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Re: Emsam: constant dosing? WeeWilly

Posted by Jost on September 24, 2006, at 10:41:29

In reply to Re: Emsam: constant dosing? Jost, posted by WeeWilly on September 22, 2006, at 22:14:14

I do think Emsam would work as monotherapy. I had used provigil for a long time because of insomnia, and insomnia was a problem when I first started the Emsam, and for quite a while. It has started to get better, and I have no more problem than before I started. It's really a good idea, if you have insomnia, to take the patch off for five or six hours (or even more) at night. It helped me stay with the Emsam, because the insomnia was quite bad. I often wake up anyway, and so I put it on toward the end of my sleep-- and can sleep a few more hours without much trouble.

My pdoc said he has eight patients on Emsam, who are doing well. I don't know if they're also had insomnia problems, but that's been mentioned here pretty frequently.

The energy I get from Emsam helps a lot, even on days without quite enough sleep, so I wouldnt necessarily need the provigil either. But on some days, it helps.

Provigil a pretty benign drug, from what I've seen and has some AD effects, too. Nothing like the stronger stimulants like adderall, or dexedrine.

My recent problem was from what seems to be an overdose, possibly from defective packets, and exercising in the heat. I don't think the dose I got would be a normal thing-- but be cautious about heat, such as baths, hottubs, saunas, heating pads. Heat seems to increae the dose quite a bit, especially if you absorb the drug easily. (The delivery system doesn't have a precise target amount, but rather a range of absorption.)

Maybe your pdoc would be more open to provigil. If not, I'd try the Emsam anyway. My advice (which might not be right for you, of course) would be not to go up too quickly on the dose for Emsam, esp. if you get irritability or the insomnia.

Good luck! I hope it works out for you.





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