems from the fact that the effects of pressure on the pharmacodynamics of drugs deserve more study. Remember that diving is fun, but missing a day's diving is better than spoiling an entire trip or putting yourself and your buddy at risk. Err on the side of caution: dive conservatively so you can extend your diving pleasures for many years to come.
Matt.
Forum Administrator.

I cant think of anything more relaxing, than being in the downunder, breathing some nice clean fresh filtered 21% nitrox.
User avatar
divepirate
Forum Administrator
 
Posts: 324
Joined: Tue Jul 31, 2012 8:43 pm

Re: Colds and the Flu.

Postby AndrewRawlingson » Mon Sep 10, 2012 1:11 am

binklebonk wrote:
AndrewRawlingson wrote: the DAN stance on pseudoephedrine isn't proven or even close, just a collection of anecdotal evidence.


There is empirical evidence.

Pseudoephedrine, a key ingredient in Sudafed(r), is a commonly used decongestant by divers. A recent study* highlighted its effectiveness. The study compared pseudoephedrine to a placebo in its ability to prevent middle ear squeeze in novice divers. It concluded that a 60-milligram dose of pseudoephedrine administered 30 minutes before the dive was effective. This study was conducted to a depth of 40 feet / 12 meters, with objective data gathered only through otologic (ear) exams. Symptoms of side effects were collected in a questionnaire.
http://www.diversalertnetwork.org/medic ... n_you_dive

*
"Pseudoephedrine for the prevention of barotitis media: A controlled clinical trial in underwater divers," by Brown M., Jones J. and Krohmer J. Ann. Em. Med. 1992; 21(7): 849-52
http://www.ncbi.nlm.nih.gov/pubmed/1610044


you're right, there is :D
Image
User avatar
AndrewRawlingson
Member
 
Posts: 196
Joined: Wed Apr 04, 2012 7:28 am
Location: Northland

Re: Colds and the Flu.

Postby binklebonk » Mon Sep 10, 2012 10:21 am

Andrew, the interwebs are built on disagreement. Antagonism feeds and strengthens the links that bind it. Every time you agree with someone a little piece of it dies...
User avatar
binklebonk
Member
 
Posts: 1776
Joined: Wed Apr 01, 2009 5:03 pm
Location: Peoples Republic of Wellingtron

Re: Colds and the Flu.

Postby AndrewRawlingson » Mon Sep 10, 2012 10:50 am

I agree ;)
Image
User avatar
AndrewRawlingson
Member
 
Posts: 196
Joined: Wed Apr 04, 2012 7:28 am
Location: Northland

Next

Return to Diving Medicine

Who is online

Users browsing this forum: No registered users and 1 guest