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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by Meagan on October 24, 2007, at 16:06:50
I live in the U.S; my insurance won't cover Ensam patch; anyone know of an online pharmacy that I might be able to purchase Ensam for less?
Posted by War-Face on October 24, 2007, at 16:54:48
In reply to Is there online pharmacy for Ensam patch?, posted by Meagan on October 24, 2007, at 16:06:50
Sorry if this is not an answer to your specific question, but have you thought about trying oral selegiline instead of transdermal selegiline (EMSAM)?I know that the delivery of this drug orally effects blood level, and different metabolism effects action, but you can always give it a try. Responses to oral selegiline appear widely divergent: some respond incredibly well to 5 or 10 mgs per day (a dose where selegiline is still a selective MAO inhibitor, inhibiting only MAO B, which means you do not have to follow the MAOI diet), while others respond only to doses of 30 mgs or higher (at which time selegiline loses its selectivity and inhibits both MAO A and B, which means you do have to follow the MAOI diet), while others DO NOT respond to oral selegiline while responding well to EMSAM, (and vice-versa).
Anyway, oral selegiline is much cheaper and available in generic. Of course, if you would need the higher dose, it would amount to roughly half of the cost of EMSAM.
Just a thought in case you cannot find EMSAM cheaper anywhere.
Posted by eric wagner on October 24, 2007, at 18:12:34
In reply to Is there online pharmacy for Ensam patch?, posted by Meagan on October 24, 2007, at 16:06:50
if you type in emsam in search,
the first post is Emsam - First day
theres probably about 300 threads there
in those threads is a phone number to a pharmacy where they found emsam cheap & posted for all
i briefly tried to find it for you, but was unsuccessful
That lady Phillipa seems to know a lot about this website & may know what i'm talking about
good luck
Posted by Meagan on October 24, 2007, at 19:15:06
In reply to Re: Is there online pharmacy for Ensam patch?, posted by eric wagner on October 24, 2007, at 18:12:34
Thanks Eric, I'll try to see if I can find it.
> if you type in emsam in search,
> the first post is Emsam - First day
> theres probably about 300 threads there
> in those threads is a phone number to a pharmacy where they found emsam cheap & posted for all
> i briefly tried to find it for you, but was unsuccessful
> That lady Phillipa seems to know a lot about this website & may know what i'm talking about
> good luck
Posted by Meagan on October 24, 2007, at 19:17:07
In reply to Re: Is there online pharmacy for Ensam patch?, posted by War-Face on October 24, 2007, at 16:54:48
Thanks, Warface, but I have been on oral selegiline low dose and need to go up. My doctor suggests the patch so that I can avoid dietary restrictions
>
> Sorry if this is not an answer to your specific question, but have you thought about trying oral selegiline instead of transdermal selegiline (EMSAM)?
>
> I know that the delivery of this drug orally effects blood level, and different metabolism effects action, but you can always give it a try. Responses to oral selegiline appear widely divergent: some respond incredibly well to 5 or 10 mgs per day (a dose where selegiline is still a selective MAO inhibitor, inhibiting only MAO B, which means you do not have to follow the MAOI diet), while others respond only to doses of 30 mgs or higher (at which time selegiline loses its selectivity and inhibits both MAO A and B, which means you do have to follow the MAOI diet), while others DO NOT respond to oral selegiline while responding well to EMSAM, (and vice-versa).
>
> Anyway, oral selegiline is much cheaper and available in generic. Of course, if you would need the higher dose, it would amount to roughly half of the cost of EMSAM.
>
> Just a thought in case you cannot find EMSAM cheaper anywhere.
Posted by Phillipa on October 24, 2007, at 19:40:45
In reply to Re: Is there online pharmacy for Ensam patch?, posted by eric wagner on October 24, 2007, at 18:12:34
I do????? I know about the babble google site that's it on emsam as I didn't try it pdoc said to stimulating for me. So never bought any. Phillipa
Posted by eric wagner on October 24, 2007, at 19:50:24
In reply to Re: Is there online pharmacy for Ensam patch? » eric wagner, posted by Phillipa on October 24, 2007, at 19:40:45
what i meant phillipa is that you post in a lot of threads, & i figured you maybe remember the post where pharmacy info was left in emsam first day
i think i remember reading some posts by you there?
Posted by War-Face on October 24, 2007, at 20:07:57
In reply to Re: Is there online pharmacy for Ensam patch?, posted by Meagan on October 24, 2007, at 19:17:07
> Thanks, Warface, but I have been on oral selegiline low dose and need to go up. My doctor suggests the patch so that I can avoid dietary restrictions
How was your experience with oral selegiline? Did it alleviate depression, improve concentration... do anything positive? Did it work and then poop out? How much were you taking?
Sorry for all of the questions, I'm just very interested in hearing about oral selegiline in doses where it is still selective.
Posted by cumulative on October 24, 2007, at 20:52:51
In reply to Re: Is there online pharmacy for Ensam patch?, posted by Meagan on October 24, 2007, at 19:17:07
> My doctor suggests the patch so that I can avoid dietary restrictions
Sublingual selegiline should avoid dietary restrictions (almost?) as much as the patch does, and will also promote much higher blood concentrations than oral dosing, like the patch, as it avoids first-pass metabolism.
Posted by Phillipa on October 24, 2007, at 21:01:06
In reply to Re: Is there online pharmacy for Ensam patch?, posted by eric wagner on October 24, 2007, at 19:50:24
No I don't oh I bet it was Costco???? Phillipa
Posted by Meagan on October 25, 2007, at 7:00:32
In reply to Re: Is there online pharmacy for Ensam patch? » Meagan, posted by War-Face on October 24, 2007, at 20:07:57
It did all those things, including reducing the "disconnect" between my thinking versus feeling process (became more unified). I kept having to increase the dose from 5, to 10, to 15, - don't think it pooped out so much as I needed to find the right dose; so my next option is to go to the patch. I think the dose of oral selegiline at 15 probably was good for me, but don't want all the dietary restrictions.
Hope this answers your questions.
Meagan
>
> How was your experience with oral selegiline? Did it alleviate depression, improve concentration... do anything positive? Did it work and then poop out? How much were you taking?
>
> Sorry for all of the questions, I'm just very interested in hearing about oral selegiline in doses where it is still selective.
Posted by Meagan on October 25, 2007, at 7:11:06
In reply to Re: Is there online pharmacy for Ensam patch?, posted by cumulative on October 24, 2007, at 20:52:51
I read the article you cited; it is not clear to me how Zydis compares at higher doses than those in the study; I'm curious about what dose of Zydis is equivalent to 6mg of the Emsam patch - at a higher dose, could it be as effective, and without dietary restrictions, as the patch?
>
> Sublingual selegiline should avoid dietary restrictions (almost?) as much as the patch does, and will also promote much higher blood concentrations than oral dosing, like the patch, as it avoids first-pass metabolism.
>
> Checkit:
> http://www.selegiline.com/zydis.htm
Posted by stargazer2 on October 29, 2007, at 8:37:35
In reply to Re: Is there online pharmacy for Ensam patch? » cumulative, posted by Meagan on October 25, 2007, at 7:11:06
Meagan, are you still looking for Emsam???I may be able to give you some advice on finding it...
Babble me for advice.
SG
Posted by anewoman on February 22, 2008, at 22:20:54
In reply to Meagan, did you find Emsam yet?, posted by stargazer2 on October 29, 2007, at 8:37:35
> Meagan, are you still looking for Emsam???I may be able to give you some advice on finding it...
> Babble me for advice.
> SG
>
Dear SG and Meagan,I face the same challenge as Meagan: my insurance won't cover Emsam. I can't afford private pay. Can you give me any online referrals? Emsam seems like my last hope for tx resist dep.
Feeling desperate but holding onto hope,
ANewoman
This is the end of the thread.
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