Posted by RobertDavid on June 8, 2006, at 13:05:22
In reply to Re: Emsan-Day 30, posted by pulse on June 8, 2006, at 10:15:04
It would appear, like most meds, it's trial and error with EMSAM. Some particularly with depression will be fine with the patch 24/7, some don't need and can't tolerate the 20mg patch and less will work best. Only option there is cutting the patch which Dr. Bodkin has indicated is okay to do.
Perhaps some will cut it in quarters. Some may just wear it in the day. I believe even if you just wear it in the day you will still have selegiline in your body as it takes 14 days to wash out, but you'll get less streamining into you're system at night which in my personal experimentation has worked.
Overall I'd think that would just mean you're at a slightly lower dose than the full patch dose, that you won't lose all theraputic benefits by taking it off. Perhpas some will want a higher dose say a 30 mgs patch in the day, and will take that off before bedtime to help with sleep while keeping a slightly higher dose during the day.
Also, so many of us know it's the blend of other meds that's the solution. I agree that the simplistic thinking that you just put it on and and you'll be fine is unrealistic for many, but for some that will work okay. For those that have had no success with other meds, playing with EMSAM dose, tweeking it, cutting it, taking it off at night, trying various techniques will be needed.
With pills, you can easily cut them in half, quarters, do multiple dosing. With the patch, the only way to do that is to cut it and take it on and off. For me, one with SP as a primary issue, I believe it's just helpful as a blend with 2mgs of klonopin.
I think it's klonopin that knocks out my SP and EMSAM gives me the energy and mood elivation (which helps me be more social). Klonopin alone was not the answer nor would EMSAM alone be. Just some food for thought.
poster:RobertDavid
thread:653947
URL: http://www.dr-bob.org/babble/20060604/msgs/654508.html