Posted by Vincent_QC on December 30, 2008, at 10:43:52
In reply to Re: Parnate/40mg experience JadeKelly/Scoot... » Vincent_QC, posted by JadeKelly on December 29, 2008, at 21:03:18
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>Hi Vincent,
Some questions for you: how long this time on 30mg? Did you switch directly from Nardil? How long in between Nardil & Parnate? >
>Hi JadeKelly, No, in November, I ask my new psychiatrist to try the Parnate. I begin at 20mg for 1 week but I was feeling a lot overstress on it. The week after, I had another appointment with him, I told him about my anxiety and the stress so we decide to return to the Nardil again. I was only on 15mg day.
In the same week, I continue to feel a lot anxious and I had another appointment with my family doctor (not the psychiatrist). He remember me that I had already do 3 months on the Nardil at 90mg/day and that I didnt had improve, I Was just able to reduce my Rivotril intake at the time on the NardilSo he said why you dont want to try the Parnate, Im sure the stress and anxiety you experienced at week 1 on 20mg was not from the Parnate himself but just your general anxiety I said yeah, ok, I will tryThe week after I had another appointment with my psychiatrist and I ask to return to the ParnateHe said yes but this time dont take more than 10mg at week one and go slow on the increase
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>Did you ever have headache (during this episode) that was almost unbearable, mainly in back of neck? >
>No, I had a regular headachetemporal (above my ears) and in the front, its like in the middle of my head, sometimes I have just an headache on the left side, other time its on the right side, sometimes the 2 sides togetherbut never in the back of my neckI always have headaches or migraines, Im like this since Im a child.
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>Maybe, maybe not. When I had my hypertensive problem, it happenend fast. There is a point where its safer not to take the nifedipine, but I think thats for really high, you were getting there. Shoulda gone to emergency, Vincent!!!
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>The Nifedipine is apparently safe if take with a high blood pressure above 205 I was not aware that it will low my blood pressure like it do
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>I don't think she's qualified Vincent to make that decision! 205 is dangerously high!! >
>My best friend is a nurse and it was the one who go to the restaurant with me that night and he confirm what she told methey do nothing before 205 at the hospital and they use the same kind of drug to reduce the blood pressure but its I.V so act more fast than Nifedipine. Sure they monitor you, and if something happen, they can do something faster than if you stay at home Sure, I think next time hospital will be safer, Nifedipine seem to be not safe for hypertension
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> I never had that light sensitivity people talk about.>
>Photophobia.its very commonI had this often but not just in an orthostatic hypotension crisis Your eyes begin to burn if you open themyou see like strange colors and circles everywhere, thats really hard to supportand Im sure even someone without a panic disorder or anxiety problem will find this really freaking out!!! IT give you also a big headache...
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>I'm curious, does nicotine raise, lower or is it neutral in relation to your blood pressure? Might want to find that out. If any benefit, you could carry the gum with you. >
>I read somewhere that nicotine also inhibit MAOI enzymes of the type A I remember a study about where they put nicotine patch on depressive people and they improve more well than the people in the group without the nicotine patch. But smoke a cigarette, Im not sure, since it contain more than just the nicotine insideit high the BP Im sure
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Thats not strange to me! My blood pressure was all over the place for a while! Its learning to control it as best you can until it calms down. I have low blood sugar, and while I was typing this felt very weak (no, hadn't eaten) took BP, it was 84/54. I think low blood sugar may contribute to low blood BP in some way. I just took two salt tablets and ate and feel much better. This RARELY happens to me now tho. Especially the high BP, almost never.
>Good to know, maybe it will became more stable on me also with time I have to check it out for the sugar in the blood. My mom is diabetic and has a machine for blood sugar testing I dont know if its related or not. I have to admit that I dont eat a lot since Im taking the Parnate, even if I gain weight on it. I have to force myself to eat something. Its why I take salt, to high a little bit my high blood pressure if I dont eat a lot the Florinef amplify the effect of salt in the body fluidits suppose to be good to reduce the hypotension problems. Since I take it, I don't see a difference...
> >
>That dose was the worst for me! At 30mg, I had hypertensive problem and had to go to hospital. I woke up and for no reason I could find, my BP was 90(sys) and rising fast. I had a headache that I can only describe as a 10 on a 1-10 scale. My nephew called the ER and they said it was an emergency they were on their way. I asked if they would have antidote, "yes they will". No antidote so I had to go to Hosp. Its not good to self-treat when heading towards 200 or over. You can cause a heart attack etc if BP not lowered correctly. Please go next time?! Anyway, for me this was the worst time, 30mg. So expect it and be ready! >
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>Hummm.well, like I write before, I know its dangerous, Im a lot preoccupied with hypertension, a lot more than with hypotension in factcause with hypotension you can always take salt and it high the BP in a couple of minutes but lowered the high blood pressure is more hard, I admit itNifedipine act too much slowlynext time I will have to go to the emergency I think, I dont trust the Nifedipine nowI will continue to keep the "Antidote" in my pocket, just in case...
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> Yes! you will be able to increase! I stayed at 30mg for 6 weeks(the worst for side effects!), then aprox 1 1/2 weeks to 40mg, 1 1/2 weeks to 50m, 1 1/2 weeks to 60mg. Approx 10 days into 60mg. I was in remission. 100%. No euphoria, just myself. >
>Okstrange, the 30mg stage for me was hard, but I think I wanted again to go more fastI was not ready for the 40mg stageI hope I will react like you do, I mean the 30-40mg step will be the hardest And for the EuphoriaI think its not the goal to reach no? IF I want some Euphoria, I will go buy some alcohol and drink itlol ;-) I just want to be able to live my life again, go outside, finish my school, find a job, be able to live in this society without being always overstress because of the others people around meSocial anxiety is hard to explain if you dont experience it
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> Mine wasn't either. >
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Parnate seem to provoke more spontaneous hypertensive crisis than the Nardil for sure, like I was writing on another message, Nardil never give to me high blood pressure, I was always on low blood pressure. Anyway, I dont eat a lot, so I dont see why it can be a cheese reaction Its probably the stimulant action on the cardio vascular system>
>Vincent, I was the only one I'd heard of with spontanious hypertension except an old poster, Elizabeth, some, not many, have spontaneous HT on Parnate as your body adjusts. I had it for 3 nights in a row. I was so desperate to finish my trial (plus PDoc was about to take me off) that I took Nifedipine for 10 days in a row till I saw him next. It was hell. Pure lethergy, weakness, depression. Boy was I glad to be off that. Some people take more of a beating on this med than others. But in my experience, its in the beginning.
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You are not lucky, its a good thing everything is fine now with you!!!!
I probably experience a spontaneous hypertension crisis, like you do Now I monitor more my blood pressure, every 2 hours in fact, and I note all of this on paper. I will show this to my family doctor the 7th January and he will know what to do with this. One thing is sure, if I experience another spontaneous hypertension crisis like the one I had 2 nights ago, I go to the emergency, since the Nifedipine seem to be a weak drug to reduce the blood pressure Yeah, some lucky people never have problems with MAOI's...it's like people who take their first SSRI and improve fast on their first try...I think we are not lucky on that...but that's life...>
> Mine was absolutely normal. >
>You mean before Parnate???
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> At first, yes. Stayed in bed. Then less and less with each dose incease, no idea why!Normal? for most no. For some like you and I? Unfortunately, yes. But it passes quickly, especially the unexplained high BP. >
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Hummm okYeah, I was more often in my bed at first alsoNow I begin to have a more normal life, mean that I tend to return only in my bed for a small nap in the afternoon, 1 hour maximum. The main problem is that I dont have energy at daytime to take my shower and do something, I just open my laptop, or watch the TV
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> I don't know if I said this or someone else did: This medication is not for he faint hearted. But its the only one thats ever worked for me. One more thing, I take klonopin (benzo) 3xday, and Parnate for some reason makes me forget to take it alot. Wierd, you to, huh? Wonder what effect that has on our BP?? When we forget? Did you? >
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I think it probably increase the blood pressure. Since, before the Parnate, I was feeling the craving for the Valium. Last night, I go to my friend house, around 10PM I begin to have a more big headache (Temporal one) and I suddenly remember that I had only take 5mg of Valium in the morning I take my blood pressure and I was at 156/83 I take the 5mg Valium and take my blood pressure 1 hour after and it was lower135/80and at bedtime (1AM) it was normal122/70 So I dont know really if it affect the blood pressure or notMaybe a little bit>
> Keep me posted!
~jade
PS-Get used to getting a lot of rest!! >
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>Dont worry; I will do for sure ;-) A lot of restIm use to stay in my bed for long time, but I dont sleep Insomnia is another problem, but that not the Parnate fault
For now, I had 35mg yesterday, I cut one pill in 2 and it was more tolerable, so maybe I will be able to up to the 40mg and stay there for a long time and wait to see if I improve more or not.
I will keep posting about the orthostatic hypotension and the hypertensive crisis alsoI hope everything will be ok this time and fade away with time
So another time, thanks for you help ;-) You are very nice!!!
Bye!Vince;-)
poster:Vincent_QC
thread:871276
URL: http://www.dr-bob.org/babble/20081223/msgs/871411.html