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Spontaneous Hypertensive Crisis on MAOI

Posted by George Romero on February 26, 2010, at 23:25:29

I had a spontaneous hypertensive crisis on Parnate--i hadn't eaten anything in at least 24 hours that could have contained tyramine, and i hadn't taken a dose of Parnate in about 6 hours. was only on 20 mg at the time.

now my doctor is saying we're going to have to try something else--that if it wasn't tyramine-induced, then there's no way i can prevent it. but i've already tried everything, and parnate is the only med that's worked well for me. this is the best i've felt in 10+ years (hypertensive episode notwithstanding, of course). is that really it? if i stay on parnate, am i destined to keep having these episodes spontaneously just b/c i had one once? can't i just carry around that sublingual med that rapidly lowers bp, or are doctors not doing that anymore?

i'm supposed to have already started tapering off parnate, but i just can't bring myself to do it--it's so hard to affirmatively take steps toward being horribly depressed, which i know is exactly what's waiting for me. on the other hand, being rushed to the e.r. on a stretcher with a sky-high bp was pretty horrifying too. i just keep hoping for a solution.


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poster:George Romero thread:938043
URL: http://www.dr-bob.org/babble/20100216/msgs/938043.html