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Re: EMSAM Dosages

Posted by Pops_1 on May 30, 2006, at 16:08:13

In reply to EMSAM Dosages, posted by katie san diego on May 30, 2006, at 14:13:04

> how many of you have been on the higher doses of EMSAM? i have had so much anxiety and emotional troulbe with the lowest dose, that i am frighted to move up to the higher patch. does it prove to be beneificial or just cuase more of the scary anxious feelings?


I can't answer your question (i'm just starting the 20mg patch) but from your other posts it sounds like EMSAM may not be a great match for you, unless you were to combine it with other anti-anxiety meds like Klonopin. EMSAM metabolizes into various amphetamines which likely account for the anxiety and insomnia some are experiencing. I'm one of those people that benefits from amphetamines w/o feeling very anxious, but I think people prone to anxiety maybe should try EMSAM as a second or third like AD.

That said, if you and your doctor are determined to try EMSAM, in your situation I likely wouldn't want to increase the dose until the anxiety feelings abated at the 20mg patch dose. Unless you feel the anxiety was there before you started the patch, but that doesn't sound like the case for you. The side effects likely will only get worse if you go up in dose.


Nardil may have dietary restrictions that EMSAM doesn't, but it's also known to have strong anti-anxiety effects, so if you really need to try an MAOI and adding Klonopin or another anti-anxiety drug to EMSAM isn't an option, maybe Nardil might be worth a try.

Good luck, let us know what happens!


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