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Grrr... EMSAM again, what to expect?

Posted by Racer on October 13, 2007, at 0:00:37

I've gotten much worse again, and my therapist convinced me to contact my pdoc. (In fact, I think she called him, too.) He wants me to try EMSAM, and I guess I'm willing. Mostly...

My general fear of trying new medications, combined with my fear of giving up Concerta and Wellbutrin, combined with the hopelessness associated with depression -- I'm not sure I want to try anything new. Every time I get to where I think, "OK, I can do this, I can try this new medication, it can't be too bad --" I get caught up into the memory of how bad it really can be -- but filtered through the depression, it looks far bleaker than it probably is. So, since it's almost certainly going to happen, I thought I'd ask people what they'd experienced with it. I have some specific questions I want to ask, so if you have any input on these items, PLEASE don't hesitate to offer it.

The one thing I want to say at the outset, though, is this: there are a number of drugs I cannot or will not take, for a variety of reasons. My pdoc and my therapist also have a range of drugs they are not willing for me to take. The one drug my pdoc would like me to try right now is EMSAM. I appreciate everyone who may want to suggest other medications, but I ask that you please respect my request not to suggest other medications right now.

My biggest concerns are weight gain, sedation, apathy, weight gain, brain fog, hypotension, and weight gain. Not necessarily in that order... Leaving aside the question of weight gain, can anyone tell me anything about whether to expect brain fog or sedation? What about apathy? That's been a big problem for me with SSRIs, how does EMSAM rate on that? Hypotension? I've read warnings about it on the BMS website, and it's noted as a side effect on rxlist, but I'd like to hear from people here if it's a common problem or not. If you did have trouble with it, is your normal blood pressure low/high/perfect range? And, of course, weight gain? If so, has that been a problem for you with other drugs?

Thank you very much, in advance, to anyone who responds.


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Psycho-Babble Medication | Framed

poster:Racer thread:788878
URL: http://www.dr-bob.org/babble/20071009/msgs/788878.html