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EMSAM a flop? No kidding!

Discussion in 'Psychiatry' started by Anasazi23, May 2, 2007.

  1. Anasazi23

    Anasazi23 Your Digital Ruler Moderator Emeritus 10+ Year Member

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  3. Therapist4Chnge

    Therapist4Chnge Neuropsych Ninja Faculty Faculty Moderator Emeritus 10+ Year Member

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    Color me shocked....SHOCKED!

    :laugh:

    -t
     
  4. whopper

    whopper Former jolly good fellow Physician Faculty 10+ Year Member

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    I'd consider giving it--if an SSRI failed.
     
  5. MBK2003

    MBK2003 Senior Member 7+ Year Member

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    There's been an extensive thread about this on our psychopharm listserv. The general impression is that EMSAM is NOT a treatment for treatment refractory depression, and (my favorite quote) "EMSAM is very effective at producing one result in all my patients on it - poverty."

    MBK2003
     
  6. Therapist4Chnge

    Therapist4Chnge Neuropsych Ninja Faculty Faculty Moderator Emeritus 10+ Year Member

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    Not that it matters much now.....

    1. How often have you seen skin irritation?
    2. How were the s/e for the 9 and 12 patches? (All I kept hearing and reading was about the 'wonders' of the 6mg)

    -t
     
  7. Anasazi23

    Anasazi23 Your Digital Ruler Moderator Emeritus 10+ Year Member

    I inherited a couple patients on it in the clinic.
    I don't think it'll accomplish anything that I can't achieve with a tricyclic or an augmented ssri. I'd have to go through most of my gamut of augmenting strategies, which are a lot, to get to this....unless the patient was interested in it as a higher option.

    Going over the 6mg is almost mandatory, and also brings in the dietary restriction, which is a real PITA for some patients.

    Still, I think that overall, the more methods of delivery we have available to us, the better. There are times when we need liquid ssri's and the like.
     
  8. Therapist4Chnge

    Therapist4Chnge Neuropsych Ninja Faculty Faculty Moderator Emeritus 10+ Year Member

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    I think delivery systems can definitely improve....though I wasn't really sure why they chose try an MAOI patch....I'd think that would be a bottom of the list choice. Pts in general have a hard enough time with med compliance, what makes them think they will actually change their dietary intake?

    I'd like to see more dissolveable gels (like the Listerine tabs)....I wonder if anyone would consider them for pre-existing meds?

    -t
     
  9. positivepsych

    positivepsych Member 7+ Year Member

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  10. whopper

    whopper Former jolly good fellow Physician Faculty 10+ Year Member

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    Agree.

    I haven't even prescribed one patient on this thing yet, but I'm glad there is a transdermal delivery system just in case.
     
  11. Therapist4Chnge

    Therapist4Chnge Neuropsych Ninja Faculty Faculty Moderator Emeritus 10+ Year Member

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