Posted by Willful on December 3, 2012, at 21:35:20
In reply to Re: Is the Emsam patch more effective than SSRIs?, posted by SLS on December 2, 2012, at 6:51:24
As Phillipa said, I've been taking emsam since it first came out, and it's worked extremely well for me, both for anxiety and depression.
I would say that initially your anxiety could increase, but that as you accommodate to it, this diminishes. I couldn't say 100% whether my anxiety wasn't related to being depressed, but both of them are much much better than previously. I think I began with emsam and a very small amount of abilify and provigil (to help with issues of not sleeping). Later I added rilutek, which is a rather non-standard med, which happens to work extremely well for me.
I recommend trying emsam, if you're interested, because the food interactions only become problematic at quite high doses, although the med interactions are the same as all MAOIs. I started with parnate and ran into a serious complication with it, after which I used cymbalta for a time, which didn't work much for me.
SSRIs really disagree with me-- the relative merits really depend on individual reactions. But I think MAOIs are extremely good drugs and should be much higher up on the list of meds to try.
But this may be a minority opinion. I know emsam is expensive, which may be partly responsible for its rarity in use. But if your insurance will pay for it, I would definitely recommend it.
Emsam.
Abilify
Provigil
Rilutek
poster:Willful
thread:1032313
URL: http://www.dr-bob.org/babble/20121130/msgs/1032410.html