![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by bearfan on August 8, 2010, at 3:58:53
I'm thinking about starting up Emsam (6mg) for depression. Would I be able to augment it with either buspar, provigil or Dexedrine without incident? I know its contraindicated, but I thought I've seen quite a few posts where people mix and match it.
Posted by linkadge on August 8, 2010, at 11:03:29
In reply to Can I augment Emsam with another med without Risk?, posted by bearfan on August 8, 2010, at 3:58:53
Buspar augmentation would be fine (as far as I can see).
Provigil and dexedrine are probably testable with caution. There could definately be a potentiating effect with anything stimulating.
Both provigil and dexedrine have inhibitory effects on the dopamine transporter. Taking this with emsam would block two metabolic pathways for dopamine, and potentially result in overstimulation.
Posted by Phillipa on August 8, 2010, at 11:16:26
In reply to Re: Can I augment Emsam with another med without Risk?, posted by linkadge on August 8, 2010, at 11:03:29
Klonopin is okay too the original first Robert David combined them but that's not a stimulating med. Phillipa
Posted by Willful on August 8, 2010, at 12:26:22
In reply to Can I augment Emsam with another med without Risk?, posted by bearfan on August 8, 2010, at 3:58:53
It's certainly possible. You'd have to try them with care, but I've used both of them at different times.
Willful
Posted by Maxime on August 8, 2010, at 18:56:59
In reply to Can I augment Emsam with another med without Risk?, posted by bearfan on August 8, 2010, at 3:58:53
I combine Parnate with Adderall XR. Alhough I just started the Adderall I have done it in the past and it worked well.
Posted by softheprairie on August 9, 2010, at 0:14:00
In reply to Can I augment Emsam with another med without Risk?, posted by bearfan on August 8, 2010, at 3:58:53
It has its own risks, but you may also consider Cytomel (T3; thyroid med), just now available as a generic (liothyronine) in the US within the past year or so. It is usually stimulating.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.