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Re: Emsam

Posted by WeeWilly on September 22, 2006, at 16:22:08

In reply to Re: Emsam, posted by JOP on September 22, 2006, at 11:25:39

> > 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.
>

Hello JOP,

I have also been treated with Emsam for about 1 month. I have previously been on Parnate(many times) and Nardil. I would recomend upping your dose, I am currently using the 12mg patch. My response on the Emsam alone is minimal, but when I add 15 or 20mg of Adderall I do get some positive response. I'm hopeing I can get a decent response to just Emsam alone. Since you have been on the Emsam 4 weeks allready, I would suggest again to push the dose higher. Are you takeing anything along with the Emsam? Parnate and Nardil are usefull medications. They are certainly harsher than Emsam and more likely to have more difficult side effects. Not being in a patch form is another draw back compared to Emsam. So give Emsam a complete trial before or if you move on. Of course I can't say I have allways followed this type of advice. If I go another 2 weeks or so and I can't get a significant effect on Emsam alone I will be questioning how much longer to extend this trial. Possibly going higher than 12mg.
Best wishes.


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poster:WeeWilly thread:688118
URL: http://www.dr-bob.org/babble/20060919/msgs/688226.html