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Re: Emsam

Posted by JOP on September 22, 2006, at 11:25:39

In reply to Emsam, posted by SLS on September 22, 2006, at 7:50:20

> How many people are feeling MUCH better on this drug?
>
> I see people getting an energizing effect and an anxiolytic effect during the first few weeks, but that's about it.
>
> Is there anyone for whom Emsam is a magic pill?
>
>

I am at the end of my fourth week on Emsam, and like Crazy Horse, it has done nothing to improve my mood. Aside from some itching that has since subsided, I’m not convinced that this is something I will stick with much longer. That said, I would reiterate that I am not you and you might get some decent mileage out of it.

However, unlike Crazy Horse, I thought the delivery mechanism of the patch was very convenient. I would just slap it on and go.

This is my first foray into the world of MAOIs. Almost a last ditch attempt to try to find something that works to treat chronic major depression. As an aside to anyone reading, do you think 4 weeks is enough time for an Emsam trial? I have an appointment with my pdoc tomorrow and was thinking about increasing the dosage up to 9mg. BUT . . . . if I do that, it is highly recommended that I follow the dietary restrictions for all MAOIs (this still seems debatable). If I have to follow a diet, I think it would make more sense to move to a drug with a more established track record like Parnate or Nardil (which are CONSIDERABLY cheaper). Does this seem logical to anyone?

Also, is there a standard washout time for Emsam? I know the half life of Selegiline is really short (2-3 hrs?) so I’m thinking I could get away with a couple of days of being drug free instead of waiting 2 weeks to start another MAOI. Any thoughts on this?

I know I am going to have to educate my doctor on this one, I don’t think he feels all that comfortable with medication in general (yet he’s a physician??????????) and I am his first on Emsam. He would rather rely on therapy to try to work through things. But at this point my depression has gotten so bad I really don’t feel like talking about anything – but this post is really long. Sorry.


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poster:JOP thread:688118
URL: http://www.dr-bob.org/babble/20060919/msgs/688156.html