Posted by 4WD on October 8, 2012, at 3:16:08
In reply to Re: 36 hours of can't stand up » 4WD, posted by phidippus on October 7, 2012, at 14:21:11
Hi. I am still here, and better. I have not taken any Parnate since Thursday evening and today the orthostatic hypotension is merely a mild annoyance and even that is going away. What I don't understand is this:
I had upped the Parnate from 30mg day to 60mg for a couple if days, trying to get past the insomnia period/dosage. But the daytime fatigue got even worse. I had been having horrible fatigue before I started it-that's why I asked to be put on this "activating a/d." So I dropped it back down to 30mg for a couple days than down to 20mg one day. The fatigue didn't go away at all except that I would have 2-3 hrs of being somewhat functional a day, in early afternoon. It was doing nothing for my hours-long morning grogginess at all-still taking me 4-5 hours after waking before I could get off the couch even .(this has been going on for a couple of years now. Anyway, I figured Adderall would: raise Bp, control the fatigue and help me go from zombie to person quicker in the a.m.'s
(btw why would someone be unable to even make her bed till she'd been awake for 4 hrs? My bedtime meds are only 20mg Geodon, 1/4 mg Klonopin, 25mg Trazadone and half a pepcid, down from 4 times those dosage a year ago).
Anyway, I took 10 mg parnate Thus. Am, then waited several hours and took 20mg Adderall. I took my last of the day's dose of another 10 mg Parnate that late afternoon and my 2nd daily dose if 20 mg Adderall a few hours after that.
I didn't sleep very long, bed late and woke up early. The next morning, the hypotension started. By midday Fri., I was getting pretty dizzy on rising. I Was afraid to take any Parnate but continued with the Adderall.
I ate, and drank fluids and salt water but it didn't help. I felt fine depression wise (what a lifting of a burden. ) Bp kept getting worse but I knew if I went to hospital, they'd take away my Adderall since its a "dangerous interaction".Now I have to admit that I have for three years been sometimesabusing somewhat mainly Nuvigil. Occasionally the Adderall. Not to"get high", to get functional, and then that felt so great, I'd take an extra dose because I couldn't bear letting go of that feeling of actually having energy and motivation.
This time, however, I have taken the Add. Just as Rxed. I may not tomorrow but I have so far.
On Nardil I had bad Bp problem the whole three years-ververy bad ones.
My question is this: why did the bp stuff get so much worse AFTER I lowered the dose and stopped the Parnate altigether and took Adderall instead? If stimulants raise it and Parnate lowers it, what happened that the opposite occurred to me? And what do I do now? My pdoc is not ever going to go against the standard recommendations. Too by ths book.
Start back Parnate slowly at 10mg/day? At the 30 I was at? Stay off it? Stop the Adderall? pls don't say that one, I've been so miserable for so long with this total apathetic exhausted anhedonic blackness so long I need a brightener just to get off the couch, ever.Sorry for this gigantic post-I don't know but that I may end up in hospital tomorrow yet and I need some options to choose from from peopleI've given the true picture to and who aren't primarily concerned with covering their butts.
I know what I did was dangerous. But it was worth it and honestly I think that s half if why I did it.
If Parnate isn't going to work, there's nothing left. I'm not going to spend more years like theed last ten trying one augmenter after another. I'm too worn out from the last ten.
As nd part if it could be from my periodic overuse if stimulants. But I didn't get thuds way from starting that, I started that because I was this way.Thank you all for caring. I don't have to hi to bed tonight crying because I may never set my husband or my cats again.
Marsha
poster:4WD
thread:1027829
URL: http://www.dr-bob.org/babble/20121001/msgs/1028005.html