Posted by Vincent_QC on January 27, 2009, at 11:01:23
In reply to Re: Selegiline dosage for social anxiety + Depression, posted by JadeKelly on January 27, 2009, at 9:46:01
> Hi again Vincent!
>
> I tried the Emsam patch just before Parnate, the benefits are: at the lowest dose, no food restricts, lots of energy at first, excellent for libido, and even if you go up in dose, I think it is much more forgiving with foods and BP. Med cautions stay the same. While I don't usually suffer from SA, I found myself to be very out going on Emsam before it wore off.
>
>
> The down sides are that it is extremely expensive, the only way I see to get it would be to contact the manufacturer, drug rep or your Doc and see if you can get it for free or at a reduced cost. If you need to up dose to over 12mg that gets tricky, lots of patches! (maybe you could add something at that point) The initial energy burst is the same as other MAOI's and will fade in a week or so (for me). I never took my BP or any of that. You will have to deal with some insomnia, but thats all I remember. No BP issues.
>
> If you can get the patch, I'd try it, I only could handle 1/2 6mg patch at first, so you can cut it to fit your needs and you may get some mileage out of a bunch of free samples just to see if you like it. Thats what I did. What it does beyond 9mg I don't know. It wasn't doing anything for me at 9mg so I switched to Parnate. Emsam may be great for you, or at higher doses, I just don't know.
>
> I'm hearing Marplan is easier to take than the others, I need to finish reading the thread.
>
> Hope you are well, I know you had some questions for me regarding my new PDoc's "Plan" for me and I will go to that sight and answer those! I'm doing exceptionally well, not 100% but getting there. I will keep taking Parnate. It hasn't been an easy road as you know, but its finally paying off! (with one augment for now).
>
> Your friend,
>
> ~Jade ;-)
>
>Hi Jade!
Thanks for sharing with me your experience...it's very helpfull...You always have good words for me and I will always be very greatfull with you because of this!!!Did you remember the price of the patch in US $ ?... I think it's something like 14$/patch?...if it's expensive like this, I Will not be able to try it cause I don'T have private insurrance and I don'T have a job and I leave only with a small amount of money I recieve for disable people from the governement...and since I Return to live with my parents, they cut by half the amount of money I recieve each month...So my only option is to have drugs who are in the "cover" section in the list of drugs avaible in the Canada... It's why I try to know if oral selegiline will be as effective as the patch at a more high dosage, since the regular pills are cover here... I think that I read somewhere(don't remember where exactly) that oral selegiline can give the same result at high dosage...more than 30mg/day than the patch...but the diet have to be follow at this dosage but it's more forgiving for the food interraction.
I ask about the selegiline because i'm totally out of energy in these day... I can't do anything at all...I feel like I don't sleep since 2 weeks but in fact with the Seroquel (25mg, sometimes 50mg) before bed time, I Sleep more than 8 hours in a row...but I can't get energized and feel full of energy...
I had to cancel my appointment this morning with my Psychologist for my CBT because I Was not able to get up and get ready to go...She will be not happy but what I Can do??? I have NO energy and NO motivation at all. I feel like I donT live but just exist...I even don't do the exercices she give to me (exposure time in social event....we work on the shopping center, I have to go there and walk...and stay there until my anxiety return to the level it was before I enter into the shopping center...)...I don't want to lie to her and said that I do my exercices...and I don't want to loose my place for this therapy...I wait more than 1 year to have this therapy for free...so I Don'T want to loose my turn...I can cancel 2 appointments I think and after you are out...so next week I will have to kick my *ss... This morning I try so much to go...I drink a whole pot of coffee just to be able to stay awake, I take 2 pills of "Wake-up" (Caffein pills), so 200 mg...and I Was not able to move more...I Return call the office of my psychologist and leave a message on her answer machine and I Return in my bed and sleep 3 hours in a row... I wake up and I feel tired as hell...Anwyay...
I feel not really well, and I don'T write this to look like someone who want to be take in a pity...I'm just tired to feel like the way I feel now...It'S worst than when I was on the Parnate or on the Lexapro(CIpralex) + Ritalin or Wellbutrin...
I don'T know if this increase of tiredness come from the Manerix try I had last week...or it's the Parnate who leave my body slowly...but I Feel worst than usual...
For what my Psychiarist know about maoi's...he told to me that the Marplan is the more stable of the 3 that exists to treat depression. Neutral for the weight gain, neutral for the blood pressure and the more firgiving for the food interraction...also, no daytime sedation on it aparently...but since it's remove from the Canadian market since a while, he even don'T know if it was avaible at one point here, and he don't know if each time a compagny sell the drug to another one, they change the formulation, he don't know if it's effective like the good old Marplan of 1959...
To answer to d/r...No, I don't try a lot of TCA's...I ask for one the last time I meet my PDoc, Clomipramine or the other one who begin with NOR??? but he said that the NE effect will be hard for my heart, since I had a lot of blood pressure issue with the Parnate, he didn't wanted to take any chance...he said also that the weight gain is a major issue also, even if you take the one who act the more on the NE...so it's out of my options for now...
Well, another time, thanks Jade...I Really hope you find the good solution for you...maybe you don't reach the 100% stage of remission, but at least you feel better and it'S a good thing!!!!
I will keep you update of my situation...for now, I will be a little bit quiet here...since just answer to one message take me more than 30 minutes (my english level is very low, even if I live with only english speaking people for several years...)...
Take care of you ok!!! ;-)
Love!
Vincent ;-)
poster:Vincent_QC
thread:876363
URL: http://www.dr-bob.org/babble/20090104/msgs/876533.html