Posted by Lorraine on September 10, 2001, at 20:37:28
In reply to Re: MAO Midday Slump--Low Blood Pressure? » Rick, posted by kregpark@yahoo.com on September 9, 2001, at 4:31:46
> 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:Lorraine
thread:76827
URL: http://www.dr-bob.org/babble/20010907/msgs/78520.html