Many LHON specialists suggest that people carrying a LHON mutation, both carriers and affected, should avoid environmental factors that could create additional stress on the mitochondria. These factors include:
- Smoke (all forms – tobacco, wood stoves, bonfires, etc.)
- Alcohol
- Tetracycline
- Minocycline HCL
- Streptomycin
- Erythromycin
- Chloramphenicol
- Ethambutol
- Cyanocobalamin
- Linezolid
- Lactated Ringers (used in some IV’s)
This is also a good list to be followed by anyone with LHON PLUS or their doctor advises https://www.mitopatients.org/mitodisease/potentially-harmful-drugs