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Re: EMSAM Q? » laima

Posted by liliths on January 8, 2007, at 7:52:26

In reply to Re: EMSAM » liliths, posted by laima on January 5, 2007, at 16:12:20

Hi Liama,

would you know the dose that one can take EMSAM on without having the dietary restrictions and in your opinion, would this dose be efficacious? I remember the restrictions of old being absolute and difficult in that I am a vegetarian.

what are the benefits of the EMSAM patch over oral selegeline?

If I may ask, what is your current combination and dosages of each?

I am looking to make a major change in my meds. It has been initated by forces outside me and and I'm probably going to being forced off the only one that still works. But I haven't felt the wellbutrin or buspar were doing much for me these days, though when I went to my pdoc about making changes, he told me it wasn't the meds, I just needed more exercise and structure in my life. Oh Duh! If I could've been doing those things, I wouldn't have been asking him to change meds to begin with. But I ended up agreeing it was ALL my fault and not his laziness!

indeed! so I am most likely going to need a new pdoc anyway. I'd honestly like to go off as many meds as possible but I think I also need to be realistic

the only other question I have is whether there's weight gain associated with EMSAM? I had a real backlash weight problem after a number of successful months on nardil, which caused me to have to stop the drug. But I also did have a lot of unpleasant side effects. Passing out from low blood pressure as well as an inability to urinate... ended up on medication to help the side effect and that's not something I'd be willing to do again

But the nardil really did help, if only for a while... if EMSAM doesn't carry weight gain and I could eat most of my food, it seems to be a pretty good candidate along with my focalin XR and klonopin.

And I could also consider going back on Concerta, which I used for years. I only changed when my insurance threatened to stop covering it. Then I guess when they realized people were just switching to focalin (which was more expensive LOL), it appeared back on my formulary. I'm thinking Concerta might be more gentle with the EMSAM... but what do I know?

sorry for posing so many questions. You seem to be the one person on a combo that 'might' work for me as well.

thanks for your help.

namaste,
lilith

> Hi Liliths,
>
> You sound like you may indeed be a good candidate for a stimulant-Emsam combo, like me! I hope your doctor is ok about it. Mine is, but he also teaches pharmacology at a major medical school, so he's comfortable with "unconventional". He did write me a note to take to the pharmacy the first time, saying it's ok, because he said they might balk. Now the pharmacy is used to me, and there's no questioning. I was using ritalin with Emsam for a long time, until I consulted with a super-expert (for second opinion), and he said that in his observation, many people tended to particularly respond to an Emsam/adderall combo. I was switched immediately after, and I think it's true, at least for me. I haven't had any weight gain at all from Emsam. Are you using it now, or looking to use it in the future?
>
> I figured you'd know about mixing MAOIs and other meds as most people around here do, but with the dangers being what they are, and here I am blathering on about the wonders of an unconventional drug combo- I thought I'd bring it up just to be safe. Never know who's reading and what ideas pop into people's minds. Thanks for understanding :)
>
> Anyway, good luck!
>
> Laima


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URL: http://www.dr-bob.org/babble/20070107/msgs/720374.html