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Re: Emsam: constant dosing?

Posted by WeeWilly on September 22, 2006, at 15:05:03

In reply to Re: Emsam: constant dosing? WeeWilly, posted by Jost on September 22, 2006, at 3:35:00

> Hi. Do you use two 12 mg patches for 48 hours to achieve the same dose as 12 mg?
> Why the 48 hours? The patch apparently is set up for 24-hour use. Although there's enough emsam for more than 6 mg (on the 6 mg patch), I'm not sure there's any claim by the company that you'd get any particular amount in the second 24 hours.
> From what my pdoc said, if you use any size for 24 hours, there's real chance you're getting most of the drug absoption in the first hours, and then less for the latter part of the period. This could be even more so in a 48 hour period.
> So if some of the effect is from the amphetamine, you'd be possibly getting much less of that after the first some hours-- leading to a shifting dose.
> Did you and your pdoc come to the conclusion that a high emount for a few hours every 48 hours and lesser amounts for the rest was a better rhythm for you?
> Jost
Hello Jost,

I use 12mg patches. Each one stays on 48 hours. In the morning I take off the patch that has been on 48 hrs and put a new one on. So each morning I start with a new 12mg patch and the one that has been on for 24 hrs. Maybe the patch totally depletes in 24 hrs, I don't know.
Emsam on its own is not producing much of a response in me. If I add 15 or 20mg of Adderall, there is some response but not great. I would like to use Emsam alone for awhile to see its effecacy alone. But I need to accomplish some projects right now and for this past month on Emsam I have done so little.
I am sort of on my own in my treatment plan. I would have to travel 4 to 5 hrs to a large city to possibly find a Psychopharmacologist that would treat my condition out side the box like is needed. Finding a doc to prescribe treatments like stimulants with MAOI's or other legitimate aggressive coctails is very diffucult in this area of the country and probably most places. You read of people struggling to find a doc who will prescribe MAOI's alone. It's so ridiculous.
Are you doing quite well with the Emsam? I'm sure I have read how long and what dose you are currently on, but could you update me on this and what if anything you are adding to it. Thanks and best wishes.




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