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Re: Fatigued on Emsam (selegiline patch) - next steps?

Posted by antennastoheaven on June 6, 2013, at 3:49:42

In reply to Fatigued on Emsam (selegiline patch) - next steps?, posted by antennastoheaven on May 29, 2013, at 23:22:20

Hello,
I think I want to give up on Emsam (still waiting on a call from my nurse practitioner for her advice, and want to be prepared for the conversation; she doesn't have any experience with the drug, but the psychiatrist with a MD that she works with does.)

Things have gotten worse. Last week I developed insomnia for a few days and ended up getting a few hours of broken sleep each night, and was prescribed Ambien. That made me sleep, but I felt miserable during the day with headaches, low energy, nausea, etc. So far I've missed four days of work and am looking into going onto medical leave and possibly entering a partial hospitalization program (that is for anohter post)

When I was taking Wellbutrin, I was doing relatively well. I didn't feel good most of the time, but I was functional and able to go to work and be productive. I could just go back do that (presumably after waiting a few days after stopping Emsam, but I'm not particularly feeling risk-averse right now.) But there's no reason not to expect the same downsides as before - increased anxiety / heart rate, mainly. Still, being able to function at work would be a major improvement and alleviate my worries about my employment situation.

On the other hand I wanted to switch from Wellbutrin to something else for a reason in the first place. I want something that will make me feel better, not just functional. Could another MAOI be worth a try? Parnate?

My therapist has recommended partial hospitalization and I posted about it in this thread: http://www.dr-bob.org/babble/psycho/20130309/msgs/1044771.html
If I do end up doing partial hospitalization, I'll be seeing a different psychiatrist who may be seeing things differently.

 

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poster:antennastoheaven thread:1044478
URL: http://www.dr-bob.org/babble/20130527/msgs/1044772.html