Posted by BrightEyed+Blueberry on June 5, 2008, at 2:01:01
In reply to Re: Emsam insomnia and spaciness, posted by bonbon on May 29, 2008, at 0:34:23
Hi - I didn't know that pharmacists could over-rule doctors...couldn't you take your script to the Walgreens/Longs or your doc's "in house" pharmacy (associated hospital pharmacy)?
Or insist the pharmacist call and talk to your doc?
Or, is it up to you, once a pharmacists overrules a doctor, to then call your doctor and explain what the pharmacist said and did? And, now I'd be curious about my doctors response (hopefully its not, "Oh, I forgot to look that up, let me double check, oops sorry, pharmacist was right, my bad").
I would ask my doctor to please explain to me why he believes it is safe for me to take trazodone with EMSAM though technically contraindicated. You may find his answer satisfactory - perhaps he has experience with this same combination, or his colleagues have, or....blah blah (I'm obv not a doc!). Myself, I've noticed lots of people are augmenting EMSAM with various contraindicated meds--I think I've read on these boards about people on EMSAM also taking doctor-prescribed adderal, maybe modafanil and possibly wellbutrin--all forms of stimulants, and all I assumeon the lengthy contraindicted EMSAM medications list. (But don't quote me--check these boards its where ive read various augmentation strategies from EMSAM users)...
Maybe it's the mildest contraindication? I mean, who has more knowledge - I THOUGHT doctors did. Maybe I'm wrong, but don't pharmacists only have 2 years training?
Lastly, EMSAM is a new drug - it even comes to mind that I thought I read that the contraindicated medicines listed for EMSAM are based on the contraindicated meds for the standard MAOIS - the older ones like nardil and parnate. Can that ...assumption be made, or its the best warning to go by that they can give to the consumer/patient until further studies/tests/deaths (G-Forbid) have occurred? Or is EMSAM (selegiline) still an MAOI where drug restrictions occur? Since its only an inhibitor of B at the lowest dose, maybe that causes some diffeferences in contraindications? Though at 9 and up, when supposedly , as I understand it, MAOI-A begins to be inhibited, then EMSAM joins the gang (nardil/parnate, etc.)as a "TRUER" MAOI.
so , curious, what did your doctor say and do to get you your trazodone, and has it worked out for you?
> I'm not sure it i'm on the right thread or not (i'm not really sure how message boards work, but i've been here before and gotten some good advice!). Anyway, I've been on Emsam 6mg for about 4 months and have had surprisingly good results - i actually feel better. But about 3 weeks ago insomnia hell started. I've had mild insomnia since i started but this is totally unbearable. I took 3 Lunesta (2 mg) and 2 Klonopin .5 one night and still only got about an hour and a half sleep. My doc has now told me to try putting on a new patch every third day in an effort to combat insomnia. She gave me a script for Trazadone but my pharmacist said no, they couldn't be used together. Has anyone had any experience with Emsam/Trazadome? I thought I saw someone mention it somewhere.
> Any help greatly appreciated!
>
poster:BrightEyed+Blueberry
thread:826808
URL: http://www.dr-bob.org/babble/20080528/msgs/833016.html