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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by FrequentFryer on September 3, 2008, at 4:43:48
Hi.
Im on 60mg of Phenelzine at the moment and I got my blood pressure checked @ the chemist & it was 180/95... (I hadn't eaten or taken any Tyramine or Adranergic things) I then saw my shrink but he didn't have much time to talk & he said "I wouldn't go to the gym right now if I was you." The next day (today) I saw a GP and my blood pressure was 160/80 and he said "your a hypocondriact go to the gym and stop worrying".What's your opinion?
Is my Shrink just covering his own *ss or is the GP a spastic?
Im a 25 year old male and Nardil hasn't given me BP problems in the past, dunno why it is now.
Do some people take med's to lower their BP while on MAOI's or if the MAOI gives you high blood pressure (withought consuming Tyramine or any other Adranergic things) do they usually cease the MAOI?
Nardil helps my mood quite allot so I wanna keep taking it. But I don't want to have a stroke either.
*Any quality advice much appreciated*
Posted by FrequentFryer on September 3, 2008, at 4:50:11
In reply to HELP PLEASE! MAOI and high blood pressure, posted by FrequentFryer on September 3, 2008, at 4:43:48
> Hi.
> Im on 60mg of Phenelzine at the moment and I got my blood pressure checked @ the chemist & it was 180/95... (I hadn't eaten or taken any Tyramine or Adranergic things) I then saw my shrink but he didn't have much time to talk & he said "I wouldn't go to the gym right now if I was you." The next day (today) I saw a GP and my blood pressure was 160/80 and he said "your a hypocondriact go to the gym and stop worrying".
>
> What's your opinion?
>
> Is my Shrink just covering his own *ss or is the GP a spastic?
>
> Im a 25 year old male and Nardil hasn't given me BP problems in the past, dunno why it is now.
>
> Do some people take med's to lower their BP while on MAOI's or if the MAOI gives you high blood pressure (withought consuming Tyramine or any other Adranergic things) do they usually cease the MAOI?
>
> Nardil helps my mood quite allot so I wanna keep taking it. But I don't want to have a stroke either.
>
> *Any quality advice much appreciated*Any advice apreciated actually. I know there are allot of people on this board that are smarter then your average GP.
Posted by seldomseen on September 3, 2008, at 6:27:41
In reply to HELP PLEASE! MAOI and high blood pressure, posted by FrequentFryer on September 3, 2008, at 4:43:48
In my opinion, high blood pressure (and from those two readings, yours may be high) is really nothing to fool around with.
Do you take a lot of caffeine?
My best advice for you would be before you make any drastic med changes would be to purchase a calibrated home upper arm blood pressure monitor (not a wrist one). One issue with measurement is that there can be significant differences between monitors and you need a consistent measure.
A good one is the HEM-780REL model.
Take your blood pressure at the same time each day. If it remains above 140/90 consistently, then you need to consider some changes.
Seldom
Posted by FrequentFryer on September 3, 2008, at 8:04:19
In reply to Re: HELP PLEASE! MAOI and high blood pressure, posted by seldomseen on September 3, 2008, at 6:27:41
> In my opinion, high blood pressure (and from those two readings, yours may be high) is really nothing to fool around with.
>
> Do you take a lot of caffeine?
>
> My best advice for you would be before you make any drastic med changes would be to purchase a calibrated home upper arm blood pressure monitor (not a wrist one). One issue with measurement is that there can be significant differences between monitors and you need a consistent measure.
>
> A good one is the HEM-780REL model.
>
> http://www.ncbi.nlm.nih.gov/pubmed/17890973?ordinalpos=3&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum
>
> Take your blood pressure at the same time each day. If it remains above 140/90 consistently, then you need to consider some changes.
>
> SeldomThanks for the input.
I don't drink allot of Caffein or Adranergic substances (before checking my blood pressure) but yeah I am going to buy an upper arm blood pressure monitor.
Posted by desolationrower on September 3, 2008, at 8:17:37
In reply to Re: HELP PLEASE! MAOI and high blood pressure » seldomseen, posted by FrequentFryer on September 3, 2008, at 8:04:19
Try taking your BP on your own. Lots of people have increased blood pressure just from being in the doctor's office or in public, because of the anxiety. I'm guessing this could be true of you just based on taking phenelzine - anxiety issues?
Posted by Nadezda on September 3, 2008, at 10:31:56
In reply to Re: HELP PLEASE! MAOI and high blood pressure, posted by FrequentFryer on September 3, 2008, at 4:50:11
Desolationrower is right that a lot of people have higher BP at the doctor's office and at the chemist's (did he measure your BP personally, or was it a machine?).
It's important to monitor your BP at home for a few days though to see it if's really that high. If it is you do need to do something, maybe cutting down on the Maoi, if that's causing it.
When my BP went up that high from parnate (which it did a little at the very beginning) my pdoc definitely would have taken me off it. Actually, it wasn't that high-- it was more like 150/90-- which he said was too high if it was ongoing.
It could just be an artifact of where you had the pressure taken though. I'd buy one of those home BP devices, and take it three times a day for several days and see where it levels out over that period.
Nadezda
Posted by FrequentFryer on September 3, 2008, at 10:43:45
In reply to Re: HELP PLEASE! MAOI and high blood pressure, posted by desolationrower on September 3, 2008, at 8:17:37
> Try taking your BP on your own. Lots of people have increased blood pressure just from being in the doctor's office or in public, because of the anxiety. I'm guessing this could be true of you just based on taking phenelzine - anxiety issues?
Yeah major anxiety. This doctor was freaking me out aswell. I said to him I checked my BP yesterday and it was high then he basically said yeah well what do you want me to do about it and I was shocked. Then after hassling him a bit he went & got the pressure tester & yeah.. I know what your thinking *this guy is probably nuts* and I might be a little manic / high on Nardil at the moment heheh (and loving it) :) but I don't make up stories on message boards for fun (I can probably find better stuff to do)...
Like take this f*gg*t Doctor to court & sue him.
But still 160/80 is really high I think regardless.
Posted by FrequentFryer on September 3, 2008, at 10:49:00
In reply to Re: HELP PLEASE! MAOI and high blood pressure » FrequentFryer, posted by Nadezda on September 3, 2008, at 10:31:56
> Desolationrower is right that a lot of people have higher BP at the doctor's office and at the chemist's (did he measure your BP personally, or was it a machine?).
>
> It's important to monitor your BP at home for a few days though to see it if's really that high. If it is you do need to do something, maybe cutting down on the Maoi, if that's causing it.
>
> When my BP went up that high from parnate (which it did a little at the very beginning) my pdoc definitely would have taken me off it. Actually, it wasn't that high-- it was more like 150/90-- which he said was too high if it was ongoing.
>
> It could just be an artifact of where you had the pressure taken though. I'd buy one of those home BP devices, and take it three times a day for several days and see where it levels out over that period.
>
> NadezdaYep good call.. Thats what I'll do & decide what to do from there.
As I said in my previos post this Doc was being pretty rude for some reason and it did upset me a bit... But I wouldn't say he was litterally making my blood boil.
This is the end of the thread.
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