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Re: Parnate and orthostatic hypotension

Posted by SLS on November 24, 2017, at 8:49:53

In reply to Re: Parnate and orthostatic hypotension SLS, posted by chrismeurer on November 24, 2017, at 6:18:23

> Yes, tremulousness. It helps, i'm taking a low dose (450 mg) of lithium CR this time though. I'll just see if it tremulousness appears without the propranolol. I've taken propranolol before to treat lithium side effects at a higher dose and to alleviate akathisia from abilify.
>
> About parnate, at 30 mg/day I felt a great decrease in blood pressure. Orthostatic hypotension was tested in the doctor's office with a drop of 30 mmHg in systolic, so positive. I just got an upper arm BP monitor and will measure daily. So far, there's definitely a 10% drop. The only problem is that I wasn't able to measure before starting parnate, so I can't be sure if I already had it. I'm only sure that there was a general decrease in blood pressure.
>
> The good things is I definitely feel much less anxious, it's a wonderful feeling after so long. 6 days since my last xanax.
>
> I see no harm in increasing the dosage to 40 mg, it's a matter of assessing necessity, but after that I guess it would be reasonable to give at least 1 month. I will think about it.
>
> Thank you
>
> Chris

Let the dosage sink in. Your orthostatic challenge might yield a smaller reduction of BP over time. I wouldn't worry too much about heart palpitations. It is not uncommon early in treatment, but is likely to mitigate as you continue to take the drug. You might very well experience a re-emergence of autonomic side effects with each dosage increase. Try to hang-in there. Just follow your BP whenever you increase the dosage to be sure that you don't experience an acute pressor reaction.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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