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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Kristopher on May 1, 2006, at 8:41:17
After 10 days on EMSAM I began to experience a bit of anxiety (best described as edginess) My doctor suggested adding 100mg 5-htp 3x a day. Apparently there have been studies done combining Selegiline and 5-htp with a very good outcome. Has anyone tried this? I've decided to go and take a long brisk walk in the park right now, and hopefully I'll start this monday morning on a positive note.
Kristopher
Posted by blueberry on May 1, 2006, at 9:37:51
In reply to EMSAM and anxiety, posted by Kristopher on May 1, 2006, at 8:41:17
100mg 5htp 3 times a day with ensam sounds a bit aggressive and dangerous to me. Maybe 50mg a day for a couple weeks before doing anything else. A low temporary dose of xanax or klonopin might be an idea. In any case, if you combine 50htp with ensam, you should google serotonin syndrome just to get familiar with it so you can recognize it early if it starts to happen.
Posted by jrbecker on May 1, 2006, at 10:45:49
In reply to Re: EMSAM and anxiety, posted by blueberry on May 1, 2006, at 9:37:51
5-HTP actually increased "excitation" with me when in combination with SSRIs/SNRIs, but not anxiety. Probably not a good idea (at least at that dose).
Posted by Phillipa on May 1, 2006, at 12:34:04
In reply to Re: EMSAM and anxiety, posted by jrbecker on May 1, 2006, at 10:45:49
Just what I figured now the negative stuff if starting just like lunesta. Love Phillipa
Posted by ed_uk on May 1, 2006, at 13:37:50
In reply to Re: EMSAM and anxiety, posted by Phillipa on May 1, 2006, at 12:34:04
Hi PJ
All meds have negatives. Good job there's positives as well :)
Ed xx
Posted by strugglingsteve on May 1, 2006, at 14:38:01
In reply to Re: EMSAM and anxiety » Phillipa, posted by ed_uk on May 1, 2006, at 13:37:50
You have to be patient with the meds. I got really bad anxiety but it is slowly but surely backing off a bit.
Posted by Phillipa on May 1, 2006, at 19:30:08
In reply to Re: EMSAM and anxiety, posted by strugglingsteve on May 1, 2006, at 14:38:01
How long? And what did you do to cope with it. And I already take valium. I really want to try the patch. Love Phillipa
Posted by linkadge on May 1, 2006, at 21:16:01
In reply to Re: EMSAM and anxiety » strugglingsteve, posted by Phillipa on May 1, 2006, at 19:30:08
I don't think that 5-htp would be that bad an idea. I don't know if EMSAM has enough effect on MAO-A to cause serotonin syndrome.
Know the signs of SS, and start low.
Linkadge
Posted by RobertDavid on May 2, 2006, at 0:13:51
In reply to EMSAM and anxiety, posted by Kristopher on May 1, 2006, at 8:41:17
Are you taking a benzo now? If not you might consider an EMSAM benzo blend to get you through the initial side effects (or perhaps long term).
I'm having great luck with EMSAM but I'm also on klonopin and have been for years. I suspect one reason I'm having less side effects with anxiety and insomnia than others is the blend with klonopin.
Just a thought. I hope it works out better for you. Rob
This is the end of the thread.
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