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Re: EMSAM Q?/RN320

Posted by stargazer on January 13, 2007, at 11:52:02

In reply to Re: EMSAM Q?, posted by RN320 on January 13, 2007, at 10:38:59

RN320...we have spoken before and I appreciate all your knowledge and experience with Emsam.

I understand how you must feel on Emsam despite all of the restrictions and events that have occurred to you. I also understand why you are working so hard to stay on it as well. When they work, and I have had good results, currently and in the past on MAO's, they're worth it. I was sorry to hear of your recent event with the Thai food. That was a close one...

Do you carry the meds to reduce your BP in the event of a hypertensive crisis? Lucky for you you had them with you that night.

One question about your plan to add provigil...Is is for depression or for ADD? I saw my pdoc yesterday and the 2 other meds I wanted to have him consider were Provigil and Strattera, both non-stimulants, although I believe both are offically on warning list for use with Emsam.

My pdoc has sanctioned use of stimulants for me with Emsam as well and I have posted regarding this recent event. I am thrilled with his agreement to allow me to use a stimulant, since I thought he would not agree to it.

But, I am also curious about others use of Strattera or Provigil for their depressive/ADD symptoms which for me are too closely entwined to know what diagnosis is primary and what is econdary, if you know what I mean...Am I depressed because I am too unfocused and it makes me fail in social and occupational roles or am I disorganized and unmotivated because I am depressed...the old adage of what came first, the chicken or the egg. Even my pdoc missed the diagnosis (ADD) which I think has made me depression "treatment resistant" for 20+ years. It all seems too simple now since I'm optimistic that if I can treat the ADD component of my depression all will be well. Of course nothing is absolute, but I have higher hopes than I have had in a long time.

Watch yourself and keep safe.

SG


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URL: http://www.dr-bob.org/babble/20070113/msgs/721949.html