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Re: Hypertensive crises, update » Elizabeth

Posted by Lorraine on September 17, 2001, at 9:24:46

In reply to Re: Hypertensive crises, update » Lorraine, posted by Elizabeth on September 13, 2001, at 14:43:22

Elizabeth:

> > > So you mean by "residual effects" continued symptoms after BP has returned to normal? I wouldn't expect any such symptoms, unless the HT did damage.

Yes, residual effects, stiff neck lasted about 5 days. My blood pressure was around 128/87 druing those five days. Before the episode my BP was 105/67 (MAO influenced low BP) and before taking MAOs it was 124/72. Now it has returned to 106/71.
>
> Calcium channel blockers, like nifedipine, lower your BP by dilating blood vessels. Sometimes this can cause your body to try to compensate by raising your pulse.

Well, I guess this happened. My pulse during the episode was 59 and it rose to 73 after I took the antidote, but 73 is not high.

[re: crick in neck] It is funny. I used to get cricks in my neck fairly frequently and I used to get migraines also. Now that we are talking about vascular things, I just wonder if they might have been related. Haven't had a crick in the neck in a long time--more than a year ago. They started being very infrequent. My migraines went away also (one of the few benefits of menopause in my case.)

> > Thanks for the info. Just want to have a next step in mind if the Nardil doesn’t do it. I know I am jumping the gun so to speak but it makes me feel better emotionally to do this. Then when things don’t work out, I don’t panic or go too low, but just take the next step and distract myself.
>
> One thing you might want to consider is that TCAs don't work very well for atypical depression. It might be worth a try, but there might be something else that's more likely to help.

Well, I'd talk with the pdoc at any rate well before a change to get his thinking. I know you are right re atypical depression.

> > > Dude, I don't have a license, but it's not like I've never ridden in a car! < g >

Hadn't really thought of that:-)

I think it is weird that it took so long for it to go away completely. Some people just seem to be more sensitive to side effects than the average person is.

Perhaps that would be me. Anyway, it is gone now.

> > > When I showed up at an ER (or at the MIT Medical Center) with high blood pressure, I got seen at once. (MIT Medical didn't actually help me in any way, but they did monitor my BP -- they didn't just tell me to sit in the waiting room.) I think it's worth it to get a portable BP monitor (they'll fit in a reasonable-sized purse or handbag) so you can check it if you start getting symptoms.

I'm glad they were attentive anyway.

>
> > Ø Yes. It can make your blood pressure "crash," which can progress to shock (worst-case scenario).
> >
> > OK, I’ll be careful.

You know, I do remember you telling me to be careful re amphetamines and MAOs. It's awfully generous of you not to mention that.


I'm glad your meds continue to function.

Lorraine


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