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aborted 9mg EMSAM attempt and depression

Posted by Donna Louise on May 30, 2006, at 6:18:38

Well, here is an update. I am just all over the place...anyway, over the weekend I took a good dip into depression although for a change I have a reason to be grief stricken as my oldest dog is dying. But this was more than really sad, it was the depression that grief has triggered many times before. I got panicky and cut one of my 6mg patches in half and made 9mg. I put these on at night after I get out of the shower. ( I know, but I am a really good sleeper). But I could tell during the night even in my sleep that I had that extra 3mg on board. I woke up more depressed than ever and by noon had gotten so easily enraged like I would on wellbutrin that I yanked the 3mg off. I took .25mg klonopin and 1/2 Soma to restore myself and within a couple of hours started feeling better. And as the day went on, I was back to feeling pretty good. And today, this morning I feel pretty good still, back on the 6mg and klonopin.
There is a question coming, here it is. I think at some point I may need more for depression. Not more patch, that may feel too much like wellbutrin, and if not more patch then what? I am thinking again and I bet the pdoc is going to say lamictal. I am ok with that as I do evidence mood swings, and that may have been one of my normal dips. And if I am going to bounce back that quick i can live with it. But maybe the extra 3mg, even though only on board briefly did help with that. Ok, here is the question more directly asked. What else can be useful for a serotonin deficit or whatever the serotonin problem is that one can take while on an MAOI? I am not ever going back to sri's. I would rather try bupenorphin (I know that is opiod, not serotonergic, wait, maybe in some backhanded kind of way it is serotonerigic..) but I don't know if the pdoc will go there. She is good at being experimental and outside the box but is reluctant with opiods. I guess that is a good thing as I am a recovering addict...21+ years.
Any thoughts?
Thank you so kindly for reading this ramble.





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