Posted by SLS on August 13, 2013, at 6:01:36
In reply to Emsam and narcolepsy, posted by back_to_school on August 12, 2013, at 23:31:17
I have combined amphetamine and methylphenidate with Parnate and Nardil. There are no true contraindications combining these drugs, despite what is written in the package labeling. However, one might want to check his blood pressure when first adding amphetamine to Parnate to screen for a hypertensive reaction, which I believe is relatively uncommon. It is common for Nardil and Parnate to produce hypotension as a side effect. Experienced doctors sometimes prescribe methylphenidate expressly to remedy this. I recently added Adderall to Parnate + nortriptyline and Focalin to Nardil + nortriptyline. These treatments are considered aggressive, but are not terribly risky. If in doubt, buy a blood pressure cuff.
I don't know of any reason why Emsam would be uniquely dangerous when combined with a stimulant. However, since I am not absolutely sure of this, I recommend that you continue to seek guidance on this issue. If it were me, I would seriously consider using a stimulant to treat the narcolepsy, despite its being combined with Emsam. If it is of any significance to your doctor, Emsam actually is converted into both amphetamine and methampetamine in the body.
What happens when you combine Xyrem with Emsam?
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1048892
URL: http://www.dr-bob.org/babble/20130730/msgs/1048899.html