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Re: Can't Take it AnyMore ! Bad news - Good news Phillipa

Posted by SLS on September 26, 2006, at 1:21:25

In reply to Re: Can't Take it AnyMore ! Bad news - Good news SLS, posted by Phillipa on September 25, 2006, at 20:09:08

> So you think paxil might work again?

Given your account of how it worked the first time and the circumstances of its discontinuation, I think returning to Paxil would not be unreasonable.

> And the reason EMSAM was so attractive to me was cause you can see it. And my thought was that if you had a side effect you could just rip it off and it would be gone.

Perhaps you could try looking at it from a nurse's perspective. How would you as a nurse advise a patient who was so hypervigilant regarding drug side effects, that they were refusing to take a newly-prescribed medication that could save their life? You know that the drug is relatively safe. You would not tacitly accept in a patient the decisions that you are making for yourself. You would try to persuade them to take the potentially life-saving medication.

> Now I hear that it takes 9 days for it the EMSAM to leave your body.

Technically, it takes 18-25 hours for the drug to leave the body, but probably 10 days or so for MAO activity to recover. I imagine most side effects would take a week or so to dissipate. The side effects are what - insomnia? site reactions? That's pretty much it.

"The only adverse event associated with discontinuation, in at least 1% of EMSAM -treated patients at a rate at least twice that of placebo, was application site reaction (2% EMSAM vs. 0% placebo)." - Drug Monograph


- Scott

 

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