Posted by desolationrower on March 25, 2011, at 5:17:28
In reply to Re: nighttime Parnate dosing?, posted by Terry8 on March 24, 2011, at 14:56:47
> > I didn't find that terribly helpful.
> >
> > its probably worth monitoring your blood sugar, and pulling out all the stops:
> > pharmaceutical: modafilal et al
> > caffiene
> > peppermint
> > ginger/capsacicin
> >
> > -d/r
>
> Caffeine I can only do in moderation, it seems--more than a cup (or perhaps two, if had slowly) makes my blood pressure go up a fair bit (though only on one occasion, and during the third large cup -- but I've been hesitant to try again). I've been on Ritalin in the past in combination with other medications (not Parnate); do you know whether Modafilil be safer, i.e. less likely to cause high blood pressure than Ritalin, given my reaction to caffeine? I'm not sure where my pdoc stands on Modafilil, whereas he has mentioned adding Ritalin if necessary.
>
> I hadn't known about a possible blood sugar connection. Can Parnate cause a drop in blood sugar in the afternoon, leading to the urge to nap? (An urge which recently I've been failing to resist, unfortunately. It's so overpowering.) I'm visiting my parents this weekend, and my father has a blood sugar monitor; I'll see if I can nab some readings while I'm there.
>
> Thanks for your reply!
>the only way modafinil will increase blood pressure is placebo. but if your doc will rx ritalin, she's a keeper. modafinil is more targeted at sleepiness though, and has less negative effect on sleep quality (important since maois can cause insomnia too)
I'm not _sure_ about what parnate does to blood sugar, but i kind of think it might be reducing capacity to handle swings. I noticed carb cravings when i took it, and i'm usually in good health. sympathetic nervous system, cortisol, etc is all related to energy metabolism, as well as their role in mood. Important to keep in mind how evolution hijacks a system that works well for something and uses it to do something else. I kind of think a low cab diet might be good for these fatigue type problems with maois. I think glucose monitors can be had for pretty cheap so i would try it out.
-d/r
poster:desolationrower
thread:980535
URL: http://www.dr-bob.org/babble/20110321/msgs/981087.html