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Re: Parnate and Caffeine - restricted? FATIGUE! » SLS

Posted by Tori on November 5, 2000, at 9:45:05

In reply to Re: Running and Nardil, posted by SLS on November 3, 2000, at 12:28:19

> While taking Parnate, I was counseled to drink caffeinated coffee to help raise blood pressure during the BP lull that occurs around 4:00pm. I don't know how long you have been on Nardil, but I found that postural hypotension got better with time. I just don't know if it would be by enough to help you.

I have been on Parnate now for almost two months; augmented with Lamictal 150 mg bid (thavee been taking since late February). I'm treatment-resistant and have been on almost every single med since the invention of Prozac. The Parnate causes massive insomnia and finaly I am am taking 20 mg bid at 7 and 11 a.m. which helps but I have to fight, fight like hell, to stay awake after work until at least 10:00 PM and be up at 6. I went to bed at 5 this morning; woke up at 6:30 a.m. (hence my surfing on psychobabble). I had fallen asleep on the couch earlier for an hour and a half, that's how badly my sleep schedule gets screwed if I fall asleep during the day.

Does the _hypo_tension cause the incredible lethargy and sleepiness? I have NOT lost weight on this drug, have NOT been stimulated by it, only have noticed a welcomed increased my cognitive functions (short-term memory, troubleshooting skills at my job (systems tech), can remember names of items; would forget total conversations)....and an increased in inerests in life, hobbies, plus it keeps me from getting suicidal, which is good as the holidays are coming and being three years without mom (background: she died in 1997 from pancreatic cancer at the age of 40) has been horrific around christmas; I hope this year is different.

I have been DYING for a cup of coffee; I am extremely fatigued during the day, I mean I'm atually nodding off during the morning. Even when I work out at 7 am. doing cardio the energy boost lasts an hour but that's that. I nod off at my desk and when I get home I'm ndding off on the couch and will fall asleep immediately should I close my eyes.

QUESTION- > Caffeine is on the food restrictions list for Parnate. I frequently (well, for me every ttwo weeks is enough for me) go hypertensive out of the blue - 170/110, etc, after usualy being HYPO at 80/60 - not because of something I ate or meds I took, just out of the blue (smoking?).

I had a cup of decaf the other day and it didn't bother me.

Anybody else out there able to take caffeine? Should I slowly start with a small cup to see what it causes, then if all hell breaks loose take my Adalat to reduce the BP?

I hope I get a response on this as I am so fatigued it's incredible. When I drive home from work I freeze my butt off with all the windows open to stay awake and refreshed.

:-) Tori


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poster:Tori thread:48056
URL: http://www.dr-bob.org/babble/20001102/msgs/48235.html