![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Four Feathers on January 2, 2009, at 11:26:37
I have been taking 60mg Cymbalta for the last 6 weeks and have noticed significant improvements in my physiological symptoms of depression/anxiety(racing heart, headaches, peripheral body calmness, etc). However, I have been monitoring my blood pressure and it is now up to about 138/88. While this is not seriously high, I am currently taking 10mg of lisinopril which is obviously not enough to keep this in check. I seem to derive the most positive effects from NE affecting drugs. However, many of these tend to increase my blood pressure. I had taken beta blockers (Atenolol) for a number of years and these cause cognitive clouding. I am looking for other options that will allow me to continue taking NE affecting meds and prevent the increased blood pressure. Would a blood pressure med such as Clonidine or Tenex be a potential solution? Any ideas are appreciated.
Posted by Phillipa on January 2, 2009, at 12:21:59
In reply to SNRIs and Blood Pressure, posted by Four Feathers on January 2, 2009, at 11:26:37
I think it's great that you have found a med that works. Have you considered excercise aerobic? Might lower BP? Just a thought. Phillipa
Posted by Four Feathers on January 2, 2009, at 14:24:09
In reply to Re: SNRIs and Blood Pressure » Four Feathers, posted by Phillipa on January 2, 2009, at 12:21:59
Yes, actually I exercise regularly both cardiovascular and weight training as well as take fish oil consistently in attempt to prevent this. I am now looking for other pharmaceutical routes that may be helpful.
Posted by softheprairie on January 2, 2009, at 16:30:13
In reply to SNRIs and Blood Pressure, posted by Four Feathers on January 2, 2009, at 11:26:37
The NE-effecting meds seem to do the most for my depression. I was started on 10 mg of lisinopril years ago for blood pressure, and it has since been upped to 20 mg. (Plus, I also take the beta blocker Bystolic/nebivolol, which you may want to try to see if it doesn't give the cognitive clouding.) But back to the lisinopril, I think I recall seeing on my grandfather's med list that he's on 40 mg of lisinopril, so you may have lots of room to move up with it.
> I have been taking 60mg Cymbalta for the last 6 weeks and have noticed significant improvements in my physiological symptoms of depression/anxiety(racing heart, headaches, peripheral body calmness, etc). However, I have been monitoring my blood pressure and it is now up to about 138/88. While this is not seriously high, I am currently taking 10mg of lisinopril which is obviously not enough to keep this in check. I seem to derive the most positive effects from NE affecting drugs. However, many of these tend to increase my blood pressure. I had taken beta blockers (Atenolol) for a number of years and these cause cognitive clouding. I am looking for other options that will allow me to continue taking NE affecting meds and prevent the increased blood pressure. Would a blood pressure med such as Clonidine or Tenex be a potential solution? Any ideas are appreciated.
Posted by desolationrower on January 8, 2009, at 22:50:33
In reply to Re: SNRIs and Blood Pressure » Four Feathers, posted by softheprairie on January 2, 2009, at 16:30:13
I would suggest asking for a BP med that doesn't work through catecholamines, because something like guanfacine might reduce antidepressant response.
-d/r
Posted by Four Feathers on January 9, 2009, at 11:16:12
In reply to Re: SNRIs and Blood Pressure, posted by desolationrower on January 8, 2009, at 22:50:33
Thank you for all of the replys. I am going to try a calcium channel blocker to control the blood pressure instead of the ACE Inhibitor (Lisinopril).
I agree with staying away from meds that work through the catecholamines as beta blockers, even at low doses cause significant cognitive dulling for me.
Posted by bulldog2 on January 24, 2009, at 14:09:17
In reply to Re: SNRIs and Blood Pressure, posted by Four Feathers on January 9, 2009, at 11:16:12
> Thank you for all of the replys. I am going to try a calcium channel blocker to control the blood pressure instead of the ACE Inhibitor (Lisinopril).
> I agree with staying away from meds that work through the catecholamines as beta blockers, even at low doses cause significant cognitive dulling for me.There is a med for bp called efforge which is a combination of a calcium channel blocker and an ace inhibitor and it doesn't effect mood..good med
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.