Posted by azalea on September 14, 2008, at 1:18:43
In reply to Parnate + Orthostatic Hypotension, posted by uncouth on September 7, 2008, at 10:17:41
How long have you been on Parnate 30mg? Is the orthostatic hypotension improving? Perhaps it is a side effect of the rapid immediate transition from Nardil to Parnate.
Below is copied and pasted information regarding how to manage hypotension as a side effect of other MAOIs. Not sure if this generalizes to Parnate as well.
From "Current Psychiatry" Vol. 1, No. 6 / June 2002
MAO inhibitors: An option worth trying in treatment-resistant cases
Orthostatic hypotension is the most common early side effect
of phenelzine and isocarboxazid. Clinically significant
hypotension is best managed via dosage adjustment. If that
fails, add Na Cl, 1 to 2 grams bid with increased fluids. If that
doesnt work, administer fludrocortisone, 0.1 to 0.4 mg/d. If
that fails, administer d-amphetamine, starting
with 2.5 to 5 mg/d, and observe carefully for
hypertension.
poster:azalea
thread:850770
URL: http://www.dr-bob.org/babble/20080903/msgs/851896.html