Posted by mtdewcmu on July 20, 2011, at 13:39:15
In reply to Re: Viibryd Day 18, posted by mantus on July 20, 2011, at 11:34:12
> Yes, thank you all very much. And I ask out of my own personal decision as of yesterday to drop Nardil and try viibryd in two weeks that you continue with your experience. Could you also go a little more into any positive changes that you have seen or if any at all from the time of beginning viibryd? I have become frustrated to the point I can't deal with it anymore about the side effect of a spiking hr while standing since I have been on Nardil. I realize I could try different additional meds, but my bp has also been made lower by Nardil so even if I took something like a beta blocker for my hr it wouldn't increase my bp, and at this point I've just got to come to the understanding that Nardil for some reason is always going to have this negative side effect, and without adding more meds and trials and time and still not knowing for sure I will find an answer, i just have to drop it for the physical side effects and hope that the 2 week washout period isn't too killer, and that maybe something else will help the anxiety/depression without changing me so dramatically physically. Just know that people are interesting in your posts, and it can be very beneficial for anyone thinking about trying viibryd. We really don't have much else to go on as far as actual reports from people trying this med.
The low BP and spiking heart rate when standing are two sides of the same problem. When you stand up, your body has to compensate for the natural drop in BP. Nardil is inhibiting your normal responses, so your heart beats rapidly to compensate. http://en.wikipedia.org/wiki/Orthostatic_intolerance
A beta blocker would be pushing you in the wrong direction, because it would be inhibiting your BP even more. You would want an adrenergic agonist rather than an antagonist. I don't know what drugs are safe to add to Nardil, but you could ask your doctor about options or look up research on the subject. The problem can be documented with a simple test in the doctor's office. The pdoc might not have a BP cuff, but he/she could take your pulse and feel it jump when you stand.
If you stop Nardil, you'll have to go through a lengthy wash-out period, followed by another one if you want to restart it.
I have a complex inferiority.
Rx: 40mg citalopram, 30mg d-amphetamine, 15mg mirtazapine, 300mg bupropion
Dx: ADHD (inattentive subtype), depression
poster:mtdewcmu
thread:989763
URL: http://www.dr-bob.org/babble/20110714/msgs/991471.html