![]() This is why it’s good to have your blood pressure monitored along the way when trying a ketogenic diet. Many other psychiatric medications also carry a small risk of lower blood pressure, including all antipsychotic medications (Zyprexa, Latuda, Geodon, etc) and SSRI antidepressants (Zoloft, Lexapro, Prozac, etc). ![]() However, if you are taking a blood pressure medicine, your blood pressure could fall too low, putting you at potential risk for lightheadedness, dizziness, and fatigue, with the worst-case scenario being that you could even pass out. This can be a very healthy change, particularly if you have high blood pressure. In the early stages of starting a ketogenic diet, blood pressure may decrease as the body lets go of excess fluid. Therefore, embarking on a ketogenic diet while taking one of these medicines is tricky and must be carefully considered with your health care professionals.īlood pressure medications and ketogenic dietsĬlonidine, Prazosin, and Propranolol were originally designed to treat high blood pressure, but they are also sometimes prescribed for insomnia, anxiety, nightmares, or ADHD. This may not be a good idea on a ketogenic diet, especially during the early adjustment period. The other common recommendation for people taking Zonegran or Topamax who want to reduce kidney stone risk is to eat a low-salt diet. If you take either of these medicines, it is particularly important to stay well-hydrated to reduce your risk for kidney stones. Ketogenic diets have very similar effects on kidney electrolyte processing - they also make the blood a little more acidic (ketones are acidic) and can slightly increase risk for kidney stones in some individuals, so people taking Zonegran or Topamax may be at even higher risk for kidney stones on a ketogenic diet than others are. Both of them change the way the kidney processes certain electrolytes and cause the blood pH to become a little more acidic (metabolic acidosis), and can therefore increase risk for kidney stones. Zonegran (zonisamide) and Topamax (topiramate) are very similar anticonvulsant medicines. This diet is not for everyone, and you may want to consider other healthy lifestyle changes first - perhaps most importantly, removing all processed “foods.” My top ten (non-keto) recommendations can be found in my article: " Top Ten Tips for a Healthier Brain in 2018." If you feel unsafe, out of control, or just plain miserable for too long, don’t be a hero. During the first week or two, it’s best if you have good people around who know you well, who can support you through the rough patches. In most cases the first few days are usually the hardest, but some people need more time to transition. Irritability, low energy, mood swings, sleep changes, and cravings for sweets and starches are among the possible “withdrawal” effects, particularly if your diet was very high in refined carbohydrates, like sugar and flour, before you embarked on your ketogenic journey. I am sorry to be the bearer of bad tidings, but your mood may actually get worse before it gets better. Why Is It So Hard to Get an Appointment with a Child Psychiatrist? Ideally, you’ll want once-a-week appointments with your prescriber, your therapist (if you see someone separately for counseling/support), and any other collaborating health professionals, especially during the first four to six weeks of your new diet.
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