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Re: Is there online pharmacy for Ensam patch?

Posted by Meagan on October 24, 2007, at 19:17:07

In reply to Re: Is there online pharmacy for Ensam patch?, posted by War-Face on October 24, 2007, at 16:54:48

Thanks, Warface, but I have been on oral selegiline low dose and need to go up. My doctor suggests the patch so that I can avoid dietary restrictions

>
> Sorry if this is not an answer to your specific question, but have you thought about trying oral selegiline instead of transdermal selegiline (EMSAM)?
>
> I know that the delivery of this drug orally effects blood level, and different metabolism effects action, but you can always give it a try. Responses to oral selegiline appear widely divergent: some respond incredibly well to 5 or 10 mgs per day (a dose where selegiline is still a selective MAO inhibitor, inhibiting only MAO B, which means you do not have to follow the MAOI diet), while others respond only to doses of 30 mgs or higher (at which time selegiline loses its selectivity and inhibits both MAO A and B, which means you do have to follow the MAOI diet), while others DO NOT respond to oral selegiline while responding well to EMSAM, (and vice-versa).
>
> Anyway, oral selegiline is much cheaper and available in generic. Of course, if you would need the higher dose, it would amount to roughly half of the cost of EMSAM.
>
> Just a thought in case you cannot find EMSAM cheaper anywhere.


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poster:Meagan thread:791153
URL: http://www.dr-bob.org/babble/20071019/msgs/791179.html