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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by Tepiaca on September 13, 2003, at 21:34:32
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Posted by djmmm on September 14, 2003, at 7:47:16
In reply to Can I get drunk while on NARDIL ??? (nm), posted by Tepiaca on September 13, 2003, at 21:34:32
> .
Can you, as in do you have the ability to?...yes
But, can you... as in, will it harm you?..possiblyIt's best to avoid alcohol, but if you feel the need for a drink, stick to lite beer(in a glass bottle)..not from the tap..and highly processed alcohol (clear alcohol)....I drank a bit while on nardil, but I general, I would NOT recommend it.
While the dangers of drinking on a MAOI have been a little over-stated, it is just not conducive to recovery.
Posted by JonW on September 14, 2003, at 9:44:46
In reply to Can I get drunk while on NARDIL ??? (nm), posted by Tepiaca on September 13, 2003, at 21:34:32
I invested in a blood pressure monitor (you should get one if you don't have one already..) and used it every few minutes while drinking for the first time on Parnate. This convinced me never to drink again while I was on the drug. Maybe Nardil's not as bad, but why risk it?
I take moclobemide now, a reversible MAOI, which you *can* drink on. It does get in the way of the moclobemide doing its thing and lifting my depression, though, and so I've pretty much given up drinking. It's almost certainly better for you not to drink anyway...
It does suck, though, especially if you're used to hanging out and getting effed up with your friends. But there are far safer substances to combine with Nardil, and besides, a life free of depression and anxiety really is worth the sacrifice. If you need alcohol to have a good time, then you're either not hanging out with the right people or you haven't fixed the problem yet. Don't mean to be preachy... I guess if you're just talking about having a glass of wine or a single beer, it probably won't kill you, but I certainly wouldn't recommend it and wouldn't risk it myself.
Jon
Posted by don_bristol on September 14, 2003, at 17:21:47
In reply to Re: Can I get drunk while on NARDIL ??? » Tepiaca, posted by JonW on September 14, 2003, at 9:44:46
> I invested in a blood pressure monitor (you
> should get one if you don't have one already..)
> and used it every few minutes while drinking for
> the first time on Parnate. This convinced me
> never to drink again while I was on the drug.
> Maybe Nardil's not as bad, but why risk it?
Jon, what exactly did you experience on Parnate when you had a drink?What drink did you have? Bottled beer?
Am very interested to know. I already have my blood pressure meter but I am worried about these things without seeing myself go hypertensive in front of my own eyes!
Any info would be most welcome. Thanks.
Posted by JonW on September 14, 2003, at 18:25:31
In reply to Re: Can I get drunk while on NARDIL ??? » JonW, posted by don_bristol on September 14, 2003, at 17:21:47
> Jon, what exactly did you experience on Parnate when you had a drink?
>
> What drink did you have? Bottled beer?
>
> Am very interested to know. I already have my blood pressure meter but I am worried about these things without seeing myself go hypertensive in front of my own eyes!
>
> Any info would be most welcome. Thanks.It was a mixed drink with Sambvca (the only alcohol in the drink). The stuff is clear so I thought it would be safe to drink. I don't remember the exact reading on the bp monitor, but it went from something like 120/80 to 175/105 in a matter of minutes (I had finished about half of my first drink). I decided, at that rate, "I think I'm done for the night!" :)
I may just be ignorant of the reason one should avoid Sambvca while on an MAOI, and it may be fine for you to have a drink of, say, vodka or something. I know that people say a lite domestic beer or two in a bottle is probably OK, but after my experience, I decided not to even chance it. I was equiped with nifedipine, which I think anyone on an MAOI should be, but I thought it best not to ever have to use it.
Ironically, I did experience a hypertensive crisis on moclobemide that cleared up after a few minutes. At the time, I was smoking weed and also on aniracetam (which turned out to be the culprit in combination with weed). Being high, those few minutes lasted long as hell, and being a bit paranoid on the weed certainly didn't help me to deal. It was a horrifying experience. I don't smoke weed or take aniracetam anymore, for other reasons, though. My advice to anyone on an MAOI is to prepare yourself for the event of a hypertensive crisis so you know exactly what to do and won't freak out. It's in your best interest to deal with the situation calmly and rationally. It's really not that dangerous if you're prepared, but it's still no fun. Personally, I would avoid it at all costs. Don't mean to scare anyone. All the drugs I've mentioned in this post are, for the most part, safe drugs. With what is known, most people can prevent a hypertensive crisis from ever occuring. I absolutely support their use.
Jon :)
Posted by don_bristol on September 15, 2003, at 3:07:07
In reply to Re: Can I get drunk while on NARDIL ??? » don_bristol, posted by JonW on September 14, 2003, at 18:25:31
> It was a mixed drink with Sambvca (the only alcohol in the drink).
> The stuff is clear so I thought it would be safe to drink. I
> don't remember the exact reading on the bp monitor, but it went
> from something like 120/80 to 175/105 in a matter of minutes (I
> had finished about half of my first drink). I decided, at that
> rate, "I think I'm done for the night!" :)
It's interesting to hear how your Parnate caused a rise in your blood pressure on Sambuca. I too would not have guessed it as it is a clear drink. Is it possible that it was just a reaction to alcohol in general and not to Sambuca in particular? Did you measure your BP when taking other alcoholic drinks?-- snip --
> I was equiped with nifedipine, which I think anyone on an MAOI
> should be, but I thought it best not to ever have to use it.So you had nifedipine ready to help with a hypertensive crisis if one came on. Did your doc prescribe the nifedipine? I tried and tried with my GP and my psych-doc but neither would give me nifedipine. In the end I got myself some other med to rapidly lower BP if I need to. I would be interested to know if your doc prescribed it or if you got it yourself.
BTW how did you find aniracetam worked as a cognitive enhancer? Is it expensive?
Posted by Francesco on September 15, 2003, at 13:08:47
In reply to Re: Can I get drunk while on NARDIL ??? » don_bristol, posted by JonW on September 14, 2003, at 18:25:31
Hi Jon did you find monoclobide less effective than Parnate was ?
Posted by Francesco on September 15, 2003, at 13:17:20
In reply to Re: Can I get drunk while on NARDIL ??? » JonW, posted by Francesco on September 15, 2003, at 13:08:47
I meant: moclobemide : )
Posted by Questionmark on September 15, 2003, at 20:23:29
In reply to Can I get drunk while on NARDIL ??? (nm), posted by Tepiaca on September 13, 2003, at 21:34:32
Tepiaca, this is a good question-- one i have been really wondering myself. i have gotten drunk a number of times since starting Nardil so far and have had no bad reactions at all (i do think i get drunk more easily on Nardil though). Definitely do not drink any tap beer, as that is not worth the risk. Other than that, i personally will drink anything else (though they also say that it's best to stay away from foreign bottled beer-- why i have no idea). i've had red wine and domestic (U.S.) dark beer and neither produced any hypertensive effects.
My concern, however, is the enhanced serotonin transmission already present from the Nardil combinded with that of the alcohol can be detrimental to the serotonergic neurons at all (or any other neurons for that matter). So that kind of worries me. Also they say that drinking can decrease the effectiveness of antidepressants so i'm a little concerned about that as well. But as far as hypertensive reactions, i think that most if not all forms of alcohol OTHER THAN tap beer is fine-- but i would suggest maybe doing a little research just to make sure youd be comfortable with stuff like foreign bottled beer and certain wines (cuz again i've read that foreign bottled beer and sherry wine should be avoided just in case-- but they never say why and personally i think they would be okay).
Posted by Tepiaca on September 16, 2003, at 17:06:29
In reply to Re: Can I ... » Tepiaca, posted by Questionmark on September 15, 2003, at 20:23:29
hey ! hi questionmark
how much time you have been on Nardil?
I really dont care If I cant get drunk as long as I feel good and in peace.
But in this time people is always asking me why I dont drink ?? , and I always answer that Im taking medicine for sinusistis (bad spelling.That disease in your nose). But time is going on and dont know what Im gonna say later , Im not gonna say that thing forever . It sounds stupid but Im still worried about this things.Hey Im also worried about pop out of Nardil. I found this drug very effective for my SP (45mg)
what do you think of th pop out of nardil?? is this common??Good luck questionmark
geetings
Tep
Posted by Tepiaca on September 16, 2003, at 17:20:19
In reply to Can I get drunk while on NARDIL ??? (nm), posted by Tepiaca on September 13, 2003, at 21:34:32
Posted by JonW on September 16, 2003, at 21:59:33
In reply to Re: Can I get drunk while on NARDIL ??? » JonW, posted by don_bristol on September 15, 2003, at 3:07:07
> It's interesting to hear how your Parnate caused a rise in your blood pressure on Sambuca. I too would not have guessed it as it is a clear drink. Is it possible that it was just a reaction to alcohol in general and not to Sambuca in particular? Did you measure your BP when taking other alcoholic drinks?
I never repeated the experience so I can't say if it would've happened again, but I can say I was used to drinking a lot at the time I was prescribed Parnate, and never previously experienced any symptoms while drinking that would indicate high blood pressure. I definitely knew my blood pressure was high the night I had Sambuca. I took my BP several times and got very relaxed so it definitely wasn't an anxiety reaction or something. I also had bottled beer on Parnate. My BP went up enough after 1 beer that I never had more then that, but it wasn't as much of an increase as with the Sambuca.
Parnate made my mood go up and down, and I was very agitated on it... So perhaps I just didn't get along with Parnate, period. I don't know, but my advice would be to have a bp monitor on hand, at least until you get a hold on what you can and can't have.
> So you had nifedipine ready to help with a hypertensive crisis if one came on. Did your doc prescribe the nifedipine? I tried and tried with my GP and my psych-doc but neither would give me nifedipine. In the end I got myself some other med to rapidly lower BP if I need to. I would be interested to know if your doc prescribed it or if you got it yourself.
How could the doc (the pdoc, I presume) who prescribed the MAOI not provide you with the means to handle a hypertensive crisis? That's just wrong. What is his/her reason for not prescribing the nifedipine? I didn't even have to ask for nifedipine. My pdoc prescribed it along with the MAOI. He gave me a list of foods to avoid, and told me if I ever had a hypertensive reaction to remain standing and bite the nifedipine capsule and place it under my tongue. I would be suspicious of your pdoc. I'm sure you could easily find a pdoc who would gladly write a prescription for nifedipine.
> BTW how did you find aniracetam worked as a cognitive enhancer? Is it expensive?
Aniracetam is expensive, and it would be hard to justify for enhancing cognition alone. I did, however, find it helpful in that area. Almost too much. Not that it made me smarter, but I felt very engaged by philosophy, ethics, and world affairs. It helped with seeing connections between things, and that made intellectual pursuits very interesting. The people around me weren't turned on by these things so much, and for that reason it also made me feel alone. I stopped it because I'm hypersensitive to most things that are stimulating, and it made me somewhat irritable. It is also a bit anxiolytic, whereas piracetam is somewhat anxiogenic. Hope that helps!
Jon :)
Posted by JonW on September 16, 2003, at 22:08:01
In reply to Re: Can I get drunk while on NARDIL ??? » JonW, posted by Francesco on September 15, 2003, at 13:08:47
> Hi Jon did you find moclobomide less effective than Parnate was?
So yeah... I corrected your spelling error! :)
Well, I would have to agree with most, that moclobemide is somewhat less effective than the classic MAOIs. I'd say it's on par with the SSRIs, but without the side-effects. That's what my experience has been...
Jon :)
Posted by JonW on September 16, 2003, at 22:21:01
In reply to Re: Can I get drunk while on NARDIL ??? » Francesco , posted by JonW on September 16, 2003, at 22:08:01
> > Hi Jon did you find moclobomide less effective than Parnate was?
>
> So yeah... I corrected your spelling error! :)Damn! I just made an a** of myself! :) I guess it's not so easy to spell after all! lol!
Jon
Posted by don_bristol on September 17, 2003, at 4:32:54
In reply to Nifedipine, etc. » don_bristol, posted by JonW on September 16, 2003, at 21:59:33
>> So you had nifedipine ready to help with a hypertensive crisis if one came on. Did your doc prescribe the nifedipine? I tried and tried with my GP and my psych-doc but neither would give me nifedipine. In the end I got myself some other med to rapidly lower BP if I need to. I would be interested to know if your doc prescribed it or if you got it yourself. <<
> How could the doc (the pdoc, I presume) who prescribed the MAOI not provide you with the means to handle a hypertensive crisis? That's just wrong. What is his/her reason for not prescribing the nifedipine? I didn't even have to ask for nifedipine. My pdoc prescribed it along with the MAOI. He gave me a list of foods to avoid, and told me if I ever had a hypertensive reaction to remain standing and bite the nifedipine capsule and place it under my tongue. I would be suspicious of your pdoc. I'm sure you could easily find a pdoc who would gladly write a prescription for nifedipine. <
Trust me, my docs are so cautious that they point-blank refused to give me an emergency pill to lower blood pressure. Each of them said that if I was so worried then maybe I should be taking Nardil!I went and got my own blood pressure lowering pill. I have captropril.
One word to the wise - nifedipine was the mainstay medication for emergency reduction of BP but it has been shown in various studies to frequently cause as much trouble as it tries to solve. It is said to be dangerous as a BP reduction med.
Hypertensive Urgencies : No Role for Nifedipine
http://www.vhpharmsci.com/document/1990s-NEWS/article8.htmThe Dangers of Immediate-Release
Nifedipine for Hypertensive Crises
http://www.google.com/url?sa=U&start=1&q=http://www.ptcommunity.com/ptjournal/fulltext/27/7/PTJ2707362.pdf&e=1102Alternatives to Nifedipine in Hypertensive Urgencies
http://www.rxfiles.ca/acrobat/nifed-hu.pdf
Posted by JonW on September 17, 2003, at 10:12:12
In reply to Re: Nifedipine, etc. » JonW, posted by don_bristol on September 17, 2003, at 4:32:54
This is the end of the thread.
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