Posted by kregpark@yahoo.com on September 9, 2001, at 4:31:46
In reply to Re: MAO Midday Slump--Low Blood Pressure? » Lorraine, posted by Rick on August 29, 2001, at 23:15:26
Rick: Have you seen Jack Gorman's
"The Essential Guide to Psychiatric Drugs"?
Version 3 is available in small paperback, I think
1997. Excellent book, a lot in a small space,
a reference. Gorman is highly respected, I think
he heads or used to at either Columbia or was
it New York Psychiatric Institute. Could be
confusing with Liebotwitz.Anyway, Gorman has worked with Liebowitz and
others on social phobia over the years and has
*back to topic* (sorry) - the book covers all
antidepressants, benzos etc. The info on Nardil
and Parnate talks about how MAOI side effects
go away over seveal months (mostly go away) -
sexual side effects too but depending on dose
maybe not entirely. While increasing there is
a more benzo feeling like Xanax. More relaxing
during this time. Hypotension on Nardil rarely
a problem after stablizing a few months, it goes
away.Generally, when people stop Nardil due to side
effects after on them and stablizied many months
it will be sexual side effects, possibly insomnia.
With Parnate, it takes much less time to adjust
(not months, more like weeks) - but insomnia and
anxiety is usually the culprit. Actdually
daytime sedation coupled with nighttime insomnia
at high doses.I'm talking a bit too much like an expert here
which I'm not, but I do highly recommend Gorman
edition 3, 1997 smaller paperback.kregpark
>
> After I complained to my pdoc because Nardil turned me from hypertensive to way-hypotensive, he first suggested salt but then gave me Florinef when salt didn't work. The Florinef helped a lot, but it is a corticosteroid, so it definitely should not be taken for a protracted period of time.
>
> I always wondered if I would have adjusted to the hypostension had I stuck with Nardil more than four weird weeks. I recall one article on MAOI's that said the initial and sometimes-precipitous drop in BP is paradoxically replaced by a somewhat hypertensive effect after awhile. I'd be curious to know if any MAOI users have experienced this kind of reversal pattern.
>
> Rick
poster:kregpark@yahoo.com
thread:76827
URL: http://www.dr-bob.org/babble/20010907/msgs/78342.html