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MAO Questions for the experts

Posted by ZenTen on November 22, 2004, at 20:14:28

I know this board is the best place to ask technical questions.

I am planning on starting on Nardil. I pretty much have been on all the ADs and am ready for an MAO. My strange life-long depression has a weird component. (Very depressed in the AM and almost normal again by bed time - or at night !) I also have severe social anxiety, anhedonia, total lethargy (I am almost totally house-bound and only 27/male) Stimulants make me much more depressed even though I have Adult ADD -- I even went to a special school for kids with ADD and have had it since I was 3 and diagnosed at 4 or so. (not bipolar).I am pretty vegetative and my memory is getting worse and all that 'good' stuff. You get the idea.

I am very fearful of MAO but am very educated on these meds, as I have read a lot. I fear the Hypertensive crisis. I am a trained (non-practicing Paramedic) So this kinda makes me a little more worried. If my Doc oks it I am going to carry Procardia And thorazine in case.

My question is: Isnt it possible to go into shock (hypotensive) if we take the procardia or other Calcium channel blocker or alpha blocker, during the crisis.... which would be actually worse than hypertension because of the even more immiment possibility of becoming unconcious and brain dead?? I have seen it before!

I plan on using thorazine as a first line pill in the unhopeful event of the crisis... it seems it is much less likely to lower the blood pressure too low.... and possibly even impossible too become hypotensive on it, except if its taken I.V.

Any ideas here? Also is Compazine able to lower B.P. in a similar way to thorazine? Any experience?

Will a Benzodiazepine taken during a crisis help also. I know sedation in general can help get rid of the severe pain of hypertension (from sedation of the central nervous system) and also lower B.P. Will it it mitigate the effect of an overabundance of tyramine and its effect?

Thanks for everyones help in advance.


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Psycho-Babble Medication | Framed

poster:ZenTen thread:419108
URL: http://www.dr-bob.org/babble/20041118/msgs/419108.html