Posted by Elizabeth on November 6, 2001, at 14:49:18
In reply to Re: Which benzo is *least* sedating? +other stuff » Elizabeth, posted by Mitch on November 3, 2001, at 12:46:20
> > ADD + anxiety/agitation is really tough to treat, but I think MAOIs might be effective.
>
> Elizabeth, I would definitely agree but my current pdoc won't touch them-nyet, no, nada (and perhaps for good reasons)!Probably not for good reasons, IMO. A lot of doctors are afraid of MAOIs because they haven't kept up with research on food-drug interactions involving MAOIs that shows that most of the foods that were thought to be dangerous (based on some hysteria in the '60s/'70s) really aren't.
> Is SJW really much of an MAOI inhibitor or is most of that just BS?
I think it's probably BS, but it's always good to be careful when you don't know what something does (especially when it's a plant produt that probably contains multiple active drugs). If SJW is a MAOI at all, it's probably a reversible one, I think.
> I was told it would be ok to experiment with that somewhat.
If you do, I'd suggest caution.
> > "Onto something?" I was disagreeing with you!
>
> OOPs! There's my ADHD sneaking in again.You have my sympathies. :-)
> Well, my BP *is* much higher while taking NT or Zoloft or Effexor (not a hypertensive crisis by any means-and different sfx)! It is normal if I am not taking those meds. It is borderline high when I am taking them. (118/70 > 145/80)
How many measurements did you do? Effexor and TCAs can elevate blood pressure moderately, but I'd be surprised if Zoloft did it. Anyway, while you might be symptomatic at 145/80-ish, I wouldn't expect the symptoms to be major (maybe mild headache, skin tingling, that kind of thing). Also if the high BP was sustained (rather than, say, going up within an hour after you took the med and then going back down to normal shortly thereafter) I'd expect the symptoms to be less noticeable.
> All I know is that the "cold nose", clammy hands, etc. were just like when I take pseudoephedrine for a cold.
FWIW, I often had problems that seemed to be related to circulation (cold hands & feet even when wearing thick gloves and boots) when I was on Parnate (typically, my BP would be running a bit low). Weird that Sudafed would cause that.
> Also, when I was taking Adderall (just 5mg AM)-I coud jump on a stairmaster and I would get really nasty headaches in the back of my head.
Did you ever have a chance to take your BP when this happened?
> > Did the side effects last long (more than a few weeks, say), or were you unable to tolerate the nortriptyline long enough to find out?
>
> They were tolerable but very annoying. The Zoloft+Nortriptyline combo works fairly well for attentiveness.Lucky! I never found any SSRI that I tried (Prozac, Paxil, Zoloft) useful for attention problems.
> *If* the antihistaminic effect of the NT wasn't there it would probably be nearly ideal.
In what way was the H1-blockade a problem? Did you ever try desipramine?
> > Alpha2 blockade leads to increased NE firing. But again, this is just speculative. What other drugs have caused that problem for you?
>
> Buspar(even worse than Remeron).Buspar does have a metabolite that is an alpha2 blocker, but it doesn't do it to any significant degree at prescribed doses as far as anyone can tell. It definitely would have less effect in that respect than Remeron would.
> No, I never had to take any opioids long term. Yes, the Vicodans they sent me home with *did* make me a little nauseous, but it was tolerable.
I use promethazine for nausea, usually. Benadryl can help too. The nausea has mostly gone away with time, tho'.
> > I find that opioids make me hungry, although that might just be due to relief of depression.
>
> Yes, I would agree with that.Well, I never had to watch what I ate before taking ADs, but on buprenorphine I do have to be careful about overeating (especially sweets). I think hydrocodone and morphine were the same way.
-elizabeth
poster:Elizabeth
thread:82248
URL: http://www.dr-bob.org/babble/20011104/msgs/83358.html