![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by d0pamine on May 5, 2007, at 22:21:15
Yes, it was like night and day. I went from wanting to do nothing but sleep and/or die to doing everything. In fact I think I hurt my back today around hour 5 of digging a new ditch beside the road to the lower field. Yes night and day. There is a price associated with it though. I've really had to learn to control my temper as EMSAM likely increases it several fold. I can only sleep about 4.5 hours / day and I have multiples (if you know what I mean) (I'm male btw). I take nothing else. I know I'll catch a lot of fire for saying this, but I think if you have to take multiple meds for any single problem, you're likely on the wrong Rx. Then I realize some deal with more than one issue, where as my problem was primarily just extreme anhedonia.
Posted by UgottaHaveHope on May 5, 2007, at 23:40:14
In reply to Re: Need EMSAM Advice » d0pamine, posted by d0pamine on May 5, 2007, at 22:21:15
Posted by Phillipa on May 6, 2007, at 11:40:25
In reply to Re: Need EMSAM Advice » d0pamine, posted by d0pamine on May 5, 2007, at 22:21:15
So you have more than one diagnosis is that correct? And if only one diagnosis than one med should do it? Is that correct? Love Phillipa
Posted by Honore on May 6, 2007, at 12:27:59
In reply to Re: Need EMSAM Advice » d0pamine, posted by d0pamine on May 5, 2007, at 22:21:15
If you think one should take only one med, does that include sleep meds? Your temper might be from the irritability caused by lack of sleep.
For sleep, I'd suggest seroquel. It's an atypical AP, but at low doses is used quite a bit for insomnia.
If you don't want to try that, maybe ambien would be enough, but I find that with Emsam, I need seroquel.
You also could take the patch off when you go to bed and put it on six or seven hours later-- which has also worked well for me. I don't know what dose you're on, but you could try a higher dose during the day and then 6-8 hours off at night. This assumes that you could get back to sleep after getting up and putting a patch on. I've been able to, but I sometimes use Sonata (a short half-life sleep med) to get back to sleep. However, I generally have insomnia, which you may not.
Honore
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.