Posted by Jakeman on July 3, 2006, at 19:53:49
In reply to Moving from Nardil to Emsam., posted by sanshin on July 2, 2006, at 22:12:21
> Hi,
>
> I've used 60 mg/day of Nardil since approx 1985. Overall, it worked for my atypical depression. I do believe the formulary change in '03 compromised the quality of Nardil.
>
> Three wks ago, my excellent pdoc suggested I try Emsam. I did a very abbreviated withdrawl from the Nardil (going to nil in about 5 days) but stuck on the patch the same day I heard about Emsam; therefore running both at once for a few days. I checked my BP during this dual drug therapy and it was lower than normal (101/71). I am hypertensive and take Atenelol.
>
> With the 20/6 patch and a couple of Nardil, I felt great. However, I am now only using the Emsam. Things are unwinding rapidly and I am getting back into some heavy depression.
>
> The Emsam (or rapid Nardil withdrawl) has brought some extreme fatigue and constant need for sleep. However, sleep brings disturbing dreams similar to other Nardil withdrawls.
>
> Any ideas? I honestly wish I'd just stuck with the Nardil. The phenelzine was consistently helpful. Perhaps I need a heavier load of the Emsam. I wonder if someone who needed 60 mg of Nardil can really get enough MAO inhibition with this patch.
>
> Other meds I use: Ambien, Xanax. (And Atenelol).
>
> Thanks for any thoughts.Your're in a transition period so you may need some time to readjust. But I agree, a larger dose of Emsam may be needed to get an equivalent amount of MAO inhibition. Just my guess.
good luck, Jake
poster:Jakeman
thread:663682
URL: http://www.dr-bob.org/babble/20060701/msgs/663836.html