Posted by jedi on August 3, 2006, at 1:56:40
In reply to MAOI's and blood pressure meds, posted by H. Upmann on August 2, 2006, at 21:27:19
> Just curious if it is common practice for a doctor to prescribe a blood pressure lowering med as a prophylactic in case you mess up your diet or eat something you wouldn't suspect to cause a reaction. My doc says just go to the ER as it's a bad idea to self-medicate when it comes to your blood pressure. Seems like if your in the middle of nowhere or alone and have a reaction you'd be SOL. Just curious what your docs have said if you've been prescribed Nardil or Parnate.
Hi,
Many doctors no long prescribe the "bite and swallow" nifedipine capsules because of the chance of a greatly lowered BP. This actually happened to me once. The tyramine reaction has a shorter duration than the nifedipine, leaving some people with a dangerously low blood pressure. When this happened to me, my PDOC at the time had prescribed 20mg capsules of nifedipine. This was too high a dosage for me, and I ended up spending the night in the hospital on IV fluids. The niphedipine brought my BP down quickly. But as the tyramine reaction subsided, the nifedipine just kept lowering my BP. Really low blood pressure can be just as dangerous as really high. I now feel kind of helpless, because I no longer carry anything as an antidote to a hypertensive crisis. And I know how fast you can get into a crowded ER. Especially, when they hear that your problem is related to a mental health issue. Go to the back of the line, have a stroke and die!PS Nardil also lowers my natural blood pressure from borderline high, to normal. Watch out for the orthostatic hypotension. I have not had it for years, but when I first started Nardil, it was pretty bad.
Good Luck,
Jedi
poster:jedi
thread:673106
URL: http://www.dr-bob.org/babble/20060802/msgs/673176.html