Posted by Beckett on August 24, 2012, at 11:13:07
In reply to Re: Selegiline-good for depression and anti-aging?, posted by brynb on August 24, 2012, at 1:08:13
> > Emsam worked really well for me. It was speedy in the beginning but mellowed with time. It was probably the best AD I have tried to date, and I'd probably be back on it today except that I take a low dose of tramadol for peripheral neuropathy. I think the neuorprtective properties of segilene can come into play (whatever they might be) at doses lower than the patches.
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> Beckett-
>
> What dose of Emsam were you taking? And what's your diagnosis (or depression type)?
>
> I started taking Tramadol a few months ago during my last depressive episode when I was experiencing severe leg and arm pain. It helped pull me out of the hole; I responded immediately to its mood enhancing effects.
>
> I started at 100 mg (while on 20mg of Lexapro) and tapered down. Currently, I've been taking 25mg of Tramadol a day, a few days a week (kind of as a prn). I agree that Serotonin Syndrome is probably a rarity w/ Tramadol (at low doses, anyway) and SRIs. I believe Serotonin Syndrome is rare in general, but perhaps I'm wrong.
>
> -bHi B,
My pdoc adhered strictly to the two week washout from emsam to tramadol. No one I spoke to would mix an MAOI with tramadol. I don't know what type of depression I have. It involves a slowing down--lots of physical symptoms, so I guess I responded well to the stimulation emsam provided which seems gentler somehow to me than say Effexor.
Tramadol as a psyciatric med seems understudied or somehow neglected. It might be helpful to a few people with somatic symptoms as an add-on. Or in other instances?
poster:Beckett
thread:1023975
URL: http://www.dr-bob.org/babble/20120818/msgs/1024120.html