Posted by Sad Panda on June 6, 2004, at 10:23:50
In reply to Re: Underlying reason for hypotension? » Sad Panda, posted by Racer on June 6, 2004, at 8:37:12
> Dunno if you can say there's an underlying reason, but my BP is normally fairly low, even without meds, and even without meds I have to be careful standing up from sitting or crouching, or even standing still for long periods. On the TCAs I've tried, that's multiplied a lot: I'll get the greyness and fall down without a whole lot of warning, even if I'm actually moving at the time; and I will sometimes start to pass out while sitting in a chair with my feet on the ottoman. (Sorry, just had a mental image of a fellow in Turkish garb, on his hands and knees in front of a chair, with someone's feet up on him. But I'm glad I amuse myself.)
>
> No, not taking anything for the BP, since it is in normal range most of the time. It really only becomes a problem when you add drugs to it. Pdoc is talking about MAOIs as the only thing left to try, but aren't they even worse for hypotensive reactions? So, one way or another the hypotension has to be addressed, and I'd prefer to try the TCAs again, first, if that's the case. Do you know anything about how it can be treated?
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> Thanks.
>
>I'm not familiar with treatments of low blood pressure, plenty of drugs can raise it, i.e.: epinephrine, or it could be as simple for you as increasing your salt intake.
With blood pressure & MAOI's, Parnate would be the choice for you as it can raise blood pressure, while Nardil & Marplan nearly always lower it.
Have you tried Strattera? What happened with Effexor? These two would raise blood pressure as they raise NE without A-1 blockade which causes orthostatic hypotension. Strattera would be very similar to the Desipramine without the low blood pressure problem.
Cheers,
Panda.
poster:Sad Panda
thread:353748
URL: http://www.dr-bob.org/babble/20040602/msgs/354245.html