Posted by d0pamine on October 13, 2007, at 5:06:28
In reply to Grrr... EMSAM again, what to expect?, posted by Racer on October 13, 2007, at 0:00:37
By now, you likely know what I think of EMSAM. As far as this imperfect world of AD meds goes, it's tough to beat.
Lets see
>My biggest concerns are weight gain, sedation, apathy, weight gain, brain fog, hypotension, and weight gain..oO(Hmm weight gain mentioned twice, must be a big deal. I'll start there)
I have put on some weight since starting EMSAM, but I'm absolutely certain it is only indirectly related, as the med gives me a HUGE craving for sugar. I mean it even makes it taste soooo much better, particularly chocolate. I stopped EMSAM for a month and went and bought a bag of peanut M&Ms and was amazed to find that comparatively they had NO TASTE AT ALL!!! I can't overstate how much better and more tempting this stuff makes chocolate taste. Don't give in, and you'll not gain weight.
Brain fog: It helps it instead of causes.
Hypotension: I normally have super hypertension and I've NO idea why (I'm quite active, not overweight, and I eat nearly perfectly (except for the occasional bag of Mz)... Anyway without additional BP meds my BP is still a smidge high on EMSAM, with BP meds it's perfect, unless I go out in the sun and dig a trench, then I'm guaranteed to go hypo, but only if I'm taking meds, not on EMSAM alone. I can usually avoid this by drinking about 1/2 gallon of water prior to going out and working in the sun.
Apathy: Like brain fog, it helps instead of causes.
The big deal as I see it is the 6 week wait to get it going, but I'm sure you're used to that sort of thing by now, and the increased libido may or may not be a problem for you. However I personally respond very well to Bupropion also, except it makes me chew my tongue out and makes it sound to my ears like a jet is landing.
poster:d0pamine
thread:788878
URL: http://www.dr-bob.org/babble/20071009/msgs/788901.html