Posted by laima on December 21, 2006, at 23:57:30
In reply to Re: Emsam enhancement/Helpful suggestions, posted by stargazer on December 21, 2006, at 22:58:15
It does seem that we all have different chemistries and different background "details" which affect how medications react and interact for us. Not as clean and simple as one might hope.
Definately, perhaps wait to see your doctor before experimenting with adderall lest you have a surprise reaction-over the holidays to make it even more dramatic. My personal unprofessional guess is that 20 mg adderall, all at one go, with Emsam, would be way, way too much.I do believe that even non-depressed people have sluggish days and drearier days. It seems almost unrealistic and un-human to expect otherwise. That doesn't sound so nice to us, but I observe that my non-depressed friends take such days in better stride and don't seem to lose sight so easily as me that they're temporary. I'm a bit fascinated and envious over how they manage to do that. Winter in particular really seems to lend itself to sluggish dreariness for a lot of people I think- for example, I hear lots of people complaining that they want to "hibernate by 8 oclock" or about how many zillion cups of coffee they require. I also hear a lot of people complain about a day once in awhile when they just overslept and couldn't get anything accomplished, and yet I hunch they do not have a depression because they perk right back up and are overall active and engaged, etc. (Does anyone else think they can often spot others who have a mood disorder similar to their own?) Also, everyone is so excited when the days get longer. My overall conclusion is that people's moods and energy levels can dip here and there without being actual depression-I think it's ok.
> Laima,
>
> It all just tells me there is no formula for figuring this stuff out. So much of what works is one doctor's suggestion and you willingtotry something,which I usually am as long as it's at tiny doses. I did resist when my psoc suggested the antipsychotics initially, but I eventually tried Risperdal, Zyprexa and seroquel. I thought if I took an AP, it meant I had psychosis, even though he said it had worked for some of his pts with TRD. Never felt they did much of anything though.
>
> The effects of Emsam 6 mg are starting to fade so I'm wondering what to do next. My pdoc is away until 1/2/07 so I'll prob have to wait until then. It's not like with pills how you can just increase the dose on your own if you think you need a higher dose. That was something that I felt I could always do before seeing my pdoc. He trusted me to do that and I trusted myself to do it.
>
> I have Adderall left but I don't think I should experiment with adding that, besides it's the 20 mg capsules, so I guess I'll wait to ask him about that. He may just want me to increase from 6 to 9 mg Emsam. Perhaps I'm just having a tired, sluggish couple of days, you can't feel good everyday, can you?
>
> Do people that aren't depressed have mostly good, productive days or do they struggle with bad days on and off?
>
> SG
poster:laima
thread:703921
URL: http://www.dr-bob.org/babble/20061217/msgs/715598.html