Posted by KellyJo on August 28, 2009, at 8:37:32
In reply to Re: Help with Emsam side effects-Can't sleep and SD!, posted by desolationrower on August 27, 2009, at 22:09:47
> long-halflife benzo is not really an ideal sleep drug. if you could reduce that and maybe use a shorter benzo you'd probably be better off. gabapentin or IR quetiapine might be good too; i think gabapentin might help with the led movement.
>
> the problems could be caused by various things, if you describe the sleep problem better it might help.
>
> the sexual problem, thats odd with selegiline; does it affect libido, arousal, orgasm all or just one phase?
>
> cyproheptadine might help both problems.
>
> -d/rThank you for all replies. All information/tips are appreciated.
I started out going to sleep just fine but would only sleep 4 hours then toss and turn. Now that I've been on Emsam about 7 weeks, I'm starting to have a hard time falling asleep then I sleep 3 to 4 hours then either wake up for good or wake up and toss and turn for an hour or two then get up for good. My Pdoc just upped the Klonopin to 2 mg and I slept great last night, only woke up twice but went right back to sleep and slept 9 hours! I'm dragging this morning but I'll drink some coffee to help with that. I'm afraid it isn't going to last because this is exactly what happened at .25 mg of Klonopin when I started out and it only last 5 days then back to no sleep again. I will ask about the Gaba, I have read about that for PLMD. Not sure what other short acting Benzos you are talking about. My Pdoc mentioned Trazadone but then looked it up and said I couldn't take it with Emsam. I know I'm pretty limited with the Emsam and other meds. I'm afraid to try Seroquel because of the weight gain, I just lost 60 pounds. I was also on Lithium but at 600 and 900 mg I had horrible hand tremors and my job requires fine motor skills. At 300 mg I still noticed weight gain (5 lbs in a week) I think from fluid retention. It wasn't helping anything so we discontinued it.
As far as the SD goes. My libido has increased (no complaints there!) but the orgasm is the problem. What used to take 2 minutes now takes 20-30 minutes and then it's jut blah, hardly worth the work.
I always get the odd side effects or the ones most people don't get. For instance, I was told that Emsam is supposed to help with anxiety, but it hasn't helped as a matter of fact it's much worse!
Thanks again for any help!
poster:KellyJo
thread:914315
URL: http://www.dr-bob.org/babble/20090826/msgs/914515.html