Posted by SLS on February 3, 2007, at 6:27:38
In reply to SLS, r u here?, posted by UgottaHaveHope on February 3, 2007, at 1:39:58
Hi UGHH.
> Scott, right now I am on week four of an Emsam trial. Emsam definitely gives me a little boost of extra energy,
Most people report this phenomenon, but more often than not, don't seem to glean a true antidepressant response.
> but I am not sure if that is a good thing with anxiety as my primary issue.
Interestingly, many people have seen an anxiolytic effect early in treatment with Emsam. However, I am not sure how long it persists.
> Have you taken Emsam?
Yes. But for less than a week. I thought it was producing dysphoria. However, it could very well have been the after-effects of being on Lyrica.
If so, what did you notice as the difference between Emsam and Nardil?
Unfortunately, I really can't answer that question.
If you didn't take it, what would predict is the difference? I know you know these meds, and could predict.
I think Nardil would produce a greater and more persistent anxiolytic effect for GAD and social anxiety with or without panic attacks. I also think that it is a more potent antidepressant.
> I once asked my doc about taking Imipramine. He's very aggressive with drugs, but said he didn't want to give me that one because it can cause heart problems.
Personally, I think there is too much drama associated with antidepressants these days. Imipramine used to be the gold standard of antidepressants, and cardiac function was almost never an issue.
> Are those other TCAs you mentioned safe to take?
But, yes, the two TCAs that represent the best margin of safety are nortriptyline and desipramine, and possibly trimipramine. I am aware of one case of a possible serotonin syndrome associated with the combination of Nardil + imipramine. Me. So, I am reluctant to recommend this treatment to anyone else. Nardil + nortriptyline seems to be safe so far.
> Thanks for all of your help!No problem!
Take care.
- Scott
poster:SLS
thread:729262
URL: http://www.dr-bob.org/babble/20070201/msgs/729277.html