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Re: What would you do? EMSAM » silvercoin

Posted by mayzee on July 31, 2006, at 11:02:54

In reply to Re: What would you do? EMSAM, posted by silvercoin on July 31, 2006, at 8:09:04

> I would stay on the 9 mg patch and add some other agent to raise BP. ...Stimulants can cautiously be used with MAOIs to raise BP and would also help with your fatigue symptoms--I would suggest trying Ritalin first rather than amphetamine for safety reasons.

I think laima also recommended Ritalin. Racer suggested Florinef. Have you used either of these yourself to increase blood pressure? (neither of my docs want to give me a drug to deal with the blood pressure, so I'd have to go to a different doc)

> There are non-stimulants available that will also raise BP, but try to determine exactly what yours is first. If it's much below 100/60 and your heart rate is also below 60, I would cautiously add something to boost your cardiovascular system.

The 2 times I had my bp measured this week it was 80/60 & 80/42; not positive but I think my pulse was in the 80s.

> It is worth pointing out that tricyclics can also lower BP, sometimes severely, but they do not usually lower heart rate as do MAOIs.

I'm I right in thinking that all the MAOIs lower bp too? I didn't know that MAOIs usually lower heart rate. My pdoc told me that due to the low bp, my heart rate would be increased.

Todd, thanks so much for your input!!!

mayzee


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poster:mayzee thread:672050
URL: http://www.dr-bob.org/babble/20060724/msgs/672283.html