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Re: Emsam dosage strengths? On 6 mg and too wired. » Axmann

Posted by J Kelly on May 12, 2016, at 9:39:10

In reply to Emsam dosage strengths? On 6 mg and too wired., posted by Axmann on May 10, 2016, at 10:36:55

> I am a 24-year-old male with treatment resistant dysthymia/depression, severe ADD-PI, and social anxiety.
>
> I have been on the 6mg/24hr Emsam patch for about a month now and I am noticing some very positive changes with mood (not feeling despair and sadness), but I have a much hotter temper and find myself very shy/anxious lately, even more than normal.
>
> When I take my Dexedrine I am prescribed (510 mg t.i.d), I get even more anxious, which is not usual for me. I combined Dexedrine with Parnate successfully for a while (couldn't continue the Parnate because of insomnia) and was fine. It's to the point where I avoid taking the Dexedrine even though I need it to function in school (in last year of nursing school).
>
> I have heard that you need to increase the dose of Emsam to 9 or 12 mg/day in order to get the serotonin-increasing MAO-A effects and then it calms down. Is this true? Should I stick with Emsam and just increase the dose? Should I go back to my old fine-but-not-happy med, Effexor?
>
> Also, I want to ask about switching to Desoxyn instead of Dexedrine. My psychiatrist is pretty open as long as I provide research. I have a lot of difficulty finding research on Desoxyn though. Any help there?

Could you switch out the Dexedrine for Ritalin and up your dose of Emsam? Maybe Ritalin would be better for anger and anxiety. I did well at 12mg Emsam but switched over to Parnate as the food restrictions were the same anyway. I also did well on Parnate and Ritalin for a while.

Jade


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