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Anyone on Emsam Patch Help?

Posted by ihatedrugs1 on September 16, 2014, at 20:28:18

Hello all,

I've finally mustered some energy to write after being bed-ridden the last few days. So my dr. put me on the Emsam patch at my request after being on a combination of Lexapro, Abilify, Vyvanse and Adderall (if needed). I wanted to see if I could achieve similar therapeutic effects without the horrible crash I get from Vyvanse and Adderall. I'm now taking 12mg/24hr Emsam after wash out period (went up to 12 in four days) 250mg of Nuvigil and 5 mg Saphris.
I know I have to give Emsam more time but after 10 days I am feeling horrible. Nuvigil or Provigil are doing nothing for my energy. I have zero motivation (which I used to get from Vyvanse or Adderall) and feel like crying every day (even though my meds prevent me from doing so). Saphris which was switched from Abilify gives me a bad case of restless legs syndrome so I have to take Cogentin for it, but it seems to improve my mood somewhat (or it may be the Emsam) though short lived. The doctor said I could go back to Abilify if I needed to, but it gives me a feeling of overall restlessness that I hate, though it helps some of my depressive symptoms.
I'm wondering if I should go back on the old regime and live with the amphetamine crashes and partial depression relief or stick it out a couple of more weeks for the Emsam to work and see if it resolves my lack of motivation and disinterest. I don't have ADD but amphetamines helped me greatly with motivation. I feel that if I get a robust enough antidepressant effect from Emsam, I could go back at being my happy old self without the need of daily amphetamine use.
I asked my dr. if I could add a tiny bit of adderall (5mg)to my cocktail just to help me with running errands and get somethings done but she said that it was contraindicated. I wonder if she is just being super cautious.
Does anyone in this forum know if I could take a small (5mg) amount of adderall with Emsam? I don't mean every day but just those where I have to go somewhere. I have a blood pressure cuff and my readings are perfect. What do you guys think? Also, is anyone here on the patch or were on the patch? Is it worth it or is it another useless AD. If you are on the patch or were; how long did it take for you to see improvement.
I'm desperate because I'm going on a trip at the end of October and need to be feeling better.


MDD Refractory

meds before change
Lexapro 20mg
Abilify 4mg
Adderall as needed

meds now
Emsam 12
Saphris 5
Provigil 200 or Nuvigil 250




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