There is some research to suggest that nicotine gum increases blood pressure in people with PD. A recent clinical trial showed that chewing nicotine gum improved low BP for about 90 minutes. So I thought, given that I have orthostatic hypotension, I would give nicotine gum a shot.
First, I chewed the gum while driving to Rock Steady Boxing, then spit it out when I got there. Partway through class, though, my BP dropped, and I had to sit. Okay, so next time chew through class, right?
Wrong. Yesterday, I started chewing the gum at the start of class. Felt great for 10 minutes. Then had to sit down. Even sitting I felt light-headed. No way could I get up, even to move my rollator, where I was sitting, out of the way.
I have never felt so washed out. I even considered phoning my husband to walk me out of class, down the stairs, and take me home; my independence is important to me, so this demonstrates how poorly I felt. After about 30 minutes, I spit out the gum and slowly started to feel better. Cognition was subpar throughout, which is not normal either; it improved as my BP improved.
Put one in the "fail" column. No nicotine gum for me. There is medication to increase my BP; I haven't wanted to consider it (danger of high BP when lying down), but now I think I have to.
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