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Re: EMSAM Dosage + Sleep

Posted by dewdropinn on July 27, 2007, at 17:30:01

In reply to Re: EMSAM Dosage + Sleep, posted by JohnSky on July 27, 2007, at 14:20:38

You should feel the difference between EMSAM doses almost immediately -- like within a week. So, on the upside, you should be able to determine whether or not EMSAM is for you in relatively short order. It's a great drug, but it's not necessarily for everybody.

If you noticed a significant benefit from lithium an seroquel, then this may suggest a direction for your next trial. There are APs that target depression more specifically than seroquel -- like Geodon for instance. Lamictal is commonly added to lithium for added mood stabilization and unresolved depressive symptoms -- klonopin can be added if insomnia and anxiety are still a problem. This would jive with the stanard mode of treatment for bipolar -- mood stabilizers first, then benzos and atypical anti-psychotics as needed -- antidepressants are added only when mood stabilizes.

Let me know how all goes,


> Thanks Drew for the comments and ideas. Right now I am back to 6mg all day and the anxiety is very harsh and I'm not sleeping well. My doc wanted me back up to 6mg all day. I will continue with this through Sunday and if I am still struggling with all the anxiety I go to the 9mg on Monday. I will give the 9mg one week to see if the anxiety goes down. If not, I'm done with EMSAM. If 9mg brings me more anxiety I just have had enough. Hopefully the anxiety will come down soon after I go to 9mg.
> How long were you on 9mg before you noticed benefits?
> While on 9mg I will likely take the patch off at night.
> John




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