Posted by JadeKelly on November 5, 2008, at 21:36:33
In reply to Re: Parnate and Nifedipine and stuff :) » JadeKelly, posted by okydoky on November 5, 2008, at 18:56:44
Hi Oky!
> The lethargy is probably caused or contributed to by having a low bp.
Contributed to def. But quadrupled since start of daily Nifedipine.
> I understand there are several drugs to take for hypertensive crisis. There was an online discussion about it not long ago. I dont understand that your doctor did not discontinue the Parnate, at least as a temporary measure until you bp is normalized
I d/c'd Parnate for day or 2 to give my brain a break, but then started again as I thought Hypertensive crisis was from energy bar (with Soy). At restart, for couple days, I had jump from low BP to high (180-190sys) within 30 minutes after taking Parnate, unprovoked. Same symtoms, terrible allover headache, pounding in the back of my neck, etc. Its a "syndrome" you don't soon forget.I had IV in hospital, but I think it was to check out my blood. They gave me shot of torodol for headache (finally). I just layed there till BP went down and headache was gone. Whole thing took about 3 hours. Well the next couple of times had HT, I stayed at home and layed in my own bed for couple of hours took advil and klonopin, finally all went back to normal.(not fun)
I just read two or three online informational sites on Parnate and every one says to immediately stop the Parnate. I remember I did not stop, or at least not for more than a day but after treatment for HT my bp always stayed normal with the Parnate, you continue to have high bp. I dont get it. When do you see him.
I see him Monday and the only reason I'm still on Parnate is because I take Nefedipine DAILY. No more High BP, none. Only high resting pulse on and off around 120-125, thats with LOW BP. Its a Nifedipine side effect. You can see why its got to go. So thats my problem, one of the unlucky few who gets spontaneous HT from Parnate. And my research tells me that Parnate is the worst for that. So, maybe back to Emsam Patch, or maybe Nardil. Don't know. Maybe he'll surprise me and have daily antidote that doesn't wipe out Parnate's effects like this Nifedipine. Good for once in a while, def not good daily.Not sure what you thought was going on, just simple case of incompatability with Parnate:(
> I wont be changing pain meds any time soon.
I am currently on Morphine.
>
> It is strange that you are having a HC every day.No, not any more! But I would without daily Nifedipine, which I hate.
Just first couple when resumed Parnate with out Nifedipine on board. I haven't had one in a while.
My old pdoc would describe it as something else, not as a HC. I found the following at: http://amc.edu/Amr/archives/200705/Prashant%20Mehta.html
> Overview
> Hypertensive crisis is typically defined as a blood pressure reading greater than or equal to 180/120 mmHg and is divided into two categories: hypertensive urgency and hypertensive emergency.1 Hypertensive urgency is defined as severe hypertension without signs of end-organ damage and hypertensive emergency includes severe hypertension with end-organ dysfunction.There better not be any organ damage!! You've had a hypertensive crisis, right? Its not the kind of head pain, etc. you'd mistake for something else. At least I don't think so. The latest thinking in a lot of ER's is that if BP Spike is going down slowly on its own by time you get there, which most are, they just watch you, as risk of heart attack if they lower BP at an undesirable pace with meds. Makes sense I geuss. Be nice if they would get up off their *ss*s and treat headache a little sooner!!!!
> Epidemiology
> Hypertensive crisis cases account for nearly one-fourth of all cases of hypertension seen by the emergency department yearly. It is seen in less than one percent of Americans suffering from hypertension. It typically affects more males than females, and is mostly seen in the 60 to 70 year old age group. Hypertensive crisis is seen most commonly in individuals with diagnosed hypertension, who are either under-treated or noncompliant with medication. It may also present as a consequence of renovascular disease, renal parenchymal disease, adenomas, eclampsia, pheochromocytoma, and head trauma.
No head trauma here! just crazy fatigue from that Nifedipine.OK, no more whining from me.As for you, Oky, glad you have pain med on board, is that recent? Will you alternate with others so no tolerance? I hope so. Then you'll feel like taking care of stuff like finding good PDoc! Are you still on that Parnate or are you waiting to get new from Doc?
Hope your having a good evening!
Jade
>
>
>
> I hope you get some answers to the questions you posed online. I have not seen them.(me too!)
>
>
> oky
poster:JadeKelly
thread:859616
URL: http://www.dr-bob.org/babble/20081027/msgs/861036.html