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Re: Parnate/40mg experience JadeKelly/Scoot... » Phillipa

Posted by Vincent_QC on December 31, 2008, at 8:57:10

In reply to Re: Parnate/40mg experience JadeKelly/Scoot... » Vincent_QC, posted by Phillipa on December 30, 2008, at 20:01:36

> Vincent googled this for you. Phillipa
>
> http://emedicine.medscape.com/article/758544-overview

Hi Phillipa ;-)
I just finish the reading of your web likns about hypertensive emergencies. If I put what they read in my case (Hummm sorry, bad english again...lol), I don't belong in the Prehypertension since i'm normally at 110/60-70 ... before I start my Parnate treatment.

I experience an augmentation of my blood pressure since the parnate augmentation to 20mg dose. My blood pressure is ok in the morning, 120/60-70...tend to increase around 2P.M. above 130/70...and reach a peak around 7-9P.M. as high as 160-170/80... with palpitations...but decrease around 12A.M. and return to a normal state 120-110/60-70...

I have a lot of things to get verified by my family doctor, dose adjustement of Florinef(fludrocortisone acetate : Adrenocorticoid who acts on renal distal tubule, increasing sodium reabsorption and potassium excretion preventing orthostatic hypotension), since my orthostatic problem it's more present at night and in the morning, I take the 0,1mg dose of Florinef at 12AM, before bedtime. I try this since 2 days, since it can increase the blood pressure, It's maybe why I experienced more hypertension at daytime.

Maybe I will need a small dose of Nifedipine at daytime, the one who act fast on the body, not the extend release. They have it in 5mg pills. Since I monitor and write all my blood pressure test, my doctor will be able to do a schedule on the intake of it and how many MG I will have to take at daytime and also avoid late afternoon or evening intake of a dose of it to prevent another hypotension orthostatic crisis at night like the one I experience 3 nights ago.

I have also to ask for a check up of my blood...Iron, potassium and sodium...and everything else...

I want also to have a head check up...(Electroencephalography), I do a lot of migraines since i'm a child...and I want to be sure I don't have something wrong with that...

So my next doctor appointment will be long...as usual...

For now, a little bit of hypertension will not kill me, I think...not for 1 week, since I think i'm not predisposed to do it normally. The nurse I call at the psychiatrist hospital 2 days ago told me it was not dangerous for now, if my blood pressure don't up to 200 and more...The pharmacist told me the same, and my friend who is a nurse also told me the same... IF I had a predisposition to a do a CVA (stroke), I Will already do one with the hypertension crisis I had 3 days ago...

The second number in my pressure result never reach 90, that's another sign that i'm not predisposed to hypertension...

That's just what I think...but well thanks for the good website link...I learn something interresting at least and I know that I don'T have to mess up around my blood pressure...and it's why I monitor and write all my results, to show them to my doctor, he will be the one to tell me what to do...Reduction of the Parnate dose or addition of small dose of Nifedipine in the morning of afternoon for a couple of days, or an augmention or diminution of my Florinef intake...

So again, thanks ;-) And if we don't talk each other before the end of the day, I wish you a Happy new year ;-)!!!

Bye!

Vincent ;-)


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URL: http://www.dr-bob.org/babble/20081223/msgs/871599.html