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Emsam dosage strengths? On 6 mg and too wired.

Posted by Axmann on May 10, 2016, at 10:36:55

I am a 24-year-old male with treatment resistant dysthymia/depression, severe ADD-PI, and social anxiety.

I have been on the 6mg/24hr Emsam patch for about a month now and I am noticing some very positive changes with mood (not feeling despair and sadness), but I have a much hotter temper and find myself very shy/anxious lately, even more than normal.

When I take my Dexedrine I am prescribed (510 mg t.i.d), I get even more anxious, which is not usual for me. I combined Dexedrine with Parnate successfully for a while (couldn't continue the Parnate because of insomnia) and was fine. It's to the point where I avoid taking the Dexedrine even though I need it to function in school (in last year of nursing school).

I have heard that you need to increase the dose of Emsam to 9 or 12 mg/day in order to get the serotonin-increasing MAO-A effects and then it calms down. Is this true? Should I stick with Emsam and just increase the dose? Should I go back to my old fine-but-not-happy med, Effexor?

Also, I want to ask about switching to Desoxyn instead of Dexedrine. My psychiatrist is pretty open as long as I provide research. I have a lot of difficulty finding research on Desoxyn though. Any help there?


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poster:Axmann thread:1088834
URL: http://www.dr-bob.org/babble/20160501/msgs/1088834.html