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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 48 to 72 of 101. Go back in thread:
Posted by Lindenblüte on November 1, 2006, at 21:43:54
In reply to Re: Trying Emsam. » SLS, posted by river1924 on November 1, 2006, at 19:44:44
Hey Scott,
how you doing today?I'm on my 5th day of cymbalta increase from 90 to 120. I didn't really feel "awake" until about 7 pm.
Oh well. somehow in my slumbery morning I wrote a paper. I have no idea how. napped for 2 hours this afternoon.
all this sleeping despite 200mg provigil and a pot of green tea and 3-4 cups of coffee. Oh. and a diet coke.
*yawn*
just when I feel "awake" it's time to take meds and go to bed again. yuck!
Scott tell us about your side effects- you doing okay? It's okay if you talk about feelings instead of methyl groups. Don't stress out if you don't have an answer for everything. Some things are just beyond minds.
arrivederci,
thanks for your halloween website- it's clever and it was nice to get to know you better.-Li
Posted by SLS on November 1, 2006, at 22:15:15
In reply to Re: Trying Emsam., posted by Lindenblüte on November 1, 2006, at 21:43:54
> Don't stress out if you don't have an answer for everything.
Who told?
:-)
I felt dysphoric and anxious last night and for most of today. My patch fell off around 2:00pm and I didn't have an opportunity to replace it. Tonight, the dysphoria and anxiety have all but disappeared. I think I'll wait until tomorrow afternoon before rechallenging myself with the drug.
- Scott
Posted by Phillipa on November 1, 2006, at 22:37:02
In reply to Re: Trying Emsam. » Lindenblüte, posted by SLS on November 1, 2006, at 22:15:15
Scott what mg is the patch? hope you got that mail. Love Jan ps it's not out in my mind yet either. I will pray for you and I usually don't pray.
Posted by SLS on November 2, 2006, at 7:52:25
In reply to Re: Trying Emsam. » SLS, posted by Phillipa on November 1, 2006, at 22:37:02
> Scott what mg is the patch? hope you got that mail. Love Jan ps it's not out in my mind yet either. I will pray for you and I usually don't pray.
I've been on the 6mg/24hr patch.So far this morning, I feel only a touch of dysphoria. I am seriously thinking of waiting a few days before trying the Emsam again.
- Scott
Posted by linkadge on November 2, 2006, at 8:02:17
In reply to Re: Trying Emsam. » SLS, posted by Phillipa on November 1, 2006, at 22:37:02
Don't poison yourself with it if its not your style.
Linkadge
Posted by SLS on November 2, 2006, at 9:39:35
In reply to Re: Trying Emsam., posted by linkadge on November 2, 2006, at 8:02:17
> Don't poison yourself with it if its not your style.
That's what these drugs feel like sometimes.
But then, I am faced with "What if?"
It sure is a relief to be without the increased dysphoria and anxiety. Is it an unrelated coincidence that I have been without the patch for 18 hours? I can tell that there is still some leftover crap from the Lyrica. I think I should let things settle down for a few days before rechallenging myself with Emsam.
This really sucks.
- Scott
Posted by river1924 on November 2, 2006, at 11:22:56
In reply to Re: Trying Emsam., posted by SLS on November 2, 2006, at 9:39:35
100mg dose of nortriptyline and emsam and abilfy...
You are the scientist but couldn't you build up a lot of serotonin with that group... doesn't that cause dysphoria?
Posted by corafree on November 2, 2006, at 11:33:00
In reply to Re: Trying Emsam., posted by SLS on November 2, 2006, at 9:39:35
A person named Dav*s is on it @
http://www.anxietyhelp.org/treatment/medication/selegiline.html
Maybe you're already following. Just FYI.
cf
Posted by ed_uk on November 2, 2006, at 14:58:52
In reply to Re: Trying Emsam., posted by SLS on November 2, 2006, at 9:39:35
Hi Scott
Might a benzo help for a few days while you get used to the Emsam?
Ed
Posted by Phillipa on November 2, 2006, at 18:13:40
In reply to Re: Trying Emsam. » SLS, posted by corafree on November 2, 2006, at 11:33:00
Corafree that's the most I've seen on Emsam yet. Why not seroquel with emsam? Love Phillipa
Posted by SLS on November 2, 2006, at 18:15:01
In reply to Re: Trying Emsam. » SLS, posted by river1924 on November 2, 2006, at 11:22:56
> 100mg dose of nortriptyline and emsam and abilfy...
>
> You are the scientistNot by a LONG shot.
> but couldn't you build up a lot of serotonin with that group... doesn't that cause dysphoria?
That's a thought. The thing is, I don't think there is any appreciable MAO inhibition yet.
Thanks for thinking of me.
- Scott
Posted by SLS on November 2, 2006, at 18:29:20
In reply to Re: Trying Emsam. » SLS, posted by ed_uk on November 2, 2006, at 14:58:52
> Hi Scott
>
> Might a benzo help for a few days while you get used to the Emsam?That is a very good idea. It would probably help with the anxiety. I doubt it would help with the dysphoria, though. It is the dysphoria that is making life difficult to tolerate.
Gosh, I really hate to slap one of those patches back on me again. I will probably wait two more days.
- Scott
Posted by Phillipa on November 2, 2006, at 19:21:26
In reply to Re: Trying Emsam. » river1924, posted by SLS on November 2, 2006, at 18:15:01
Well I looked up dysphoria. Believe it or not I thought is was depression. So I just learned that it is mania. Wow I have so much to learn. Love Phillipa
Posted by SLS on November 2, 2006, at 20:17:41
In reply to Re: Trying Emsam., posted by Phillipa on November 2, 2006, at 19:21:26
> Well I looked up dysphoria. Believe it or not I thought is was depression. So I just learned that it is mania. Wow I have so much to learn. Love Phillipa
Dysphoria is more like an uncomfortable depressive mood state sometimes accompanied by anxiety. It can occur in combination with mania, but is not the same thing as mania.
- Scott
Posted by Phillipa on November 2, 2006, at 21:12:00
In reply to Re: Trying Emsam. » Phillipa, posted by SLS on November 2, 2006, at 20:17:41
So you're depressed and can't sit still? If it is that's me. Love Phillipa
Posted by ed_uk on November 3, 2006, at 14:32:52
In reply to Re: Trying Emsam. » Phillipa, posted by SLS on November 2, 2006, at 20:17:41
Might a small dose of Zyprexa help for a few days?
Ed
Posted by SLS on November 3, 2006, at 16:51:15
In reply to Re: Trying Emsam. » SLS, posted by ed_uk on November 3, 2006, at 14:32:52
> Might a small dose of Zyprexa help for a few days?
Another good idea, Ed. Thanks.
I'm on Abilify right now. Zyprexa would probably work better, though. I've had to deal with some family issues, so I haven't wanted to add back the Emsam just yet.
- Scott
Posted by ed_uk on November 4, 2006, at 14:35:57
In reply to Re: Trying Emsam. » ed_uk, posted by SLS on November 3, 2006, at 16:51:15
Hi Scott
Perhaps it might be safe to take a smallish dose of Zyprexa in combination with Abilify for a week or two?
Ed
Posted by tgo on November 4, 2006, at 17:21:34
In reply to Re: Trying Emsam./SLS, posted by lymom3 on October 28, 2006, at 13:12:34
I was on the patch for 3 days. The third day I was so tired I slept most of the day. I stopped at that point as I couldn't afford to not get work done like that. Anyone know if the tiredness goes away?
Posted by CrimsonVik on November 4, 2006, at 18:09:36
In reply to Re: Trying Emsam./SLS, posted by lymom3 on October 28, 2006, at 13:12:34
> I favored upper area above the breast or just reached over my shoulder and slapped it on my back. The small of your back isn't bad either but stay away from hairy spots :) Whatever adhesive they use is really not bad. It never hurt to remove the patch unlike the Daytrana patch. That one was horrible.
>
> For certain wash and dry the area like it says. The patches stick great that way but will not stick for anything if you haven't "prepped" the area. Those suckers are too expensive to waste!
>
>I tried to put my 1st on in the car at night. I took the wadded up mess off after I got home.
My Dr. gave me 20 samples the next day so it made the loss a little easier.Vik
Posted by CrimsonVik on November 4, 2006, at 18:20:48
In reply to Does Emsam tiredness go away?, posted by tgo on November 4, 2006, at 17:21:34
> I was on the patch for 3 days. The third day I was so tired I slept most of the day. I stopped at that point as I couldn't afford to not get work done like that. Anyone know if the tiredness goes away?
--------------------------------------------------
I was sick and vomiting alot the first 24 hr. but as it began 3-4 days before Emsam day 1, I don't blame Emsam.
I thought I felt dizzy day 2 but mostly more energy, in spurts.
Vik
Posted by lymom3 on November 4, 2006, at 21:34:13
In reply to Does Emsam tiredness go away?, posted by tgo on November 4, 2006, at 17:21:34
I can't advise you but it is odd how meds effect everyone differently. I had such bad insomnia on Emsam that I had to quit.
Posted by corafree on November 5, 2006, at 19:16:29
In reply to Re: Trying Emsam. » SLS, posted by Phillipa on November 2, 2006, at 21:12:00
If your mind is focused on thoughts of all you 'feel you should do', or 'want to do', and the depression and anxiety are preventing you from doing so (Bonus; You get to feel guilty too!), think benzo would be helpful. Maybe you are fearful it would cause fatigue. Maybe just lorazepam to take the edge off.
cf
Posted by jealibeanz on November 5, 2006, at 19:17:16
In reply to Does Emsam tiredness go away?, posted by tgo on November 4, 2006, at 17:21:34
I've never taken EMSAM, but I know that for some, the first few days cause fatigue because your brain in making all those weird neurochemical changes! It happened to me on Straterra few about 3 days, then again when I increased the dose. I wouldn't give up yet. If doesn't go away, but there are no other adverse effects, you may ask about adding Provigil. I know the general consensus in that stimulants like Concerta or Adderall shouldn't be combined with an MAOI, but they might be OK as long as your very closely monitored.
Posted by Phillipa on November 5, 2006, at 19:35:50
In reply to Re: Trying Emsam., posted by corafree on November 5, 2006, at 19:16:29
Corafree why aren't you answering my e-mails? Love Jan
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Dr. Bob is Robert Hsiung, MD,
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