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Re: MAOIs and orthostatic hypotension

Posted by JayBTV2 on January 27, 2010, at 10:11:55

In reply to Re: MAOIs and orthostatic hypotension, posted by JayBTV2 on January 19, 2010, at 8:04:14

> I'm currently on Parnate. Was on 10mg for a month and just started taking 20mg. (My doc wants to go really slow as I'm Bipolar 1 and can get psychotic manic w/ the wrong combo). Anyway I tried 30mg yesterday just to test and I experienced quite a bit of orthostatic hypotension late in the day. Like getting up from a sitting or lying position would cause my hearing to deafen for a min or two and I'd feel week.
>
> SLS commented on orthostatic hypotension w/ parnate in another thread (possibly from years ago) and said for him it went away. I'm going back to 20 until I official graduate to 30 (which is the recommended theraputic dose). At that point I'll give it a few days/weeks and hopefully my body will adjust.
>
> I also take Lamictal (150mg) and Lithium (600mg) so perhaps the total combo exacerbated the situation....
>
> Just my .02....
>
> -Jay


Well I officially (pDoc sanctioned) went up to 30mg three days ago and the hypotension has definitely faded a good deal. Hardly notice it now and it only seems to occur if I've been lying down or sitting for a long while.

Meanwhile my response to the Parnate has improved. Starting to feel a bit better. Hoping to raise to 40mg and probably sit there for a bit soon. Seeing the doc again on Monday (5days).

-Jay


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poster:JayBTV2 thread:934205
URL: http://www.dr-bob.org/babble/20100122/msgs/935132.html