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Re: parnate questions--Cam , Elizabeth

Posted by shelliR on August 9, 2001, at 23:40:54

In reply to Re: parnate questions » Cam W., posted by Elizabeth on August 9, 2001, at 21:53:00

Elizabeth, Cam
> Seriously: nifedipine is pretty commonly used for this purpose.

So you think this is a good idea. I think there are definitely two schools of thought on this. I do have a blood pressure monitor at home, but I don't carry it with me. And nifedipine could cause harm if you take it and you are not hypertensive, right? I am in my forties, but am cardiovascularly fit.


> > Also, would you know if you were having a hypertensive crisis?
> This is always a question. I'm pretty sure I would know even without taking my BP because it's happened to me a few times. But a lot of things can cause headaches, nausea, etc. Hypertensive headache is pretty distinctive, but I don't know if a person who'd never experienced it would be able to identify it positively. And even if there is hypertension associated with the event, it may be misattributed. Before I realised that I was having spontaneous hypertensive episodes on Parnate, I was convinced that I'd had a reaction to some hummus.

I had two non-serious hypertensive crises when combining nardil with adrafinil. Non-serious in the sense that my BP went up to 160 and not any higher. I didn't experience a headache, I experienced a specific tightness in my shoulders. And my pulse went very low- like 45. If your blood pressure shoots up like that, is a reduction of pulse a given? I mean can that be an accurate indication that you are having a hypertensive episode.

When I started selegiline only 5 days after stopping nardil, I had the same tighening of my shoulders and was BP was up to 140, instead of it's usual 100. But then after that I had the same shoulder thing only my BP was not up. That was my reaction to the selegiline. But it felt exactly like my hypertensive shoulder. So I became less confident that I would know if I was having a reaction. But now that I'm off the selegiline, I think if my shoulders tighten up like that I would immediately take my BP.
Maybe I should carry one of those mini ones that hook up to your finger. Are they accurate?

I never ever worried about a reaction to nardil, because I ate absolutely everything, and even was given demerol during an exploratory procedure and had no reaction. But I'm thinking that parnate is not nardil and I don't know if I can be so cavilier about the whole thing. I think I read (don't know if it's true) that parnate is more likely to cause a hypertensive episode than nardil. True, false, don't know?
>

>
> > I would recommend a Medic Alert-type bracelet or chain for anyone taking MAOIs.
> >So demeral is the only reason to wear one for an MAOI?

None of my pdocs have ever brought this up to me. I'm going to ask my pdoc why he didn't suggest it.
I've never worn one and would rather not, but I would also not like to not put myself in crisis.

Shelli


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poster:shelliR thread:74195
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