Posted by SLS on December 26, 2011, at 14:26:20
In reply to Emsam poop out, a new maoi?, posted by Erewhonian on December 26, 2011, at 13:39:35
> 1. Does the idea of the insomnia causing the emsam to (mostly) stop working make sense?
It is hard to know for certain. It is true that some systemic stressors can cause medication breakthrough. In my own experience, sleep deprivation has not been one of them. It seems likely to me that the Emsam would have pooped-out on you with or without optimal sleep hygeine.
> 2. Is this enough time for longer term brain adjustments to the emsam to have taken effect? Basically, have I given this enough time?
After 4 months, I think you have given Emsam 12mg/24hr enough time so as to evaluate its usefullness as monotherapy.
> 3. Is my current pdoc correct in believing that a different maoi won't be any more effective?
Your pdoc is not correct - but you knew that already.
When treating depression, Emsam will get fewer people well than either Nardil or Parnate. I would not hesitate to try another MAOI, especially if you have already tried multiple reuptake inhibitors.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1005595
URL: http://www.dr-bob.org/babble/20111226/msgs/1005600.html