sunburnt22 Posted June 12, 2006 Share Posted June 12, 2006 i haven't had much luck discussing the patch with a few different docs. is this a mainstream treatment now? should it be available from pretty much any psychiatrist? Link to comment Share on other sites More sharing options...
Velvet Elvis Posted June 13, 2006 Share Posted June 13, 2006 It can be legally prescribed by any MD in the US, psychiatrist or otherwise. Link to comment Share on other sites More sharing options...
Greenyflower Posted June 13, 2006 Share Posted June 13, 2006 It's not a first line depression med. Still too new. Most docs are going to want you to try antidepressants in some kind of order, starting with SSRIs, moving on to multiple reuptake inhibitors, combinations of ADs, adjunctive therapy such as lithium or thyroid. Then they'll talk to you about MAOIs, including Emsam. Among the MAOIs, the patch would probably be the first choice since on the lower dosages you don't have to follow the dietary restrictions. Furthermore, it's a bit sucky getting started on it because you have to go through a full two week washout of other antidepressants. Because of the dietary restrictions and their potential fatality, many docs don't want to deal with MAOI's until a point where your refractiveness has been unrelenting, leaving a choice of ECT or MAOI. Google depression treatment algorithms for more information. Link to comment Share on other sites More sharing options...
Guest Guest_sunburnt22_* Posted June 13, 2006 Share Posted June 13, 2006 It's not a first line depression med. Still too new. Most docs are going to want you to try antidepressants in some kind of order, starting with SSRIs, moving on to multiple reuptake inhibitors, combinations of ADs, adjunctive therapy such as lithium or thyroid. Then they'll talk to you about MAOIs, including Emsam. Among the MAOIs, the patch would probably be the first choice since on the lower dosages you don't have to follow the dietary restrictions. Furthermore, it's a bit sucky getting started on it because you have to go through a full two week washout of other antidepressants. Because of the dietary restrictions and their potential fatality, many docs don't want to deal with MAOI's until a point where your refractiveness has been unrelenting, leaving a choice of ECT or MAOI. Google depression treatment algorithms for more information. i've already reached that point and my docs agree. i'm just having trouble finding a doc with enough knowledge about the patch to make me feel comfortable using it. they're all admitting ignorance when it comes to the patch. Link to comment Share on other sites More sharing options...
AirMarshall Posted June 13, 2006 Share Posted June 13, 2006 Sunburn22: I got the answer for you!!! Find the manufacturer's name (I'm too lazy tonite) Contact your doctor/pdoc. I guarandamntee you that the have the business card, name and phone number of the sales rep for the manufacuterer. Give him a call or have the doctors office call him and find out what doctors in your are prescribing it. He will know them by name off the top of his head. Good luck, a.m. Link to comment Share on other sites More sharing options...
Velvet Elvis Posted June 13, 2006 Share Posted June 13, 2006 It's an old old drug, just in a safer new formulation. You were wanting to try ECT month or so ago. The risks here are safer by far. There are a few people here who have reserched it detail. If you search you should find it. Link to comment Share on other sites More sharing options...
cache-monkey Posted June 13, 2006 Share Posted June 13, 2006 It's an old old drug, just in a safer new formulation. This is true. Older pdocs might know it better as "Eldepryl". It sounds like you're concerned about being a guinea pig? If it's of any interest there are a number of users on this other board I'm a sometimes member of who have posted their experiences: http://www.dr-bob.org/babble/ (some current posts, but also search archives) Good luck, cache-monkey Link to comment Share on other sites More sharing options...
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