Posted by Brody on August 30, 2007, at 13:34:33
In reply to Response to a question sent via Babblemail, posted by Racer on August 30, 2007, at 11:23:17
> After about two years, though, it lost its mood brightening effects, and seemed to increase my depression. <
Hello. First a little info:I have been on EMSAM for 3+ months now, to which my p-doc added 100mg Provigil 14 days ago.
We added the Provigil after I had to reduce my EMSAM dose from 12mg to 9mg due to severe orthostatic hypotension. (We tried Florinef to get the blood pressure up, but I just blew up like a balloon and felt pretty awful.)
The reduced EMSAM dose seemed to cause the loss of any activating action, although the mood improvement was still there (thankfully!). For me, the activating action from EMSAM was pretty nominal even at 12mg, so we would probably have decided to augment anyway.
I feel I am fortunate to have a very good p-doc who listens and doesn't act all screwy when I make inquiries/suggestions. She reacted with a little wince when I asked her opinion about adding a stimulant, but she did some checking into the MAOI/Provigil combination and we agreed to try that instead.
Okay, so now my question for you is: How did you know that it was the Provigil that seemed to increase your depression, and not a lessening of the effectivness of your anti-depressant? (I am assuming you were still using the Provigil to augment your AD when you discontinued?)
I am having relatively good success with this combination so far. How could I detect which drug might be the culprit if it were to start pooping out. It seemed pretty clear to you.
Thank you kindly for putting your original post on the board for all to see and learn from!
Janet
poster:Brody
thread:779747
URL: http://www.dr-bob.org/babble/20070824/msgs/779766.html