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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by bearfan on August 6, 2010, at 3:06:50
I am suffering from pretty bad depression right now and social anxiety that was never really in remission (the kind where I can't walk alone in a bar and strike up a conversation with a stranger). Doc mentioned Emsam, but I've heard it can make anxiety worse in some people. Should I insist on Parnate or are the drugs (both MAOIs) similar enough that if I go on 9mg emsam I am getting a similar effect as Parnate?
Posted by Phillipa on August 6, 2010, at 10:44:06
In reply to Doc Visit soon Emsam or Parnate, posted by bearfan on August 6, 2010, at 3:06:50
I think both meds cause anxiety in a lot of folks who have posted on here. Phillipa
Posted by Maxime on August 6, 2010, at 11:16:08
In reply to Doc Visit soon Emsam or Parnate, posted by bearfan on August 6, 2010, at 3:06:50
For some people anxiety worsens on Parnate and for others it doesn't. I have a lot of anxiety (social and general) and the Parnate has helped a lot.
What about Nardil if the Parnate makes you too jumpy?
Posted by Willful on August 6, 2010, at 16:26:06
In reply to Re: Doc Visit soon Emsam or Parnate » bearfan, posted by Maxime on August 6, 2010, at 11:16:08
I"ve used both and I have a lot of anxiety, and my sense is that it's hard to predict how people will react to each of these drugs.
I had a bad reaction to parnate, and an excellent response to emsam-- so they really are quite different. If my dose gets too high, I do have heightened anxiety, but at a therapeutic dose, I don't.
Sometimes it interferes with sleep, but I"ve always had insomnia, so I can't say that it's any worse on emsam.
I'd try emsam, since there are fewer restrictions. If you don't do well, then you can try parnate--unless you have reasons for trying it the other way. Whichever you do, I don't think there's any clear way of knowing how you'll respond beforehand.
Willful
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