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could it be hypotension? Or hypoglycemia? » jenny80

Posted by Racer on April 28, 2007, at 20:58:34

In reply to given up on nardil, posted by jenny80 on April 27, 2007, at 4:10:05

> i have already tried parnate and got the same cold shivers. don't know why i am getting this unusual symptom.

I've had both problems -- hypotension and hypoglycemia -- at different times, and either could lead to a feeling that could be described as cold shivers. My guess is that it's not actually changing my temperature, but somehow messin' with my CNS. You'd know more than I about that, though, I suspect.

Anyway, although the hypertensive crisis is the effet most often discussed with MAOIs, they are also known to cause hypotension for many people who take them. If that's what's causing your cold shivers, it can probably be addresed. It's easy enough to see if that's the problem.

Hypoglycemia wouldn't be too far off the mark, either -- especially if you're not eating much on it. Many anti-depressants can cause changes to blood glucose levels, so it wouldn't be surprising if it's lowering yours. It should be easy enough to test for, too. (Although I had a PA once refuse to do the fasting glucose reading my doctor ordered, saying "I don't believe in hypoglycemia." I told her, "You don't believe in it *as a diagnosis,* maybe, but it's certainly real as a symptom." She still wouldn't do it. When my doctor came in, several hours later, she wasn't happy. Don't know why I told that story, but you got to hear it anyway.)

As for the bottom line for you, hard as it is, it's worth trying to stick out the adjustment phase. It's a vicious circle, otherwise -- you quit, you start to lose hope for anything helping, which makes it easier to quit the next drug, and the next. If you don't take them, they can't help you -- and you really do have to take them for an adequate time period to get any relief. The bad part is that the adjustment phase is usually the worst, in terms of side effects.

Good luck.


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