Posted by psychlover on June 5, 2013, at 9:09:29
In reply to Re: Parnate didn't work -- Emsam hypertensive crisis, posted by Willful on May 31, 2013, at 19:36:20
Is that true? Once I have had one reaction, now it is easier to cross that threshold and have more reactions? That would seem to be the case, because while on Parnate for 6 weeks, I think I have only had one reaction (to miso soup), whereas since over the last week and a half it's been almost daily.
> One reason, if these episodes have happened in quick succession is that you did have too much of something, before you noticed the effect-- but once you did notice, you had depleted your mao, which takes two weeks to completely reconstitute. So if you deplete it, and continue to eat or do things that cause tyramine reactions, the mao hasn't been replaced, and you'll continue to have episodes. Also of course, you also prolong the period you have to wait-- so if I were you, I'd assume that I did several things you never became aware of before the first episode. Then you needed to wait some good period of time before you could tolerate any type of fermented or spoiled food. Possibly at your cook-out there were things that were out for a while, and became slightly fermented from the heat.
>
> Even on 6 mg, if you're sensitive to reactions, you can have enough things to cause an reaction--
>
> So at the very least you should be very protective-- I don't know what you're eating-- there could be stuff around your kitchen that's causing it-- or it could be an atypical reaction to something-- I would review things there, and things that you're eating and see if you can determine anything.
>
> Good luck with it.
poster:psychlover
thread:1044570
URL: http://www.dr-bob.org/babble/20130527/msgs/1044744.html