Posted by stargazer on March 4, 2007, at 14:00:08
In reply to Re: Before departing from Emsam ..., posted by UgottaHaveHope on March 4, 2007, at 12:33:50
Michael,
That's a tough call for Emsam effectiveness.
Maybe a 6 or 7...not bad but not great either. I still have a great deal of brain overload which is the inability to handle information processing in terms of priortization, managing multiple tasks, basically an inability of knowing how to think through and complete daily responsibilites without getting overfocused on unimportant things.
I don't really have any of extreme negativity or any associated sadness or hopelessness which I have on many other meds, esp the Serotonin meds.
I try and keep a diary of meds and mental status no matter what the response is but once it is stable, I probably only make notations one a month. Ironically when I tried Nardil I did not record much, which I wished I had, since it would have helped to go back to reread what I wrote then. All I wrote was the dose I was on and after it failed, I started to chart routinely on all of the meds I tried. I had no idea it would have been a diary of almost twenty years, some of which is so disturbing to go back and read. So many drug failure and horrible side effects especially when on Zoloft and Effexor, back to back, and one of the two, made me suicidal taking me to the brink of death.
That's why I'm so afraid of SSRI's now. I'd rather take a MAO, antipsychotic or anything else before those. My recent trial with Cymbalta lasted approx a week and a half with a worsening of my depression when I went from 30 to 60 mg, s saw the bad stuff again.
My Emsam trial is so much better and my side effects are dizziness with some mood instability. The only other med I'm considering is Provigil with Emsam before calling it quits.
I don't know what it is but there's got to be something to the responses I get with MAO's, I also had a fairly good response on Celexa, Wellbutrin and Adderall.
It makes me crazy that my pdoc is not able to tell from all my responses over the years what should work for me. Am I expecting too much from someone whose trainng and education gives them the ability to figure this stuff out. Is there no real formula or criteria by which an AD is chosen? If not, is it just an experiment and I am the rat? That's how I feel!
Stargazer
poster:stargazer
thread:737306
URL: http://www.dr-bob.org/babble/20070302/msgs/738255.html