Posted by Elizabeth on August 29, 2001, at 9:42:54
In reply to Re: Update » Elizabeth, posted by shelliR on August 26, 2001, at 20:36:31
> > How high was your blood pressure? I'm curious because I tried adding modafinil to Parnate and my blood pressure was elevated, but only modestly.
> Systolic went from my usual 100 (+/-) to 168. There must be something more risky about adrafinil vs modafinil because my pdoc (last one) was really encouraging the use of provigal with nardil, but told me pointblank that she did not want me to try adrafinil.
Well, that could be chalked up to adrafinil being unavailable in the US. Fear of the unknown and all. But the BP elevation is more suggestive. Were you on a MAOI when you took Provigil, and if so what dose and how was your BP? All I have to go on about modafinil-MAOI interactions is my own reaction.
> > So you find opioids activating too?
> Yes, feeling PMS, tired and sick in my stomach. Take vicodin, wait 45 minutes, then go out and mow the lawn. :-)
That's me! :-) (Nice to know I'm not alone.)
> > APAP is acetaminophen -- Tylenol.
> I know that, I just can't spell acetaminophen. < g >
> Or even tylenol (you know, tylanol, tylenal--it's the vowels that throw me off!)
Those pesky critters!
> From what I've read the fentanyl patch often doesn't last as long as it's supposed to, and it's not good to change it more often.
AFAIK you should change it as often as you need to. But you're right that it often doesn't last as long as it's supposed to -- that's a problem with many opioid analgesics (including buprenorphine and OxyContin).
> Certainly if your insurance pays there would be problems with early changes, but I thought there was also a medical reason.
I can't think of one. Your doctor should be able to write the prescription such that an insurance co. wouldn't cause trouble (although with expensive products like Duragesic, they might place limits on the amount you can get covered per month anyway).
> So what's your next step with meds? (or life?)
Meds: hoping to try a stimulant with DMI. Life: learning how to drive. (I did, at least, get a learner's permit.)