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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by peridown on January 14, 2006, at 8:39:43
Hello everyone,
I am looking for current information/recommendations on the following:
1) medication to carry with me in case of hypertension episode (I've seen various mentioned, not sure what is currently recommended, has/has not been useful to people.)
2) accurate automatic blood pressure kit
If it makes a difference, I live in the states.
Thanx for any help,
G
Posted by ed_uk on January 14, 2006, at 13:46:23
In reply to MAOI and hypertension episodes: recommendations?, posted by peridown on January 14, 2006, at 8:39:43
Nifedipine liquid-fill capsules (Procardia) are sometimes prescribed. This is controversial however due to the risk of serious side effects due to an abrupt fall in blood pressure. I'm not sure how relevent this is to MAOI users though. An MAOI hypertensive crisis is characterised by an ultra rapid rise in blood pressure in an individual whose blood pressure was previously normal, or at least near normal. A rapid fall in blood pressure due to nifedipine would probably be more dangerous for an individual who was suffering from chronic hypertension, especially if cardiovascular damage was already present.
Ed
Posted by peridown on January 14, 2006, at 15:45:37
In reply to Re: MAOI and hypertension episodes: recommendations? ? peridown, posted by ed_uk on January 14, 2006, at 13:46:23
Ed,
Thanx for the info on Procardia. I am looking into it and will certainly mention it to my doctor.
Have you heard of Hydrochlorothiazide (or chlorothizide) being used?
Peri
> Nifedipine liquid-fill capsules (Procardia) are sometimes prescribed. This is controversial however due to the risk of serious side effects due to an abrupt fall in blood pressure. I'm not sure how relevent this is to MAOI users though. An MAOI hypertensive crisis is characterised by an ultra rapid rise in blood pressure in an individual whose blood pressure was previously normal, or at least near normal. A rapid fall in blood pressure due to nifedipine would probably be more dangerous for an individual who was suffering from chronic hypertension, especially if cardiovascular damage was already present.
>
> Ed
Posted by ed_uk on January 15, 2006, at 9:35:14
In reply to Re: MAOI and hypertension episodes: recommendations? » ed_uk, posted by peridown on January 14, 2006, at 15:45:37
Hi G
No, I have never heard of hydrochlorothiazide being used to treat an MAOI-tyramine hypertensive crisis. Hydrochlorothiazide is a very useful treatment for chronic hypertension though.
Ed
Posted by gibber on January 15, 2006, at 14:33:29
In reply to MAOI and hypertension episodes: recommendations?, posted by peridown on January 14, 2006, at 8:39:43
My doctor did not want to prescribe an anti-hypertensive. He said none of his colleagues prescribe them, although I know some on this board do carry them. For blood pressure monitoring I have a Omron HEM-637. It is very easy to use and I got it on Ebay for like 60 dollars I think. I got it before I started Nardil so I was able to get a baseline blood pressure reading. good luck.
This is the end of the thread.
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