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Re: Who's having luck with EMSAM? » Donna Louise

Posted by RobertDavid on May 27, 2006, at 13:13:09

In reply to Re: Who's having luck with EMSAM? » RobertDavid, posted by Donna Louise on May 27, 2006, at 6:44:24

> Hey Rob, and all others, you haven't heard from me in awhile as I was in Tenn. with one of my horses on vacation and had no computer access. I guess you could say that since I was able to do that, I am doing pretty good! Tomorrow will begin my fifth week, I think...yes, fifth week, and I feel better than I have in a long long time. I am still me however, I have mood swings and get irritable and agitated but that is not the drug, it is much worse if I am unmedicated. And as you know Rob, the klonopin is helping me with that. I am still working on the dose and timing with the k but overall, I really can't complain. I have no side effects with the patch, no rash or insomnia (I have always been a good sleeper, sometimes way too good). I still take 300-400mg provigil but as I said elsewhere, that is more for mood enhancement and social motivation that for help staying awake. So far so good for me.
>
> Donna
>


Donna:

Glad to hear you're doing better. I don't remember you mentioning before your were still taking 300-400mgs of Provigil. You indicated you're taking provigil for mood enhancement and social motivation which is just what EMSAM seems to help, perhaps you don't need as much provigil since adding EMSAM, both are activating.

Maybe the going up on klonopin (which you're doing) and coming down on provigil would improve your agitation.

I know everyone is different. When I took provigil I maxed out at about 50mgs (which is a low dose) and even that really jacked me up. When I tried more I was very agitated. I wonder now that you've added another stimulating medicine (EMSAM) if you need that high of a dose.

The good thing about provigil, is you'll know right away if it helps and if not, you can go right back up to the dose you like. Both klonopin and provigil are good that way as unlike SSRI's and other meds including EMSAM it doesn't take a month or so to see how you're going to do. Just a thought. Glad to hear you're improved! Rob


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