Posted by ZeitGuest on June 29, 2006, at 1:10:24
In reply to Re: Who's Still Going Strong with EMSAM?, posted by jealibeanz on June 28, 2006, at 4:00:10
> yay good. maybe you could go up to 12 mg?
>
Yes, I might consider going to the 12mg patch. however, I'm a bit reluctant to do so because I'd rather not increase the hypertensive reaction risk factor.Also, I'm beginning to suspect that my brain doesn't respond well to increased levels dopamine. Wellbutrin made be agitated and angry, and simultaneously left me feeling more introverted/emotionally isolated from other people. That latter sensation was subtle, and is hard to describe. It was certainly not a "drugged" feeling. It's just that I felt as though I was not fully engaged in conversations. My verbal fluency also seemed to take a hit when I was on Wellbutrin, and this was probably one of the reasons why I felt disconnected when dealing with others. I just couldnt keep up.
Emsam at the lowest dose had a similar -- though not quite as pronounced -- effect on me. Increasing the dose helped alleviate some of the agitation and that feeling emotional isolation. Selegiline at higher doses increases inhibition MAO-A, which in turn boosts serotonin levels. I wonder if the extra serotonin is what helped smooth over some of the dopamine-driven agitiation and mental fog.
>
> i need to work up the courage to discuss this recurrent >depression with my doc at my physical. How do you just drop >that out of nowhere? Then hope he presribes more than SSRIs? And hope his next thought would be EMSAM? not likely...If I were you, I wouldn't waste my time and energy trying to persuade a GP to prescribe Emsam. I would find a good pdoc, who is more likely to be receptive to prescribing Emsam. And a good pdoc might be able to suggest a number of other options, based on his/her assessment of your particular situation.
poster:ZeitGuest
thread:661128
URL: http://www.dr-bob.org/babble/20060623/msgs/662473.html