![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Moxie on March 1, 2008, at 15:35:36
I cannot get satisfied since I have been on the patch (1 week of 6mg/24 hour) I have a history of anorexia and have restricted for the last 8 years but now I cannot stop eating! i have gained about 5 lbs in the last week or so. I am freaking out. Has anyone else been hungry while on the EmSam patch?
Posted by maxime on March 1, 2008, at 22:28:56
In reply to Emsam and weight GAIN I am eating all the time!!!, posted by Moxie on March 1, 2008, at 15:35:36
I know one person here who had incresed appetite at first, but then it went away.Are you currently underweight? I have anorexia and I know how scary it is when you gain weight from a med. Been dealing with that myself on Seroquel. I actually would be considered ED NOS because I don't meet the weight criteria for anorexia.
Anyhow, give the med a chance and see if it goes away.
Take Care.
Maxime
Posted by Moxie on March 2, 2008, at 12:45:30
In reply to Re: Emsam and weight GAIN I am eating all the time!!! » Moxie, posted by maxime on March 1, 2008, at 22:28:56
i was diagnosed as EDNOS also, my weight is low but still menstrating so not typical of Anorexia. I am having some anxiety due to being hungry all the time. I need to gain weight but still anxious. I am staying on the patch. Feeling better but not great. Hope the meds kick in soon!
Thanks for responding
moxie
Posted by Racer on March 2, 2008, at 15:19:32
In reply to Re: Emsam and weight GAIN I am eating all the time!!!, posted by Moxie on March 2, 2008, at 12:45:30
> i was diagnosed as EDNOS also, my weight is low but still menstrating so not typical of Anorexia.
Actually, the working group for the eating disorders section of the DSM-V is likely to drop the amenorrhea criteria -- studies have shown that there's no relevant difference between those who experience amenorrhea and those who don't. So, call yourself anorexic -- I do, and had my period at a BMI of slightly less than 14.
>I am having some anxiety due to being hungry all the time. I need to gain weight but still anxious. I am staying on the patch.
I'm the one Maxie was referring to. I was on EMSAM for about ten weeks -- don't let the fact that it didn't work out for me worry you, I don't have typical reaction patterns with meds -- and at the beginning it was horrendous! I was ravenous, and spent much time crying and freaking out over it. That did go away -- and relatively quickly. I would have to search out my old posts and my old emails to check, but I think it was only the first two or three weeks before that went away.
It's worth sticking it out, because my pdoc is seeing really great results with it. He says everyone on it continues to see improved results for about the first twelve weeks -- and I trust him a great deal, think he's really great. He says that it may seem like a good antidepressant at six weeks, but by twelve weeks things are still getting even better for most of his patients.
By the way, you do know that restricting will impair the effectiveness of any anti-depressant? You need to be taking in sufficient carbohydrate for the tryptophan in your food to cross the blood-brain barrier. Without that, you can't synthesize enough serotonin to make much difference, and taking L-tryptophan isn't really an adequate substitute.
Good luck.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
[email protected]
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.