![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by SLS on November 22, 2006, at 4:12:38
When do you remove the Emsam patch before going to sleep to prevent insomnia?
- Scott
Posted by Jost on November 22, 2006, at 10:20:42
In reply to Emsam - When to remove the patch for sleep?, posted by SLS on November 22, 2006, at 4:12:38
I removed it an hour, or an hour and a half, before going to sleep.
That's approximate, because I usually read in bed, for indeterminate periods of time, so I can't exactly say. (I had pre-existing insomnia, which was only slightly aggravated on emsam.)
Have you restarted?I tend to wake up during the night, and often would put it on after about five or six hours of sleep, and take a sonata to get back to sleep. This was to have the patch on for an adequate number of hours.
I'll be very interested to hear how you're doing Scott.
best, Jost
Posted by Phillipa on November 22, 2006, at 12:14:19
In reply to Re: Emsam - When to remove the patch for sleep?, posted by Jost on November 22, 2006, at 10:20:42
Stargazer is doing well on the patch are you starting it again I still want to . Love Jan
Posted by SLS on November 22, 2006, at 17:49:44
In reply to Re: Emsam - When to remove the patch for sleep?, posted by Jost on November 22, 2006, at 10:20:42
> Have you restarted?
> I'll be very interested to hear how you're doing Scott.
Thanks for asking, Jost.
I asked this question on behalf of my doctor, to whom I described the strategy of removing the patch before going to bed.
I started taking Nardil about 2 weeks ago. I have not responded robustly to it over the last 15 years when I've tried it, but I'm hoping for a better outcome now that I am combining it with other medications.
I am currently taking:
nortriptyline 100mg
Nardil 60mg
Lamictal 150mg
Topamax 100mg
Abilify 10mg
- Scott
Posted by Jost on November 24, 2006, at 21:36:19
In reply to Re: Emsam - When to remove the patch for sleep? » Jost, posted by SLS on November 22, 2006, at 17:49:44
Hi Scott. Actually, I thought more about what my pdoc had said, vs. what I had done--and he may very well have suggested 3-4 hours.
I didn't do that before, but I may take it off earlier in the evening this time around. At the time, I was more concerned about keeping the dosage up, because it was the first AD that had worked-- at all-- This time, despite a bit of uncertainty, I'm not so focussed on getting to 9 mg/24hr.
It's still very possible the Nardil could work well for you. It might take longer than you expect, because its interactions with the other drugs may make it come on more gradually-- or may give a more subtle, but still quite significant impact.
I have my fingers crossed-- for both of us. My heart symptoms (unrelated to the Emsam, but not compatible with it) haven't reemerged-- after three full days, so maybe, in a while, at least, I'll be in a better place. I hope you will, too.
Jost
Posted by Phillipa on November 24, 2006, at 22:07:35
In reply to Re: Emsam - When to remove the patch for sleep?, posted by Jost on November 24, 2006, at 21:36:19
Jost you're back on the patch? Isn't there a way to combine the threads again. Could you maybe post a thread saying the EMSAM thread? That way at a glance everyone would know where everyone is at dose wise and symptom wise like in the begininning still want to try it. Stargazer is doing well and some other who don't post. I think it would help a lot of others. Love Phillipa
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.