Posted by Chairman_MAO on October 8, 2011, at 23:08:40
In reply to Hypertensive Reaction on D-amphet/Nardil, posted by stargazer2 on October 8, 2011, at 21:54:28
I'm sorry you had to suffer through that. I guess I'm one of the lucky ones. I suspect more people are lucky than are unlucky in this respect, but who could even know?
When I was on 90mg/day of Nardil, my doctor started me immediately at 5mg bid d-amphetamine. No issues all the way up to 60mg/day (tapered up over about a year and a half). There was a period of time I wasn't taking it, then restarted it again right at 60mg/day. No issues.
The only hypertensive reaction I've ever had was to Thai food from Parnate. I doubt it was as severe as yours, but I had a splitting headache and had to lie down waiting for the clonidine to kick in.
The treatment of choice would be an injection of phentolamine. I'm not so sure my doctor would be keen on prescribing me that given that it's only available for inection ... but that is what they'd use in an ER.
poster:Chairman_MAO
thread:998829
URL: http://www.dr-bob.org/babble/20111006/msgs/999139.html