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I'd start the Emsam just because it does take a bit to work and it's better t not be in a deep hole when you need it. For me it was really stimulating when I started so don't be surprised if you get a jolt (I don't remember if you had that too). I hope it helps.
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Bipolar 1, PTSD, GAD, OCD.
Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1600 mg & 100-2 PRN,. 2.5 mg clonazepam., 75 mg Seroquel and 12.5 mg PRNx2 daily
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