Posted by TJ99 on January 27, 2009, at 21:16:52
In reply to Re: Nardil + Bradycardia/Heart Stoppage, posted by desolationrower on January 26, 2009, at 11:59:12
> hmm, what did the cardiologist say was the cause? yeah i'd not take gingko with an MAOI, either.
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> just guessing, sounds like insufficient beta agonism, maybe because of octopamine accumulation; i think phenelzine also has a bit of catecholamine inhibiting effect. I'd guess parnate might be better, it tends to cause greater sympathetic activation. and while a amphetamine would probably help, the on/off nature would worry me. you say it would cause too much anxiety, but for people with ADHD stims (and thats the direction parnate would be) usually reduce anxiety.
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> have you had problems like this before? i think bradycardia is usually because of a physical cuase, often it could be nerve problem; nardil shouldn't do this in someone who is otherwise healthy, only exacerbate it. also has thyroid been checked (including t3/t4, not just tsh)? it can cause all of the problems you've mentioned. same thing with sleep apnea. make sure to get minerals, enough calcium, potassium, magnesium, basically eat your vegetables. and while you should be caution, make sure you'll still excercising.
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> piracetam could probably help concentration and prevent hypoxia brain damage if you have another incident.
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> sounds like a serious problem. hope you get it sorted out.
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> -d/rThe cardiologist has no knowledge of Nardil, but believes it was the cause. My PDoc seems to defer to whatever the cardiologist says.
I've never had a problem like this...I did notice that my heart rate was a little slower in December than before, but not lower than 70 or so. And I didn't have any lightheadedness or anything until the night I just passed out. I had been at 90 mg for about a month or so. I had thyroid checked earlier in 2008, and it was normal. I take supplemental magnesium and on some days (depending on food intake) calcium. I do have sleep apnea though -- have to use a CPAP.
I've never heard of piracetam; I will have to look it up.
My Pdoc wanted me to call after I saw the cardiologist. I told him about how I hadn't had any more heart issues but was starting to feel like the nardil wasn't working anymore. He said to wait for another two weeks to see if the trend continues, then I could come in to see him and he would prescribe me lithium. Somehow I don't much like the idea of just waiting to see if the trend continues.
Thank you for your input, I appreciate it.
TJ99
poster:TJ99
thread:876250
URL: http://www.dr-bob.org/babble/20090104/msgs/876659.html