Parnate + orthostatic hypotension
Question:
hey guys, i’m wondering, what is the worst part about orthostatic hypotension? for example, …… if i exercise, will i pass out, .. or will it raise my BP and be okay? any secrets to managing it? cheers
Response:
I forgot to reply to this question last night. From what I know about it, one of the ways they know you are at your limit for how much medicine to take is when your blood pressure gets too low (on a regular basis). I stopped at 100mg because when I would stand up after sitting or get up in the morning I would feel very dizzy. That is also why my doctor takes my blood pressure every visit, both sitting and standing. I would guess exercising is going to be subjective also. The best idea is to start slow, take your pulse and/or blood pressure if you can, and concentrate on how you feel as you’re exercising. Pay attention if you start feeling dizzy or light-headed. I really recommend a home blood pressure kit if you can afford one. As to blood pressure kits, I looked for a long time. I finally decided I wouldn’t be able to handle a manual kit in an emergency and bought an automatic one. I also researched and found that the wrist and finger machines aren’t as accurate or reliable, so I bought an arm one. Omron seems to be a good brand and Costco (if you have one) sells them the cheapest at $45.00 in the stores. One other thing to keep in mind, is that the standard arm cuff that comes with machines is 13"-17", since I’m a bit heavy I had to buy a larger one at $25.00 (didn’t find it cheaper anywhere – seems to be a fixed price). It’s quite a bit of money to lay out, but a good idea. Good luck, Jessica
– Hide quoted text — Show quoted text -> hey guys, i’m wondering, what is the worst part about orthostatic > hypotension? > for example, …… if i exercise, will i pass out, .. or will it raise > my BP and be okay? > any secrets to managing it? > cheers
Response:
Orthostatic hypotension will eventually go away. Just remember to rise slowly till it does. I almost passed out at my doctor’s office once when I got up to quickly. Guess I couldn’t have been at a better place. My depression had been treatment resistant for some time. My PDOC eventually added an amphetamine to the Parnate to treat the TRD, but it also helped with the orthostatic hypotension. This is usally considered very dangerous since combing these drugs can create a hypertensive crisis. I had no problem however. Most doctors won’t do this but please don’t do it on your on. Do it under a PDOC’s supervision and make sure he gives you that antidote blood pressure pill. Can’t remember the name of it right now but others on this site will know what I’m talking about. Curious, anybody else on the site every taken a combination of MAOI and an ampheamine.? hey guys, i’m wondering, what is the worst part about orthostatic hypotension? for example, …… if i exercise, will i pass out, .. or will it raise my BP and be okay? any secrets to managing it? cheers
Response:
I know others have because it’s been mentioned on Psycho-Babble (a great site, btw). The emergency pill I was given is Chlorpromazine (Thorazine). I’ve used it once and it worked great. The only side effect was being pretty sleepy and out of it (tired) for a good day afterward. But that’s much better than a heart attack or stroke. I would really like to try amphetamine with the MAOI. I feel much better than I have in years on the Parnate but I still don’t feel like I’m there yet. We’re trying different augmentations but I’m a little frustrated with my doctor right now because she doesn’t want to try anything not "sanctioned". I’ve heard of success with several meds that aren’t technically supposed to be prescribed with MAOIs. I guess I just need to show her an article or two. She’s usually pretty easy going. -Jessica
– Hide quoted text — Show quoted text -> Orthostatic hypotension will eventually go away. Just remember to rise > slowly till it does. I almost passed out at my doctor’s office once > when I got up to quickly. Guess I couldn’t have been at a better > place. > My depression had been treatment resistant for some time. My PDOC > eventually added an amphetamine to the Parnate to treat the TRD, but > it also helped with the orthostatic hypotension. This is usally > considered very dangerous since combing these drugs can create a > hypertensive crisis. I had no problem however. Most doctors won’t do > this but please don’t do it on your on. Do it under a PDOC’s > supervision and make sure he gives you that antidote blood pressure > pill. Can’t remember the name of it right now but others on this site > will know what I’m talking about. > Curious, anybody else on the site every taken a combination of MAOI > and an ampheamine.? > hey guys, i’m wondering, what is the worst part about orthostatic > hypotension? > for example, …… if i exercise, will i pass out, .. or will it > raise > my BP and be okay? > any secrets to managing it? > cheers
Response:
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