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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 198 to 222 of 431. Go back in thread:
Posted by ttee on April 26, 2006, at 11:43:13
In reply to WD » jetcity10, posted by ed_uk on April 26, 2006, at 9:53:34
Is the anyone NOT on Klonopin that is doing well on Emsam? How can I tell if it is Klonopin or Emsam helps with depression/anxiety?
Posted by zero on April 26, 2006, at 13:18:22
In reply to Re: EMSAM-3 weeks and getting off klonopin, I hope, posted by RobertDavid on April 25, 2006, at 21:52:39
I'm with strugglingsteve on this one - one thing at a time, or you won't really know what's doing what.
If it were me (and I hope to try EMSAM if I see that it's helping people w. SP), I'd leave the Klon. in place until I knew for sure the EMSAM was working. Then a very slow taper off of the Klon.
Klon. isn't perfect, but so far, it beats everything else I've tried for SP.
Really hope the EMSAM works for you.
Best wishes,
z.
Posted by RobertDavid on April 26, 2006, at 13:59:52
In reply to Re: EMSAM-3 weeks and getting off klonopin, I hope » RobertDavid, posted by zero on April 26, 2006, at 13:18:22
> I'm with strugglingsteve on this one - one thing at a time, or you won't really know what's doing what.
>
> If it were me (and I hope to try EMSAM if I see that it's helping people w. SP), I'd leave the Klon. in place until I knew for sure the EMSAM was working. Then a very slow taper off of the Klon.
It seems several of you have the same take which seems reasonable, to just stay on klonopin for a while along with EMSAM. But how long do I wait to try to taper down? And how will I know how well EMSAM does for SP if I don't try to taper from klonopin?I recognize I'm being impatient here and even my doctor suggested I stay on klonopin for up to 6 months before trying a taper. He said to wait just so that I could spend a few months feeling good as I never did totally on klonopin alone.
What if I do this, just try to go down to say .25 once a month and see how I do. That would give my body time to continue to adjust to EMSAM while doing an extrememly slow klonopin taper. Since I'm taking 2mgs of klonopin a .25 taper once a month should be so slow that I could deal with it. If I have problems I can just go back to the 2mgs.
Perhaps by doing it this way, such a slow taper that it might be easier vs a quicker taper months down the road. Probably the smart thing to do is just wait, then do a very slow taper. I know I'm being impatient and trying to sell myself on lowering klonopin. I've wanted to find a replacement for a long time.
I also battle with occational drinking binges (about once a month, not daily) which I'm trying to avoid/quit and have heard klonopin/benzo's aren't helpful with because it can keep cravings up not to mention other serious helth issues I'm aware of. I know that's a subject for a different board, but part of my motivation to get off klonopin. Any thoughts on this concept or just continue my 2mgs and wait.
Thanks for your impute. Rob
Posted by tmapj on April 26, 2006, at 14:57:54
In reply to Re: EMSAM-3 weeks and getting off klonopin, I hope, posted by RobertDavid on April 26, 2006, at 13:59:52
I was just perscribed EMSAM by my psychiatrist. Does medicaid cover this? In any case, how much does this stuff cost normally?
Posted by Last Chance on April 26, 2006, at 19:19:06
In reply to Re: EMSAM-3 weeks and getting off klonopin, I hope, posted by RobertDavid on April 26, 2006, at 13:59:52
Robert David - you have said before that you are sensitive to meds - me too, extremely. Have been lowering my dose of Klonapin slowly for about a year - everytime I pinch off an eighth of a .5 mg. I suffer withdrawal symptoms after about 4 days. More anxiety, depression - just plain agitation. So - Klonapin can really be difficult. My humble advice - WAIT, maybe even a few months til you feel real stable with the Emsam and then start your K taper. .25 every two weeks is too much, I think - maybe for the first couple of cuts - but gradually go slower - let your mind and body be your guide. Don't write your detox schedule in STONE - Be Flexible. Just never go back - once you make a cut stick it out. Richard
Posted by RobertDavid on April 26, 2006, at 22:59:04
In reply to Re: EMSAM-3 weeks and getting off klonopin, I hope, posted by Last Chance on April 26, 2006, at 19:19:06
Thanks for all the advise:
Today was one of my best days. It seems like after my quick start I go for a few days feeling the same, then every few days would feel a difference like today. I'm very upbeat, getting stuff done, doing good at work, feeling more social. I couldn't ask for more to this point.
I know not everyone is having the luck I have at least to this point and there is a side of me that is sensitive to that and in a way I feel bad to post such positive results.
I really don't want to be the EMSAM poster boy and hope I don't come off that way, I'm just posting my response so far (which is still to soon for conclusions).
It's been a long wait for me to have such a positive initial response to any medicine and for what it's worth I have bashed other med trials when I did poorly such as my experience with Lyrica and Remeron (which I know works well for others, just not me).
I hope that those of you trying EMSAM will find that as time goes by you'll have a positive response as well. I know some are having better luck than others.
Everyone is different and though I have had a quick response I have to think I'm not the norm and it probably takes more like a month maybe longer to determine if it's going to work. And it's quite probably that for me the klonopin blend with EMSAM is the trick.
I'll get answers to that when I try to get off klonopin (which by the way I've decided to try to drop to 1.5 mgs from 2 mgs, settle there for a while, a month maybe longer and see how it goes - I took 1.75 last night and felt great today). If that works out I'll continue a very slow taper, but if the blend of the two medicines turns out to be the ticket, so be it, I'll be good with that.
My brother in law is a psychiatrist. 10 days ago he got off wellbutrin and zoloft and started EMSAM today. He deals with social anxiety like me. It will be interesting to see his take on it being both a doctor and patient. If I hear anything interesting from his perspective I'll post.
Anyway, if nothing else EMSAM should bring more attention back to MAOI's in general so that doctors will not look past them and perscribe only SSRI's. Seems it's a quite popular topic here both positive and negative all of which is good info. Rob
Posted by jetcity10 on April 26, 2006, at 23:52:09
In reply to Re: EMSAM-3 weeks and getting off klonopin, I hope, posted by RobertDavid on April 26, 2006, at 22:59:04
I have now been on EMSAM for one week. Though I have not seen a miraculous improvement I have to say that there is clearly some improvement. I too have been on and off numerous anti-depressants through the years with little positive effect and lots of negative effects. This is the first where I can see some raising of the lowest feelings. I have also had glimpses of hope which I have not had in years and glimpses of a positive life - both of which are new since EMSAM. I still feel depressed, but like I said, the low seems a little better. The anxiety is pretty high. However both the depression and anxiety are probably influenced by significant life events that had increased the severity of both before starting the EMSAM.
As to side effects: maybe some increased anxiety, maybe less sleep (even on the 1.5mg Klonipin), a little orthostatic hypotension, and it looks like some minor constipation.
But I have more energy (even with less sleep) and have even been looking forward to working out (an amazing thought).
Overall, this has been one of the best responses I have ever had since there is positive response and no side effects I can't deal with yet.
Rob, thanks for your posts, it gives hope that it can get even better, but even if it doesn't, some is better than none.
Posted by RobertDavid on April 27, 2006, at 0:14:56
In reply to Re: EMSAM, posted by jetcity10 on April 26, 2006, at 23:52:09
> I have now been on EMSAM for one week. Though I have not seen a miraculous improvement I have to say that there is clearly some improvement. I too have been on and off numerous anti-depressants through the years with little positive effect and lots of negative effects. This is the first where I can see some raising of the lowest feelings. I have also had glimpses of hope which I have not had in years and glimpses of a positive life - both of which are new since EMSAM. I still feel depressed, but like I said, the low seems a little better. The anxiety is pretty high. However both the depression and anxiety are probably influenced by significant life events that had increased the severity of both before starting the EMSAM.
>
> As to side effects: maybe some increased anxiety, maybe less sleep (even on the 1.5mg Klonipin), a little orthostatic hypotension, and it looks like some minor constipation.
>
> But I have more energy (even with less sleep) and have even been looking forward to working out (an amazing thought).
>
> Overall, this has been one of the best responses I have ever had since there is positive response and no side effects I can't deal with yet.
>
> Rob, thanks for your posts, it gives hope that it can get even better, but even if it doesn't, some is better than none.
That sounds like a very positive start and similar in many ways to mine. I too noticed that I slept a little less at first, but woke up energized, felt like doing more. I too started working out at the gym again as before I just didn't couldn't get myself to do go there.I hope that your benefits will continue and side effects will be minimal. Like you I never really knew what it felt like to have a postive start any med other than klonopin.
Please keep posting your results and I wish you the best! Rob
Posted by strugglingsteve on April 27, 2006, at 0:33:52
In reply to Re: EMSAM-3 weeks and getting off klonopin, I hope, posted by RobertDavid on April 26, 2006, at 22:59:04
Detoxing off klonopin can be a major nightmare. I detoxed off of 2.75 mg and it took me 9 months all told. I would cut a quarter mg and increase the neurontin and then once off klonopin then I weaned off of neurontin. I would hope that you would wait a few months before beginning a slow taper. Maybe it will be a breeze and maybe it will be a horror show like mine was, you just dont know. You are just getting used to a new med so be patient. You have the whole rest of your life ahead of you in happiness if you dont make a dumb mistake now. Laying off the booz is a good idea too, alcohol is a drug and can mess things up for you too. Work on that for now and the klonopin later is my advice and i have experience on both. Good luck dude...
> Thanks for all the advise:
>
> Today was one of my best days. It seems like after my quick start I go for a few days feeling the same, then every few days would feel a difference like today. I'm very upbeat, getting stuff done, doing good at work, feeling more social. I couldn't ask for more to this point.
>
> I know not everyone is having the luck I have at least to this point and there is a side of me that is sensitive to that and in a way I feel bad to post such positive results.
>
> I really don't want to be the EMSAM poster boy and hope I don't come off that way, I'm just posting my response so far (which is still to soon for conclusions).
>
> It's been a long wait for me to have such a positive initial response to any medicine and for what it's worth I have bashed other med trials when I did poorly such as my experience with Lyrica and Remeron (which I know works well for others, just not me).
>
> I hope that those of you trying EMSAM will find that as time goes by you'll have a positive response as well. I know some are having better luck than others.
>
> Everyone is different and though I have had a quick response I have to think I'm not the norm and it probably takes more like a month maybe longer to determine if it's going to work. And it's quite probably that for me the klonopin blend with EMSAM is the trick.
>
> I'll get answers to that when I try to get off klonopin (which by the way I've decided to try to drop to 1.5 mgs from 2 mgs, settle there for a while, a month maybe longer and see how it goes - I took 1.75 last night and felt great today). If that works out I'll continue a very slow taper, but if the blend of the two medicines turns out to be the ticket, so be it, I'll be good with that.
>
> My brother in law is a psychiatrist. 10 days ago he got off wellbutrin and zoloft and started EMSAM today. He deals with social anxiety like me. It will be interesting to see his take on it being both a doctor and patient. If I hear anything interesting from his perspective I'll post.
>
> Anyway, if nothing else EMSAM should bring more attention back to MAOI's in general so that doctors will not look past them and perscribe only SSRI's. Seems it's a quite popular topic here both positive and negative all of which is good info. Rob
Posted by Kristopher on April 27, 2006, at 16:21:14
In reply to Re: EMSAM-3 weeks and getting off klonopin, I hope » RobertDavid, posted by strugglingsteve on April 27, 2006, at 0:33:52
Hi everyone.
My name is Kristopher, and I've been on EMSAM since April 20th. I have also been following the development of this drug since reading about Adam's success during the study. Before EMSAM was available I attempted to take oral Selegiline and was very anxious.
So today is day 8 for me, and I've been experiencing a lot of what others on this board have. I'm sleeping a bit less, and waking easier in the morning. I have more energy during the day, and I'm actually getting things done.
For a little background information on myself, I've been on and off of psych meds since 1999. For the most part, I suffer primarily from depression and mild ocd. For a while I thought I was bipolar (and who knows, perhaps I am) because whenever I would take an SSRI I would start to cycle. I've been on all the SSRIs, and many many many many other psych meds over the last few years. I'd be willing to share my experiences if anyone has questions. I've always kept a journal of the effect of each drug, both positive and negative.
I know this is a very long post, but I've been reading Babble for quite some time, and never posted before. But when I read more and more about peoples EMSAM experiences, I just had to chime in.
I'm not having any negative side effects so far. Except I'm dreaming a lot more, and others have said that as well.
My current med cocktail in case anyone is curious is:
EMSAM 20mg (6mg/24hrs)
OMACOR (pharmaceutical fish oil) 1 gram 3x a day
Klonopin .125mg in the morning only
And XYREM in the evening. 4.5 gramsI really appreciate all of you on this board for sharing your experiences. And all I can say is that the EMSAM even after only one week, must being doing something because up to this point, I've been too depressed and unmotivated to even post here.
AND for those of you who can't afford the medication (Medicaid denied it for me) there is always the Bristol Myers Squibb Patient Assistance Foundation. That's how I've been able to obtain the patch. The website is www.bmspaf.org EMSAM is not listed on the site yet because it's so new, but they do offer it.
Sincerely,
Kristopher
Posted by Dr. Bob on April 28, 2006, at 11:48:52
In reply to I'm on EMSAM also, posted by Kristopher on April 27, 2006, at 16:21:14
> My name is Kristopher, and I've been on EMSAM since April 20th...
Sorry to interrupt, but I'd like to consolidate responses by redirecting follow-ups to this post to the earlier one. Here's a link:
http://www.dr-bob.org/babble/20060423/msgs/637543.html
Thanks,
Bob
Posted by lymom3 on April 28, 2006, at 22:57:12
In reply to Redirect: I'm on EMSAM also, posted by Dr. Bob on April 28, 2006, at 11:48:52
I'm not saying that I'm a wee bit cranky being off Lexapro and waiting to start Emsam on Wednesday, but my psychologist asked me today how much longer before I started the patch because even he thought I was cranky!!! Hope it does good for me like it has for several of you guys!
Posted by Paul on Long Island on April 28, 2006, at 23:26:50
In reply to Re: EMSAM » pederspd, posted by RobertDavid on April 23, 2006, at 22:09:30
Hi. I'm a first time poster here, but I'm a desperate one. I'm really hoping someone can help me. I started on EMSAM patches on April 18th (it's now April 28th). In the past, I had always taken prozac, which was very effective for me. But the weight problem and the sexual side effects pushed me to try EMSAM. I suffer from depression, anxiety and OCD. Since I started using the patch, I've had extremely anxious periods, OCD is becoming unmanageable, and the depression seems worse rather than better. I find myself extremely emotional, crying for no reason, feelings of hopelessness, and of course the ever popular feelings of impending doom. Yesterday, the doctor added Lithium to the mix to see if it will help. I already take Klonopin. I'm also currently on a low carbohydrate diet for breakfast and lunch. Can anyone offer me opinions on whether I should stick with EMSAM or if it sounds like I'm one of the unlucky ones? I apologize for the length of the posting. Thanks
Posted by strugglingsteve on April 29, 2006, at 0:04:44
In reply to Need EMSAM Advice, posted by Paul on Long Island on April 28, 2006, at 23:26:50
Hi Paul. First off, give the lithium a couple weeks to see where you stand with that. Second, as to emsam, its going to take time. Some people respond rapidly and good for them. I myself have settled in to the reality of 4-6 weeks and maybe even longer. If you can hang in then do so, if you cant make it, then quit and go back to where you were.
> Hi. I'm a first time poster here, but I'm a desperate one. I'm really hoping someone can help me. I started on EMSAM patches on April 18th (it's now April 28th). In the past, I had always taken prozac, which was very effective for me. But the weight problem and the sexual side effects pushed me to try EMSAM. I suffer from depression, anxiety and OCD. Since I started using the patch, I've had extremely anxious periods, OCD is becoming unmanageable, and the depression seems worse rather than better. I find myself extremely emotional, crying for no reason, feelings of hopelessness, and of course the ever popular feelings of impending doom. Yesterday, the doctor added Lithium to the mix to see if it will help. I already take Klonopin. I'm also currently on a low carbohydrate diet for breakfast and lunch. Can anyone offer me opinions on whether I should stick with EMSAM or if it sounds like I'm one of the unlucky ones? I apologize for the length of the posting. Thanks
Posted by Paul on Long Island on April 29, 2006, at 4:54:32
In reply to Re: Need EMSAM Advice » Paul on Long Island, posted by strugglingsteve on April 29, 2006, at 0:04:44
> Hey Steve. Thanks for responding so fast. I know I have to try to be patient, but it's just sooo painful. The sadness and depression and feelings of hopelessness come on so quickly and so strong. I try to fight it, but we all know how well that works, right? I'm trying not to be whiney here, but I can see I'm failing miserably :) Part of the problem is that I think the patch is what's making me so incredibly anxious (terror probably describes it best in the morning). Knowing that I have to wait 2 weeks after I go off the patch before I can go back on prozac makes it very difficult to decide which way to go. My biggest question is how do you know when it's time to give up on this and then suffer through to go back to the prozac? And incidentally, if I do go back on the prozac, does anyone have any thoughts on how to avoid the extreme weight gain I always experience? Obviously I have a lot of questions and don't have any of the answers! Do you (or anyone else) have any ideas or suggestions? I can't tell you how much I'd appreciate the help. Thanks so much.
> Hi Paul. First off, give the lithium a couple weeks to see where you stand with that. Second, as to emsam, its going to take time. Some people respond rapidly and good for them. I myself have settled in to the reality of 4-6 weeks and maybe even longer. If you can hang in then do so, if you cant make it, then quit and go back to where you were.
>
>
> > Hi. I'm a first time poster here, but I'm a desperate one. I'm really hoping someone can help me. I started on EMSAM patches on April 18th (it's now April 28th). In the past, I had always taken prozac, which was very effective for me. But the weight problem and the sexual side effects pushed me to try EMSAM. I suffer from depression, anxiety and OCD. Since I started using the patch, I've had extremely anxious periods, OCD is becoming unmanageable, and the depression seems worse rather than better. I find myself extremely emotional, crying for no reason, feelings of hopelessness, and of course the ever popular feelings of impending doom. Yesterday, the doctor added Lithium to the mix to see if it will help. I already take Klonopin. I'm also currently on a low carbohydrate diet for breakfast and lunch. Can anyone offer me opinions on whether I should stick with EMSAM or if it sounds like I'm one of the unlucky ones? I apologize for the length of the posting. Thanks
>
>
Posted by willyee on April 29, 2006, at 8:59:48
In reply to Need EMSAM Advice, posted by Paul on Long Island on April 28, 2006, at 23:26:50
Its always smart to give a new drug time to kick in,a lot of people myself included become very inpaitent.
Especialy when side effects appear BBEFORE benifits.
HOWEVER you know your body,and if your loosing a SIGNIFICANT amount of progress you had on prozac,if the majority of ur symptoms are getting worse and worse everyday,when on a different class of drugs they were held much more stable,then why do it to yourself,its not that you FAILED on emsam,it simply might not be the drug for u and letting urself go all thses weeks will possably make it that much longer and painful when and if u decide to go back to prozac to regain stability.
The med not working,or side effects are one thing,but a worsening of sympomts for me isnt worth a six week wait,thats too much to gamble in the case the drug dont work,besides u can always try it again,its so new let others test it first.
Well wishes.
Posted by ravenstorm on April 29, 2006, at 9:28:47
In reply to Re: Need EMSAM Advice, posted by willyee on April 29, 2006, at 8:59:48
Paul, how long were you off the prozac before starting ensam? Did you leave enough of a wait period? (prozac=five weeks due to long half life) Could you be experiencing any prozac withdrawal that is contributing to this?
I agree with the previous poster, if your actual mood has deteriorated dramatically in ten days (which is different than just having crappy side effects) I'd be inclined to throw in the towel sooner rather than later.
On celexa, I only made it four days because it induced askthasia (I don't know how to spell that). That wasn't my fault and it wouldn't be your fault if you don't tolerate ensam. But only you can determine if its side effects making you feel crappy or if you are significantly emotionally worse. I feel for you. Please take care.
Oh and your not whining.
Posted by Paul on Long Island on April 29, 2006, at 10:14:31
In reply to Re: Need EMSAM Advice, posted by ravenstorm on April 29, 2006, at 9:28:47
Hey, I really really appreciate all the input, and if anyone else has anything to add, please do. I spoke to my doctor since my earlier post, and she offered the possibility that it may not be the EMSAM making the depression, anxiety AND ocd worse, but merely that I was getting worse before starting the EMSAM and that it just hasn't kicked in yet. She wants me to keep trying that, along with the lithium for the depression, and a combination of Klonopin and Xanax for the anxiety and ocd (which for me always gets worse when I'm more anxious). Anyone have any thoughts on this? By the way, has anyone else experienced the following: I only eat one meal a day with a significant amount of carbs (dinner), and I notice that soon after dinner, and also after I've had something with caffeine, my mood brightens considerably (at least for a while). Is it possible that the carbohydrate addict's diet I'm on might actually be a part of the problem here? Once again, thanks so much to all who've taken the time to help me here. It means so much. Paul
Posted by SFY on April 29, 2006, at 11:48:40
In reply to Need EMSAM Advice, posted by Paul on Long Island on April 28, 2006, at 23:26:50
The first question that comes to mind is why you would jump from Prozac to Emsam if Prozac seemed to be working for you (despite the side effects)?
Emsam and Prozac work very differently and their primary effects are on different neutrotransmitters. If Prozac was working well for you then that would be an indication to try another SSSRI or other med that had its primary effect on your serotonin levels but with less side effects than Prozac.
Most people are jumping to Emsam because nothing else worked for and MAOI's work quite differently from other meds. To make such a dramatic shift from a med that was working for you makes very little sense to me.
Posted by Phillipa on April 29, 2006, at 12:01:04
In reply to Re: Need EMSAM Advice » ravenstorm, posted by Paul on Long Island on April 29, 2006, at 10:14:31
I too am following the ENSAM posts and am thinking of trying it as nothing else works for me but when I am more anxious oh wow does my OCD anxiety get worse. I really want to see the ENSAM work for you and sincerely hope you doc is correct that given more time it will work. I pray that it does. I'll be following your hopefully good progress Don't hesitated to babblemail me. I am hanging on the edge of my chair as myself can't take any more of meds not working. Don't want to sound selfish but at least the prozac helped some. Good luck and I mean it I'm routing for you. Love Phillipa
Posted by Paul on Long Island on April 29, 2006, at 14:05:40
In reply to Re: Need EMSAM Advice » Paul on Long Island, posted by Phillipa on April 29, 2006, at 12:01:04
I know! I know! It doesn't seem on the surface to make any sense that I would go from a medication that very definitely works for me to a different type of medication that very well might not. A little background: The prozac made me gain about 80 lbs. I had spent my entire life being skinny as a rail, and now I'm out and out fat. It's affected my blood pressure, my cholesterol, my triglycerides, and given me Reflux besides. And then of course there's the ever popular sexual side effects. I've tried several of the other SSRI's including Celexa, Effexor, Luvox, and most recently Lexapro. Have also tried Cymbalta (SNSRI). The Lexapro was touted as the best of the lot because it supposedly doesn't have nearly the side effects of the other SSRI's. Well, for me, it was WORSE than all the others as far as side effects go.
I know that I can always go back to the prozac, but I'm hoping to not have to. I've already lost 18 1/2 lbs between diet, exercise and being off the SSRI's. My blood pressure has dropped significantly. And on the few occasions in the past couple of weeks where I wasn't either in terror or depressed beyond belief, I discovered that the sexual issues have lessened considerably. It's difficult for me right now, but I'm fully aware that so many others have it so much worse than I do because nothing else has worked for them. I pray that each and every one of us finds the right medication for us that works effectively, and that we can all be happy and calm. Let's all pray that happens! And thanks again to everyone. Paul
Posted by KayeBaby on April 29, 2006, at 15:39:13
In reply to Re: Need EMSAM Advice, posted by Paul on Long Island on April 29, 2006, at 14:05:40
When you mentioned the low carb diet it occurred to me that this may not be best for you right now. Carbs are rather soothing and if I remember correctly boost seratonin. You probably need some seratonin boost since prozac worked so well for you.
Does anyone know if it would be safe to add something like tryptophan with EMSAM. I am not knowlegeable about dietary restrictions for the patch.
I would eat whatever makes you more comfortable (aside from any restricted items) right now. If Emsam ends up working for you the weight will be easier to shed later.
Best of luck to you!
Kaye
Posted by Donna Louise on April 29, 2006, at 16:04:11
In reply to Re: Need EMSAM Advice, posted by KayeBaby on April 29, 2006, at 15:39:13
> When you mentioned the low carb diet it occurred to me that this may not be best for you right now. Carbs are rather soothing and if I remember correctly boost seratonin. You probably need some seratonin boost since prozac worked so well for you.
>
> Does anyone know if it would be safe to add something like tryptophan with EMSAM. I am not knowlegeable about dietary restrictions for the patch.
>
> I would eat whatever makes you more comfortable (aside from any restricted items) right now. If Emsam ends up working for you the weight will be easier to shed later.
>
> Best of luck to you!
> KayeSince 5 HTP is deanimated by MOAI, I would not add any triptan type of anything. I cannot take my migraine medicine with EMSAM for that reason.
It is not a dietary consideration like tyromine, it is a drug consideration.
Donna
Posted by Phillipa on April 29, 2006, at 18:39:03
In reply to Re: Need EMSAM Advice, posted by Donna Louise on April 29, 2006, at 16:04:11
Donna is ENSAM working for you? Any side effects? Thanks Phillipa
Posted by ttee on April 29, 2006, at 19:40:51
In reply to Re: Need EMSAM Advice » Donna Louise, posted by Phillipa on April 29, 2006, at 18:39:03
Hope things start to turn the corner for you Paul. I too would try to do one thing at a time and put the intense diet on hold. I would also beware about any supplements with the MAOI drug interactions. If it were me, I would try to stick out the Emsam trial awhile longer. Since you had to wait five weeks for the washout of Prozac before Emsam, I wouldn't want to have to do that again. Less of course you can live with the side effects from your previous meds. I am not on Emsam yet, but I would imagine that Emsam has the same time lag dilemma of most of the other meds, including other MAOI's. Many people don't get a decent response until 4 - 8 wks. Unfortunately for me, I always seem to be a very slow responder, except for the side effects that hit hard all during the wait. Good luck on whatever you and your pdoc decide. T
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