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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by floatingbridge on May 28, 2011, at 23:27:28
I told myself I would never ask a med to do too much. Here I am.
Can anyone take a run at one or more of these questions?
Does anxiety reduce with a dosgae increase or over time? I'm entering week four tomorrow. I'm at 6mg.
I can taken 3x my upper dose of xanax --2-3mg sometimes. Without slowing me down. 1.0 mg used to put me to sleep. (I now take Valium for sleep longevity.)
When does the dose increase make emsam both an Mao a & b inhibitor? Will that help with anxiety?
I've googled the archives, wiki, pubmed. I don't understand.
Thanks for my 15th million thread about this :-/
fb
Posted by Phillipa on May 28, 2011, at 23:44:54
In reply to coping w/ emsam and anxiety, posted by floatingbridge on May 28, 2011, at 23:27:28
FB depression better? If so stick with 6mg and I think will go down. Or could you take off patch at night again? Love Phillipa
Posted by Christ_empowered on May 29, 2011, at 8:10:37
In reply to Re: coping w/ emsam and anxiety » floatingbridge, posted by Phillipa on May 28, 2011, at 23:44:54
I dunno man. I'm no expert, but I did do a little bit of googling on this, and it appears that old school docs would prescribe a tranquilizer of some sort (antipsychotic, benzo, or in the REALLY old literature, meprobamate) for a while and then it would settle down.
I don't know anything about how upping the dose would affect your anxiety. All I found was information on the maoi diet, which for EMSAM is apparently an issue when you start upping the dose (according to the PI sheet; your doc would have actual clinical experience on what to do there).
So in short...no idea. :-(
Have you considered a tiny dose of a neuroleptic for a little while? I know, I know--antipsychotics, they're scary, plus its one more drug to take, which sucks--but I was thinking you might want to try a tiny bit of risperidone or even a little bit of perphenazine (less weight gain potential than risperidone, and minimal EPS at tiny, tranquilizer doses...plus its cheap) until the anxiety simmers down.Good luck!
Posted by floatingbridge on May 29, 2011, at 10:43:51
In reply to Re: coping w/ emsam and anxiety, posted by Christ_empowered on May 29, 2011, at 8:10:37
CE,
I'll have to brain storm w/ my doc about this side effect. He hesitates to give any AP's due to negative abilify trial. He has supplied benzos, but I'm afraid that they aren't working. -- I could Just take too much, and that doesn't make me happy.
Hey, thanks for Googling. You'll be a good nurse If That remains Your calling.
From My limited reading, the Mao inhibition of emsam becomes less
selective, so hopefully more antidepressant and anti-anxity effects increaseHere's hoping to this glitch working out! Soon!
Posted by floatingbridge on May 29, 2011, at 10:47:29
In reply to Re: coping w/ emsam and anxiety » floatingbridge, posted by Phillipa on May 28, 2011, at 23:44:54
PJ, yes depression is better and sides are so lo except for benzo resistance and insomnia.
Maybe I only need 5-7 hours, but with fibromyalgia, I don't want a cumulative sleep defict.
Posted by Phillipa on May 29, 2011, at 19:53:04
In reply to Re: coping w/ emsam and anxiety » Phillipa, posted by floatingbridge on May 29, 2011, at 10:47:29
Think melatonin might help or is it contraindicated? I don't know :( Phillipa
This is the end of the thread.
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