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Re: another possible one

Posted by laima on February 24, 2007, at 8:31:02

In reply to Re: few more from Emsam insert » djmmm, posted by laima on February 24, 2007, at 8:22:06

One more possibly dicey one: kava.

I've used it in the past, no problem. Just relaxing.

Recently I used it again, once, same brand. It started out relaxing, for several hours, then kicked into high stimulant gear for another several hours! It woke me up. I mean AGITATION. The only variable that had changed was I was on Emsam this time. Medline says something about how kava can enhance antidepressent effects of MAOIs- but doesn't say, "don't use this combo". It does say there (or somewhere similar) to ask your doctor if using psychotropic medication, and I sure wish I had. I erred.

Yes, I use adderall during day, but last 10mg dose is at 1pm, it peaks at 3hrs per the literature, and then effects fade off after about 5 hours. The half-life is 8-10 hours, I believe- and I took the kava at about 10pm, and got agitated by 2 or later. So I don't think adderall was the culprit factor.


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