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Re: any experience with selegeline in pill form?

Posted by softheprairie on April 6, 2012, at 2:52:00

In reply to any experience with selegeline in pill form?, posted by n_shrimpie on April 3, 2012, at 18:08:35

I was really uncomfortable with the patch delivery system of Emsam, but my understanding was that the traditional pills were very poorly absorbed. I did Emsam for maybe two months, got up to the highest dose. Then I asked to be switched to the orally disintegrating tablet form, which is not FDA approved for depression, but for Parkinson's disease. The name brand was Zelapar. I gradually got the dose up high. I forget the total. I think the pill was 1.25 mg each (not sure on that), and I think I got up to maybe ten or twelve of those tablets a day. The price was exorbitant, at such a high dose. I had a name-brand copay, but, luckily, my insurance covered the rest. If I recall correctly from around four years ago, I think the Emsam was around $500 a month, and my high dose of Zelapar more like $1,000 a month (! yes, crazy high). I felt like I was getting a little bit of antidepressant effect from it, but then decided it wasn't enough, and that I wanted to taper off and try some other main antidepressant. A part of my decision may have included feeling bad that I was costing my insurance so much, and yet I wasn't getting something awesome from that big money spent. Note -- I did keep to the MAOI diet while on it.

 

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poster:softheprairie thread:1014847
URL: http://www.dr-bob.org/babble/20120328/msgs/1015059.html