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Re: A question, Emsam and Anorexia: Ed? Ace? SLS?

Posted by SLS on April 14, 2006, at 7:04:44

In reply to A question, Emsam and Anorexia: Ed? Ace? SLS?, posted by tygereyes on April 13, 2006, at 19:47:05

> It is well known that psychiatric medications often don't work in low-weight anorectics.

I wasn't aware of that. I don't know what the physiology behind this phenomenon is.

> Is it possible that Emsam might work, since it bypasses the gut and directly enters the central nervous system?

It is possible that Emsam might work for any number of reasons. It is different from other medications. That is often as much of a rationale as you are going to get to justify trying something new. It is the only propargyl derivative MAOI available. Dennis Murphy, MD at the NIMH thought that this was enough reason to give it a try. Generally speaking, I doubt Emsam will get as many people well as either Parnate or Nardil, but then again, it only needs to get one person well, right?

Is this your first trial of a MAOI?

Have you ever tried a tricyclic?

Are you avoiding Nardil because of the potential weight-gain?

I look forward to hearing some good news. Please keep posting.


- Scott

 

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