Posted by ivetriedeverything on June 27, 2013, at 16:54:37
In reply to Using low-dose Emsam with Effexor?, posted by satsumas on June 2, 2008, at 20:20:02
> Hi,
>
> I'm wondering if it's OK to use a very low dose of Emsam with Effexor. I've done some research online and it seems a 5mg dose of oral selegiline with an SSRI is OK, because at that dose there is no risk of MAO-A inhibition.
>
> So, if I cut a 6mg Emsam patch into fourths, by the math that 6mg Emsam = 20mg oral seligiline, I should be OK using 1.5mg Emsam with 300mg Effexor. (I also started on Mirapex 1.5mg / day last week).
>
> Does this make sense? Is there something about Emsam that makes it different from selegiline in terms of it's MAO-A/B selectivity at even a low dose?
>
> Thanks. I just put on a 1/4th of a 6mg patch so we'll see what happens. I'm watching for serotonin syndrome...
>
> [satsumas]This post is from years ago and I have had the same thought, looked everywhere for information and there just isn't much of anything!
I started EMSAM, after getting off my SSRI (zoloft) which had stopped working for depression as all SSRIs do for me and only helped with anxiety and OCD stuff. I am very sensitive to medications. I have inconsistent side effects. One time I take wellbutrin and have panic attacks when a year before I took it and it worked wonders for a while.
So I started the EMSAM and it seemed to lift the bad lethargy heavy clouded head part of my depression. I was hopeful.
Then I started to get prickly sensations and feel a little tripped out.... I was only taking have of the 6 mg patch and taking it off to sleep. Then I could't take the anxiety and OCD anymore... it was just too much to bear and I had the same reasoning as you. So since my doc is an idiot and doesn't know anything and won't try anything i just started back on my zoloft... like 15 mg a day .. it helped.
I was doing well for a while and then the anxiety came back. I decided I couldnt take the tripped out feeling of the EMSAM and that it wasn't a good idea for someone like me. I stopped applying the patch.... i tapered down and I had even worse anxiety. I have a big exam coming up and can't afford to detox so I am continuing my tiny little emsam dose (like 1/4 patch for a couple hours a day) and my low zoloft and clonidine to sleep.
has anyone else had restless leg symptoms or terrible anxiety upon relaxing or falling asleep on this medication. When my exam is over I'm getting off of this. I feeel tripped out and the only thing that i think is helping in my non sanctioned dose of zoloft and my clonidine.
Has anyone had experiences with EMSAM and these effects etc????? There not much out there ...
poster:ivetriedeverything
thread:832590
URL: http://www.dr-bob.org/babble/20130617/msgs/1045987.html