Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Re: dealing with hypertensive urgency » Elizabeth

Posted by christophrejmc on February 22, 2002, at 15:31:54

In reply to Re: dealing with hypertensive urgency » christophrejmc, posted by Elizabeth on February 22, 2002, at 13:59:29

> Hi there. Something similar happened to me with Parnate: I took a single dose of 20 mg, and my BP got to be about as high as yours got (don't recall exact numbers) after a half-hour or so.

Hi Elizabeth! The same thing happened to me as well. After a while, the dosing got to be an effing pain, so I went back to Nardil.

> I think it's more common with Parnate, but it can happen with Nardil too. It's definitely dose-related (hypertension is a common symptom of MAOI overdose, for example).

I've never heard of it happening with Nardil, but I would have definitely suspected that if I had.

> Did you take the entire 90 mg all at once? If not, how much did you take?

Well... I kind of lied. I was prescribed 75 and she bumped it to 90; I had been taking 90 so I bumped it to 105. Our target dose is 120, so I didn't do anything that terrible. I took it all at once.

> The tingling scalp seems to be a very predictive symptom of acute hypertension (I described it as feeling like my hair was standing on end). I also had a very bad headache and some nausea, and I was sweating like -- uh, something that sweats a lot.

I was waiting for the "hit with a brick" headache! I'm almost disappointed I didn't have it. I had the tingling scalp thing with Parnate, but not the angina -- that was what worried me.

> BTW, "hypertensive urgency" is the technical term for these brief episodes of hypertension that aren't serious enough to be life-threatening. I've had a number of such episodes, but only one true hypertensive crisis.

Thanks! I had been searching for information on hypertensive crises, but most of it wasn't very helpful.

> One way to reduce the risk of spontaneous hypertensive episodes is to take the drug in divided doses. I developed hypertension whenever I tried to take 20 mg of Parnate at a time, so I restricted each dose to 10 mg.

Yeah, that worked for me with Parnate; hopefully it'll work with Nardil.

> I hope this helps. Let us know what your pdoc tells you; I'll be curious.

You always help, silly. I'll probably have to bring in some articles about the use of nifedipine in hypertensive cri, er, urgencies! She's a bit by-the-book (and by book, I mean the PDR), but she might reconsider it if I bring in some stuff to negate the PDR's warning.

Thanks!
-Christophre


Share
Tweet  

Thread

 

Post a new follow-up

Your message only Include above post


Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.

 

Start a new thread

 
Google
dr-bob.org www
Search options and examples
[amazon] for
in

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:christophrejmc thread:95075
URL: http://www.dr-bob.org/babble/20020222/msgs/95133.html