Posted by Karen44 on December 6, 2006, at 22:43:11
In reply to Re: Will Ensam work when Parnate no longer did » Karen44, posted by Quintal on December 6, 2006, at 17:06:05
> I haven't used ENSAM, but I have used both Parnate and oral selegiline. As ever, each person has to try each med themselves to judge their own reaction to it, but personally I had a poor response to oral selegiline while having a good response to Parnate. There is a difference between oral selegiline and EMSAM though, so that could make all the difference.
>
> An alternative strategy could be to augment the Parnate with Lamictal, which is what I did with good results.
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> Good luck.
>
> Q
Thanks for the response. I started on Lamictal after getting off of Parnate and so I could try Cymbalta which turned out not to work because I developed a hand tremor at 20 mg. that got worse at 40 mg. I am on just Lamictal right now and am being considered for Ensam. My pdoc does not think he would keep me on Lamictal though if Ensam works. I am not sure why, but he does not seem to think so called cocktail formulas are the way to go for me.By the way, Parnate worked great for me for the 10 years I took it in the 80's and early 90's. This year, however, it only minimally worked. One of the reasons I liked staying on it in the late 80's was because of the stimulent-like qualities that made it easier for me to get through graduate school and internship. I was fine off any antidepressant for over 10 years and until last year. I have tried everything, and nothing helps much anymore. I have reservartions that Ensam will work since Parnate at an even higher dose did not work and made me tired this time rather than energized. Bodies change over time.
Karen44
poster:Karen44
thread:710440
URL: http://www.dr-bob.org/babble/20061206/msgs/711059.html