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Re: Nardil : Help -suddenly I am very sick

Posted by RN320 on May 5, 2008, at 18:05:41

In reply to Nardil : Help -suddenly I am very sick, posted by 4WD on April 28, 2008, at 22:58:38

> Everything was great Saturday. Occasionally waking too early and occasional spells of low blood pressure. Then Sunday all hell broke loose.
>
> I went to bed Saturday night at 10 and woke up Sunday at 3:30 am. My blood pressure was so low I couldn't see or hear and had to walk with my head between my legs to the kitchen to get coffee. I was nauseated and after having the coffee I had severe diarrhea. I felt like crap all day. Diarrhea, nausea and low blood pressure. I only took two Nardil that day. I was afraid to take more.
>
> Then today it got worse. I went to bed last night at 9 (exhausted) went right to sleep and woke up at 1:30. I got up drank one cup of coffee, decided I couldn't make it. My blood pressure was even lower than Sunday. Again with the nausea and diarrhea. At 2:15 I took 1.5mg Xanax and went back to sleep from 3:30 to 5 when Iwoke again with extremely low blood pressure and nausea.
>
> I have been sick all day. I have taken three 1hour naps, and every time I get up I have the low blood pressure. I began to feel better about 8pm.
>
> I called my pdoc and asked for some sleep med that I could take if I woke up at 2am again. Also I thought it ought to be another med than the trazadone I've been using since trazadone can lower blood pressure and causes me to wake up with a hangover if I don't get 8 hours. AGain I took only 2 Nardil today.
>
> Something is suddenly very, very wrong. I called my pdoc and he called me in some Ambien. I asked what could be going on and he said perhaps an interaction between the Nardil and the Geodon I take since Geodon has some 5ht raising properties. But wouldn't that make my blood pressure higher not lower? And why would it start overnight?
>
> I am scared to death. I am scared of taking only 30mg of Nardil - pdoc said "but aren't you feeling more depressed?" when I told him I had lowered the dose? But I can't go on with this low blood pressure/nausea/waking up at 3 every morning. I don't know what to do.
>
> Should I just quit the trazadone? But then I'll definitely wake up too early. Should I continue at 30mg of Nardil instead of 45? But then I may get depressed again. And what's with the nausea?
>
> Meds:
>
> am: 15mg Nardil
> 20mg Geodon
> .75mg Klonopin
> 5mg Valium
>
> 4or 5 hours later : 15mg Nardil
> An hour after that: 20 mg Geodon
> .75 Klonopin
> 5 mg Valium
>
> And up to now 3pm 15mg Nardil
>
> Bedtime 100mg trazadone
> 40mg Geodon
>
> What's wrong with me? What's going on? How quickly will I lose my remission if I stay on 30mg of Nardil instead of 45? Why am I suddently nauseated? Why did my blood pressure suddenly get so extrememly low?
>
> And what should I doI am already tapering one med - Klonopin - and don't think I can taper Geodon at the same time as my pdoc suggested. Help...
>
> Marsha

Hi Marsha!
I too take an MAOI (EMSAM) along with Geodon and Trazadone. I had similar hypotensive reactions as I was ramping up my EMSAM dose. It took an almost life ending fall (woke up in an ICU with CPR bruises on my chest!)down the stairs at home- face first for my psychiatrist to demand that I get a new Internist (I hated my previous one who wrote off everything I had to say as due to "anxiety and depression" and missed all kinds of things like a huge parathyroid tumor, heart disease and diabetes to name a few....). My Psychiatrist referred me to an excellent Internist who immediately put me on Florinef 0.1mg every morning. It's a form of a steroid- fludrocortisone is the generic name- and even for people like me who happen to have underlying hypertension, it works really well and completely diminished my nausea, headaches and feelings of faintness within a couple of days if I remember correectly. Has anyone mnentioned that to you?
Best of luck, Marsha.
/RN320


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