Posted by noa on February 7, 2004, at 13:28:05
In reply to Re: Transdermal Selegiline, aka. Selegiline Patch?, posted by bruce1s on February 7, 2004, at 10:49:20
I discussed the EMSAM approvable status with my pdoc. It sounds like it wouldn't be a good risk for me because I'm on a combo of meds and it isn't clear yet if EMSAM can be combined safely with anything.
One of the reasons I have a combo is that Effexor is very activating for me so I can't take too much of it and have to balance it out with Serzone. From what I hear selegiline can also be quite activating, so I don't know if I could take it as monotherapy. I'd also probably have to discontinue the adderall. So this would mean going off all of my meds just to try the patch which may or may not work. Given the hassle of withdrawing from Effexor, the risk of the EMSAM not being effective for me, and the risk of going back on my old meds and not having them work as well the second go-round (this happened to me in the past with Prozac), I'd say I'm not going to be trying the EMSAM when it comes out.
I am *very* glad, however, to see that it will be coming onto market. A new way of delivering meds that could eliminate the main barrier for most people to MAOIs--this is a good development! But as my pdoc said---it's great to have a new mechanism for delivering medication, but what we really need to see is a med with a new mechanism of *action*. Still, I see the EMSAM approval as a good development.
Now, let's hope that we see that new mechanism of action developed in the near future!!
poster:noa
thread:305480
URL: http://www.dr-bob.org/babble/20040204/msgs/310536.html