This wound up being ok, at least so far. My psychiatrist got me back on the patch and I'm ok so far, which is a good sign.

My BP is fine with Emsam, except for that period of time when there was way too much in my system.

For what it is worth, I do realize I need to be hydrated when sick. However I have a condition called diabetes insipidus that resulted from longterm lithium usage and it means I'm dehydrated somewhat all the time. So severe dehydration with illness is likely for me because to stay hydrated on a normal day I have to drink pretty much constantly. If I can't do that I very rapidly get dehydrated to the point of it being dangerous. So, really, that part I can't do much about. A certain percentage of the time if I'm sick I'm going to need fluids.