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Re: MAOI Diet may_b

Posted by Elizabeth on August 10, 2001, at 15:37:30

In reply to Re: MAOI Diet , posted by may_b on August 10, 2001, at 2:24:14

> > The way you describe the symptoms, though, makes it sound like your BP must have been quite high *or* there might have been something else going on that contributed.
> I am sure it was very high.

Have you ever had a sudden rise in blood pressure before? If not, how would you know? Some people are much more symptomatic to relatively small rises in blood pressure than others are. I would definitely notice something if my systolic pressure got up to 140 or so, yet there are some people for whom 140 is baseline.

If you can get your medical records from this incident, it might be worthwhile to see what your measured BP was.

> > Using nifedipine can be risky under some circumstances,
> but not in emerg, where this could have been monitored (theoretically)?

They wouldn't want to do something that could cause much more serious complications ("do no harm" and all) if your BP isn't (in their judgment) really dangerously high.

> I think you are absolutely right -- he seemed utterly unfamiliar with parnate and had no knowledge of nifedipine.

I think that it's typical for a non-psychiatrist to be unfamiliar with MAOIs. Immediate-release nifedipine isn't used much anymore, although ProCardia XL is a fairly common antihypertensive (for people with sustained hypertension).

> > That's a little odd -- my impression has been that MAOI-associated hypertensive episodes usually last much shorter than that.
> With or without treatment?

Either. Even if there is a hemorrhage or something like that, a typical MAOI hypertensive event subsides on its own pretty quickly (within an hour, perhaps two hours).

> < wry smile > For now, further risk seems inadvisable. I have discontinued Parnate and any foodstuff identified on any maoi restriction list anywhere.

The food lists are silly. I used evidence-based dietary rescrictions, rather than basing my food selections on what amounts to rumour.

> It's pretty unworkable but I guess Parnate should clear out of my system in a month.

MAO takes about a week to return to normal; the conservative washout period is 2 weeks. I hope you don't get any withdrawal symptoms; they can be pretty bad.





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