Posted by Honore on January 6, 2007, at 20:08:18
In reply to Re: EMSAM, posted by Karen44 on January 6, 2007, at 15:48:33
It can take three or more weeks for Emsam to have an effect--or really, even more--but you also might try 9 mg. A number of posts here have suggested that that's a more likely therapeutic dose than 6 mg (ie people report that their pdocs speculate to that effect).
By the way, my pdoc has used MAOIs for years, even though many other pdocs haven't. He prescribed both adderall and ritalin with both parnate and emsam. While it depends on individual response (he wanted me to be careful at the beginning with both), it's certainly possible to use them.
As far as taking the emsam patch off at night-- I do it, and it really helps me. I don't know the pharmacological explanation of the change in effect. It may be because there are some amphetamine-like breakdown products that are reduced when the patch is off--- Mainly, though, I believe in it-- because it works. I do also take a little seroquel and some ambien to get to sleep-- but I've always had insomnia, and I find that I'm sleeping as well or better than I ever have, with that combination.
Honore
poster:Honore
thread:719417
URL: http://www.dr-bob.org/babble/20070101/msgs/719975.html