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Old Feb 11, 2011, 04:16 PM
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nicoleb2 nicoleb2 is offline
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I have been using the Emsam patch for 2 1/2 weeks. Started having headaches and insomnia when I started it. Called my psychiatrist and he said give it a bit and see if it goes away. Fast forward to yesterday... I called and said problems were not better.

I finally got a call back today and was told to switch from my Ambien CR to ativan for sleep (also due to doing things in my sleep that I can't remember).

I said "I can't take that with the Emsam, can I?" His nurse (cause heaven forbid I should talk to him directly) says "no, definitely not, but he's gone today, so it'll have to wait till Monday..."

Also told her I stopped the Emsam cause I can't handle the headaches and insomnia.. her response "I'll just talk to him on Monday"

What the hell?!?!?! I called at 8:30 yesterday morning to make sure this didn't happen again!!!

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  #2  
Old Feb 12, 2011, 03:09 AM
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(JD) (JD) is offline
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I'm not a medical doctor... but since I already have a propensity to dislike psychiatrists, I'd say he's typical... Here's some data to show you're probably on the right track (as per the problems with EMSAM!)

I'll leave it to Jerry to suggest what else you could try or do. Feel better soon.


Quote:
A total of 657 drugs (4137 brand and generic names) are known to interact with Emsam (selegiline). Common medications checked in combination with Emsam (selegiline)
Abilify (aripiprazole)
Ambien CR (zolpidem)
aspirin
Ativan (lorazepam)
clonazepam
Cymbalta (duloxetine)
Effexor XR (venlafaxine)
Klonopin (clonazepam)
Lamictal (lamotrigine)
levothyroxine
lithium
Nexium (esomeprazole)
propranolol
Provigil (modafinil)
Rozerem (ramelteon)
Seroquel (quetiapine)
Synthroid (levothyroxine)
Topamax (topiramate)
trazodone
Zyprexa (olanzapine)

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  #3  
Old Feb 13, 2011, 06:21 PM
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Jerrypharmstudent Jerrypharmstudent is offline
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Quote:
Originally Posted by nicoleb2 View Post
I have been using the Emsam patch for 2 1/2 weeks. Started having headaches and insomnia when I started it. Called my psychiatrist and he said give it a bit and see if it goes away. Fast forward to yesterday... I called and said problems were not better.

I finally got a call back today and was told to switch from my Ambien CR to ativan for sleep (also due to doing things in my sleep that I can't remember).

I said "I can't take that with the Emsam, can I?" His nurse (cause heaven forbid I should talk to him directly) says "no, definitely not, but he's gone today, so it'll have to wait till Monday..."

Also told her I stopped the Emsam cause I can't handle the headaches and insomnia.. her response "I'll just talk to him on Monday"

What the hell?!?!?! I called at 8:30 yesterday morning to make sure this didn't happen again!!!
Hello!

I don't know what to say about your doctor -but the nurse was wrong: there are no interactions between Ativan (benzodiazapines) and Emsam (MAOI). THey can safely be taken together. I have consulted many online drug references and none list an interaction with Ativan. Here's what Drugs.com says:

Emsam/my psychiatrist is an idiot

As far as your side effects with Emsam - I did a little research and some people have responded to it and gotten headaches, etc. Mostly side effects included irritability and anxiety. Many people said that when their doc increased the dose from 6mg to 9 or 12mg many side effects if not all went away. I theorize this is because at higher dosages the med may act more on serotonin as well as dopamine.

So your doc is supposed to call you tomorrow? Keep us updated as to what he decides!

Hang in there.
Jerry
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Emsam/my psychiatrist is an idiot

Last edited by Jerrypharmstudent; Feb 13, 2011 at 06:27 PM. Reason: image
  #4  
Old Feb 15, 2011, 08:13 AM
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lastyearisblank lastyearisblank is offline
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How is your blood pressure, is it normal?
  #5  
Old Feb 15, 2011, 03:34 PM
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nicoleb2 nicoleb2 is offline
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My blood pressure is normal. I stopped the patch on Thursday because I couldn't take it any more. I am still not sleeping even though I am taking ambien cr. I forgot that I can't take ativan because I end up with severe muscle pain (mostly in my feet????) when I take it... Haven't tried to call my psychiatrist back this week.... just not sure what to do at this point...
  #6  
Old Feb 15, 2011, 03:41 PM
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lastyearisblank lastyearisblank is offline
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Emsam is an MAOI right? The no sleep thing is a pain in the *****, but it is normal. It will pass when the drug is out of your system. It happened to me too and boy can I sympathize, insomnia and depression together are no fun,.
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