Posted by 4WD on April 21, 2008, at 13:38:15
In reply to Re: 6 weeks on Nardil, posted by undopaminergic on April 21, 2008, at 0:11:52
Hi,
My pdoc knows about the hypotension but it had not gotten as bad when I last talked to him. I will be talking to him on Thursday and I will stress to him the extent of the problem. He suggested the Inderal as a trial to see if I took it with my Valium in the morning whether it would help with my anxiety. It didn't and it made me more depressed the two days i tried it. So I'm not taking it now.
I think a lot of the stimulants you mentioned may be contraindicated with Nardil. In any case, I'd rather not have to tr eat it with another drug. Sipping salty water though the day seems to help.
> >I'm hanging in there though. It's worse during the first part of the day and gets better as the day goes along. I hope it will balance itself out, as I get more and more used to the Nardil. Who knows - maybe it will go away. I've only been on the Nardil for less than 7 weeks. Lots of people have said the side effects subside with time so maybe this one will.
Thanks for you response.
Marsha
>
> First, make sure you aren't taking any drugs with hypotensive effects unless they are absolutely necessary. Inderal, for example, is an antihypertensive agent and lowers blood pressure.
>
> Someone else suggested fludrocortisone, and that may very well work. Another suggestion, from PubMed, is metoclopramide. Other options include L-dopa, phenylephrine, ephedrine, and of course stimulants, like methylphenidate. Amphetamine is probably overkill since your depression is almost in remission - you probably don't want to get *too* high.
>
> You need to make sure your doctor knows about your hypotensive problem. It doesn't appear that he does, since he suggested adding Inderal.
poster:4WD
thread:823866
URL: http://www.dr-bob.org/babble/20080420/msgs/824598.html