Posted by europerep on December 1, 2015, at 18:01:06
In reply to EMSAM - meh. So what next?, posted by Atmlady on November 29, 2015, at 18:17:07
Hi there...
I don't have a lot of time right now, but I just wanted to quickly reply with a few points.
First, Emsam 6mg is the lowest dose, right? If you've only been on it for a month, you might still notice improvement in the weeks to come.
But, more generally, I'd say that if an SSRI + bupropion worked for you, I personally would look for a solution closer to your previous combo. One option would be the new vortioxetine (Brintellix), if you have an insurance that covers it. If not, you could try one of the "regular" SSRIs, if necessary also with bupropion or maybe methylphenidate (if indicated, since you mentioned attention issues). Adding SAMe to SSRIs has also been shown to increase effectiveness. Venlafaxine may also be an option, but since you described sexual dysfunction on your previous combo, this may not be best option to go with right now.
That's what I can think of right now...
ER
poster:europerep
thread:1084280
URL: http://www.dr-bob.org/babble/20151119/msgs/1084324.html