Posted by ed_uk on May 10, 2006, at 18:41:27
In reply to Re: MAOIs » ed_uk, posted by Don_Bristol on May 10, 2006, at 14:34:30
>Nifedapine is contra-indicated for a hypertensive crisis
I think we discussed this once before, do you rememeber? And captopril too. I remember you posting some links.
Some psychiatrists consider nifedipine to be an appropriate treatment for an MAOI hypertensive crisis. The dose should be low, and the patient should still go to hospital.
As you rightly point out, immediate-release nifedipine is not suitable for most types of hypertensive crisis. Many (non-MAOI) hypertensive crises occur in people with chronic hypertension and cardiovascular disease. Immediate-release nifedipine should not be prescribed to these patients. This does not mean that immediate-release nifedipine is contra-indicated in MAOI crises however, which occur in very different circumstances, in different types of patients, who do not, in general, suffer from chronic cardiovascular disease.