Psycho-Babble Medication Thread 1039259

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no med prescribed for MAOI emergency

Posted by Roslynn on March 2, 2013, at 11:50:10

Hi all,

I am on a trial of Parnate. My doctor wouldn't prescribe an emergency drug to take in case of hypertensive crisis. Said to just call 911. Is this typical now?

Thank you,

Roslynn

 

Re: no med prescribed for MAOI emergency » Roslynn

Posted by Phillipa on March 2, 2013, at 12:10:21

In reply to no med prescribed for MAOI emergency, posted by Roslynn on March 2, 2013, at 11:50:10

I don't know sounds uncaring at least she could have said notify her also? Phillipa

 

Re: no med prescribed for MAOI emergency » Roslynn

Posted by Phil on March 2, 2013, at 12:59:02

In reply to no med prescribed for MAOI emergency, posted by Roslynn on March 2, 2013, at 11:50:10

I've always wondered about that.

 

Re: no med prescribed for MAOI emergency

Posted by jono_in_adelaide on March 2, 2013, at 17:10:35

In reply to no med prescribed for MAOI emergency, posted by Roslynn on March 2, 2013, at 11:50:10

Yes, that is normal procedure now - the old idea of crushing a capsule of adalat and putting it under the tounge was found to be more dangerous than the hypertensive episode.

 

Re: no med prescribed for MAOI emergency » jono_in_adelaide

Posted by Roslynn on March 3, 2013, at 11:11:34

In reply to Re: no med prescribed for MAOI emergency, posted by jono_in_adelaide on March 2, 2013, at 17:10:35

> Yes, that is normal procedure now - the old idea of crushing a capsule of adalat and putting it under the tounge was found to be more dangerous than the hypertensive episode.
>
>
Thank you, I needed to hear that!

Roslynn

 

Re: no med prescribed for MAOI emergency

Posted by ikasug on March 4, 2013, at 9:13:24

In reply to Re: no med prescribed for MAOI emergency » jono_in_adelaide, posted by Roslynn on March 3, 2013, at 11:11:34

I think a lot of people will feel anxiety on an MAOI and then think it's that slice of pizza they had -- and then take their emergency BP medicine when they don't need it. Being on an MAOI and feeling your blood pressure go up is a great way to give yourself a panic attack. If you stop fixating on the diet etc. you'll be fine.

 

Re: no med prescribed for MAOI emergency

Posted by stargazer2 on March 9, 2013, at 23:30:52

In reply to Re: no med prescribed for MAOI emergency, posted by ikasug on March 4, 2013, at 9:13:24

I still have Nifedipine for a BP crisis. Have only had to use it once when I combined a stimulant and a MAO, never had a major food crisis. Biggest symptom of a hypertensive crisis is a severre headache, not sure of just anxiety, doesn't seem specific enough. I also have a BP cuff to distinguish between a "normal
headache and a real severe one requiring medical intervention.
Stargazer2 ( on MArplan, Abilify and Lithium)
P.S. I can eat alot of things on MArplan and never had a crisis.

 

Re: no med prescribed for MAOI emergency » Roslynn

Posted by Catling on March 13, 2013, at 7:09:41

In reply to no med prescribed for MAOI emergency, posted by Roslynn on March 2, 2013, at 11:50:10

Hi Roslynn,

My doctor didn't prescribe anything for hypertensive crisis either. At first I was very cautious about the diet thing, but I did a lot of reading on it and a lot of those restrictions are not as important anymore in the U.S. because of pasteurization and other improvements in food handling processes. It's been about four months and I haven't had any food reactions. (I can look up that study if you would like to see it.)

I also read when I was researching that unless the hypertensive crisis reaches a critical point it can actually be more detrimental to treat it than to leave it alone and let it resolve on its own, so perhaps that is part of the current reasoning behind the ER/911 advice.

Best of luck,
Cat

 

Re: no med prescribed for MAOI emergency » Catling

Posted by Vincent_QC on March 16, 2013, at 11:13:15

In reply to Re: no med prescribed for MAOI emergency » Roslynn, posted by Catling on March 13, 2013, at 7:09:41

>
>
> Hi Roslynn,
>
> My doctor didn't prescribe anything for hypertensive crisis either. At first I was very cautious about the diet thing, but I did a lot of reading on it and a lot of those restrictions are not as important anymore in the U.S. because of pasteurization and other improvements in food handling processes. It's been about four months and I haven't had any food reactions. (I can look up that study if you would like to see it.)
>
> I also read when I was researching that unless the hypertensive crisis reaches a critical point it can actually be more detrimental to treat it than to leave it alone and let it resolve on its own, so perhaps that is part of the current reasoning behind the ER/911 advice.
>
> Best of luck,
> Cat

Cat, it's completly irresponsible to recommended to someone to not get emergency meds for hypertensive crisis!!!

All the PDoc have to rx meds like nifedipine for the hypertensive crisis and florinef for the orthostatic hypotension as well with every MAOI meds, especially the Parnate, who is by far THE WORSE MAOI, the one who give the more hypertensive crisis and orthostatic hypotension...

While I was on the Nardil, 4 months at 90 mg, the orthostatic hypotension was all over the place... I had to end my treatment (social phobia mainly at the time) cause even at a lower dose of 60 mg, I was getting orthostatic hypotension to the point that even climbing the stairs was giving blackout to me, seeing stars, black holes and headspinning for 5 minutes and more, fainting also and strong tinnitus... BUT with the Nardil I NEVER had a hypertensive crisis, my blood pressure was normal only the orthostatic hypotension when I had to climb the stairs, no heart rate effect, very tired all the time, was on 8 mg of Klonopin a day with it but wasnt able to take more than 1 or 2 mg of Klonopin because it was too sedating for me... (the best way to withdrawal the Klonopin for sure) but I never watch my diet, only avoid chiness foods and chicken broil or soup...never had to use the nifedipine or the florinef...the Florinef never did anything for the orthostatic hypotension on me anyway and increasing the dose was only increasing my blood pressure to the high side but still had the orthostatic hypotension when I had to climb the stairs... weird...

While I try the Parnate, even at 10 mg I start having worse orthostatic hypotension than on the 90 mg dose of Nardil... With each increasement of my dose it was even worse... at 40 mg I start having hypertensives crisis out of the blue without eating foods with tyramine, I had them in the middle of the night or while I was out of my house at the restaurant or at a bar with friends (didn't drink alcohol with it)... The Nifedipine pills saved my life many times (5 times or more for sure)!!! Ok they taste horrible especially when you have to suck them and the bad juice coming out of them in your mouth... BUT I remember that one of the hypertensive crisis lead to a blood pressure of over 210/130!!! I didn't had headache at all when it happen... My heart rate was very low when I had it, in fact each time I felt that my heart rate was lower than usual it was a sign that I had a hypertensive crisis!!!

TheNifedipine pills was ok to reduce a little bit the blood pressure but had to go to the emergency several times even when I took it. Also on the Parnate I had the reverse side-effect on me most of the time... had a very low blood pressure, wake up in the middle of the night with a blood pressure of 50/30, not being able to get up, I remember that I fall on the gound several times when I tried to get up, had to cry loud to my mom who was sleeping at the first floor of the house to bring to me my florinef pills and the box of salt and a glass of water!!! For me, the Parnate it by far the worse and the most dangerous MAOI on the market... I can't figure out how peoples can take dose higher than 30 mg of it... And no, side-effects don't face away with time!!!

Also the Parnate didn't lift my mood at all, for my anxiety it does nothing at all, at least the Nardil was better for my anxiety...but I Was so tired on it...

With the Parnate I always had to have my home blood pressure monitoring machine with me all the time, even when I had to get out of the house... The Parnate make my anxiety so worse and destroy my life... that's because of that med that I start having fears about my heart and start taking my pulse rate and blood pressure 1000 times a day and focusing on my heart all the time... I think it's because when I had all those hypertensive crisis I realize that even if I was 32 yo, it was possible to die from a heart attack!!!

I never try the Marplan, it's not available in the Canada, but did ask my old PDoc to try it but to import it into the Canada with a RX it was over 100$ for 30 pills, so for 10 days since 30 mg is the lowest dose...it was too expensive for me... too bad...

Overall, it's irresponsible for a PDoc to not give emergency meds with every MAOI... they saved my life and without them I will probably not be here today... not that my life actually is better, I never felt so worse in my life, i'm stuck with a somatoform disorder with many panic attacks a day, social phobia, heart related OCD, physical pain of unknow source all over my body, chronic headache, IBS with C, homebound and sometimes bedbound, have POTS and dysautonomia and the list goes on...

I disagree about the fact that the hypertensive crisis stop by themself with no treatment... and that it can be more dangerous to treat them than doing nothing and wait for them to stop... You have to realize that it's your heart, it's a vital organ for your life, without it you can't live!!!


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