Posted by Michael Bell on December 26, 2004, at 16:31:22
In reply to I need a change and I need some guidance please, posted by Michael Bell on December 23, 2004, at 20:53:38
In case hypertensive crisis becomes an issue, I'm just trying to sort everything out:
1) nifedipine - I hear this is the first line of defense and is quick acting, but there's the danger of the blood pressure going too low. Who recommends this drug?
2) thorazine - This is also used, and from posts I've read it does not pose the same danger as nifedipine as far has making your blood pressure too low. In fact, you can use it with normal blood pressure and it shouldn't be a problem (beyond the usual anti-psychotic issues). Is that true?
3) klonopin - this inhibits the release of norepinephrine, right? WOuld using a couple fast-acting wafers help to bring blood pressure down?
4) and finally - reboxetine: I read one study on biopsychiatry.com which claims that coadministration of reboxetine with an MAOI completely eliminated the risk of hypertensive crisis. If this is true, it's amazing, but I haven't found any other studies on this issue. Anyone have any info or experience with this?
Sorry for all the questions. I hope everybody had a nice holiday.
poster:Michael Bell
thread:433578
URL: http://www.dr-bob.org/babble/20041223/msgs/434362.html