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Re: Social anxiety with no energy or motivation

Posted by tgo on April 26, 2006, at 16:53:35

In reply to Re: Social anxiety with no energy or motivation, posted by germanium on April 26, 2006, at 0:42:34

Thanks for your thoughts geranium. I've been keeping up with the Emsam posts hoping that it will actually work for those of us social anxiety and no energy.

I am a going to an income based clinic right now as I don't have a job. My next appt is the end of May. I'll have to ask about Emsam and selegiline. My doctor wanted to put me on Cymbalta, but I really don't think that will help.
It may be hard to convince her to let me try Emsam or seligiline. I mentioned Emsam to her at my last appt and she thinks it's not a very effective medicine. So, I'll really have to plead my case.

> Sounds like Emsam may help in this situation as that is my symptoms as well & I take selegiline the active ingredient in Emsam & it helps emensely but watch it as it can overboost you & make you agitated. I feel slight agitation but not severe & it actually helps me to get off my dead butt & do something meaningfull. It can also interfere with sleep as it has me in the past, but for me that subsided & I get really good sleep now, in fact some of the best I ever had without oversleeping or feeling groggy upon wakening. Everyones milage seems to vary with this medicine quite radically but to me it seems tailor made for these symtoms.
>
> By the way it was originally developed as an antidepressant with psychic (mental) energizing properties & for the people it does work for it is a godsend for them but like all other AD meds it is not for everyone. However it didn't seem to help enough people at the low doses to justify using it in that way as an antidepressant but did work at higher doses but then the need for the MAOI diet comes into place unless you can bypass the stomach which is what the patch does. the lowest dose of the patch puts conciderably more selegiling in the system than the highest dose orally used to treat parkinsons but without the tyramine sensitivty of going to an equivolent oral dose which would be way beyond even the highest recomended dose that Ive seen used for severe depression. The actuall amount of selegiline that gets into the system as selegiline from the patch is equivolent to 100mg oral selegiline & that is the lowest patch dose & the highest oral selegiline used for depression that I've seen is 60mg. anything above 10mg oral requires the diet as there have been a few hypertensive crisis even at that dose orally.
>
> It is interesting however I do very very well on 2.5mg oral selegiline.So no diet nessesary even though my doc want me stick with the diet anyway so I do & low side effects.


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poster:tgo thread:632705
URL: http://www.dr-bob.org/babble/20060423/msgs/637268.html