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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by Phillipa on May 7, 2006, at 14:36:06
I lost the link to the original ENSAM info do you have the link it was posted on here. Thanks Phillipa
Posted by Phil on May 7, 2006, at 17:14:02
In reply to Link to Government Info on ENSAM Please, posted by Phillipa on May 7, 2006, at 14:36:06
Posted by tygereyes on May 7, 2006, at 17:34:41
In reply to Link to Government Info on ENSAM Please, posted by Phillipa on May 7, 2006, at 14:36:06
<< > I lost the link to the original ENSAM info do you have the link it was posted on here. Thanks Phillipa
Go here: << http://www.fdaadvisorycommittee.com/FDC/AdvisoryCommittee/Committees/Psychopharmacologic+Drugs/102605_emsam/102605_EmsamP.htm >> and then click on the link "FDA Briefing Documents"
My computer is being annoying and not allowing me to open PDF files right now.
Posted by tygereyes on May 7, 2006, at 17:42:23
In reply to Link to Government Info on ENSAM Please, posted by Phillipa on May 7, 2006, at 14:36:06
> I lost the link to the original ENSAM info do you have the link it was posted on here. Thanks Phillipa
Here are some other links:
<< http://www.ajp.psychiatryonline.org/cgi/content/full/159/11/1869 >>
<< http://careers.currentpsychiatry.com/article_pages.asp?AID=4000 >>
<< http://www.clinicalneuropharm.com/pt/re/clnneupharm/abstract.00002826-200507000-00009.htm;jsessionid=Ee25AlMIOnZKtg913j75T0pZ4GKOubEyZD7aVtAVHiPEdydlBv0A!-839643570!-949856144!9001!-1 >> [this on a patient with severe, treatment-refractory depression; just a case study]
Now, keep in mind, this drug is still a newcomer to the market and oftentimes, certain side effects won't show up until the post-marketing trials (think: SSRI-induced weight gain, Zyprexa-induced diabetes) so we are not getting a complete look of this drug yet.
Also, many of the above studies focused on the dietary effects - but there is always a section on the response rates, as well as possible side effects and reasons for discontinuation.
Good luck & I hope you find something that works.
Posted by blueberry on May 7, 2006, at 19:06:47
In reply to Link to Government Info on ENSAM Please, posted by Phillipa on May 7, 2006, at 14:36:06
Phillipa, I see some of the things that have shown up pbabble are listed as low incident side effects, such as anxiety, agitation, paranoid reaction, emotional lability. I bet in the real world they aren't such low incidents. I didn't see increased depression listed, but I bet that will end up being just as frequent as other meds.
The best reports I've ever heard for selegiline were for the liquid form.
I'm so sick of the increase-the-neurotransmitter approach anyway. I think I'm ready to think about the increase-neurotransmitter-function approach, as in ADD meds, or in your case, as in benzos.
Posted by tygereyes on May 7, 2006, at 19:54:28
In reply to Re: Link to Government Info on ENSAM Please » Phillipa, posted by blueberry on May 7, 2006, at 19:06:47
I have counted two people who have exhibited this reaction, aside from myself, who I don't count because I know that my anxiety and depression are from Parnate withdrawal and because I haven't yet exhibited a response.
And all of the people who have had supposedly negative responses to ENSAM were withdrawn off of antidepressants first.
You know that Philipa is extremely frightened of taking medication. Perhaps you should stop trying to scare her away from taking medication that might help her and leave it up to her and her doctor.
After all, if her meds aren't working properly now, it seems worth a try. My friend, as I said, had a HORRIBLE psychotic reaction on 0.5 mg Xanax. Hearing voices, seeing shadows ... had to be admitted to the ER. Apparently hallucinations do happen on benzos ... should no one ever take a benzo again because SHE had a bad reaction?
Or what about the people who have insomnia and behavioral dyscontrol on Ambien? Should it be taken off the market?
Please don't allow your experience with this drug to bias you. My drug addiction began because of Adderall - and yet I recognize that this can be a very useful drug, despite my addiction to it - an addiction that, once begun, ended in IV heroin addiction. And yet I am not hysterically screaming that anyone on Adderall is going to become a heroin addict. Because that was MY experience.
Until the research proves otherwise, case reports will not faze me.
> Phillipa, I see some of the things that have shown up pbabble are listed as low incident side effects, such as anxiety, agitation, paranoid reaction, emotional lability. I bet in the real world they aren't such low incidents. I didn't see increased depression listed, but I bet that will end up being just as frequent as other meds.
>
> The best reports I've ever heard for selegiline were for the liquid form.
>
> I'm so sick of the increase-the-neurotransmitter approach anyway. I think I'm ready to think about the increase-neurotransmitter-function approach, as in ADD meds, or in your case, as in benzos.
Posted by Phillipa on May 7, 2006, at 21:37:29
In reply to Re: Link to Government Info on ENSAM Please, posted by tygereyes on May 7, 2006, at 19:54:28
Tygereyes that is one of the most compassionated posts I've ever received. I know how much you are going through and yet you took the time to do this for me. And your babblelight isn't on. So a more personal response is not possible unless you babble me and send you email and I can E-mail you directly. You are sweet and unselfish in all ways. I love you. Love Phillipaxx
Posted by tygereyes on May 7, 2006, at 22:11:31
In reply to Re: Link to Government Info on ENSAM Please » tygereyes, posted by Phillipa on May 7, 2006, at 21:37:29
> Tygereyes that is one of the most compassionated posts I've ever received. I know how much you are going through and yet you took the time to do this for me. And your babblelight isn't on. So a more personal response is not possible unless you babble me and send you email and I can E-mail you directly. You are sweet and unselfish in all ways. I love you. Love Phillipaxx
what is babblemail & how do you use it?
and you're welcome but there is really no need to thank me ... I know it's confusing sometimes to read all of the posts here and trying to find a med that works - after all, most of us come here because the meds are NOT working and we are so-called "complicated cases" so it doesn't always give you a perspective of what will work for an individual.
from reading posts here, you'd think that SSRIs work on 10% of the people who take them, when most people I know in "real life" have responded very well to the first or second or third SSRI they tried and have never needed to navigate the terrain of tricyclics or MAOIs. (lucky them!!)
I always try to read the studies to balance it out. Google Scholar is very good for this - but sometimes you can only get abstracts, which isn't where the best data is - you have to really examine the methods and results, because sometimes the researchers will stretch the conclusions to prove their hypotheses.
Have you ever been on a MAOI before? If not, what has prevented you from trying one?
Posted by Phillipa on May 7, 2006, at 22:53:24
In reply to Re: Link to Government Info on ENSAM Please, posted by tygereyes on May 7, 2006, at 22:11:31
Tigereyes look at my name in to top of my post it is blue and yours is black . If a person is blue their babblemail is on . Black and off. babblemail is an e-mail of sorts. You click on the name in blue and bingo babblemail appears . You type a private message to that person and a lot of us exchange e-mails that way too. Only you and that person can read the babblemail. to activated yours go to the registration page and click on yes I want babblemail if you choose to. But you don't have to. So babblemail me . No to the other question about the MAOI's. Love Phillipa
Posted by Donna Louise on May 8, 2006, at 8:41:00
In reply to Re: Link to Government Info on ENSAM Please » tygereyes, posted by Phillipa on May 7, 2006, at 22:53:24
> Tigereyes look at my name in to top of my post it is blue and yours is black . If a person is blue their babblemail is on . Black and off. babblemail is an e-mail of sorts. You click on the name in blue and bingo babblemail appears . You type a private message to that person and a lot of us exchange e-mails that way too. Only you and that person can read the babblemail. to activated yours go to the registration page and click on yes I want babblemail if you choose to. But you don't have to. So babblemail me . No to the other question about the MAOI's. Love Phillipa
I wish I could figure this out. Nothing is blue on my computer and I can't find any registration page to click on. I guess I am on the wrong board for figureing out how to babble mail. I don't know where to find it.
Posted by Dr. Bob on May 8, 2006, at 17:43:15
In reply to Re: Link to Government Info on ENSAM Please, posted by Donna Louise on May 8, 2006, at 8:41:00
> I wish I could figure this out. Nothing is blue on my computer and I can't find any registration page to click on. I guess I am on the wrong board for figureing out how to babble mail. I don't know where to find it.
Sorry, it can be confusing here sometimes! See:
http://www.dr-bob.org/babble/faq.html#babblemail
Hope that helps,
Bob
Posted by Phillipa on May 8, 2006, at 21:06:11
In reply to Re: babble mail, posted by Dr. Bob on May 8, 2006, at 17:43:15
Thanks Dr. Bob . You mean everyone's name is not blue either if babblemail is on?Love Phillipa ps Think I'll post on admin how to better let people know how it works and how to go it. So many times I'm explaining or trying to.
This is the end of the thread.
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