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Located in: Drug Reviews and Ratings | ANTIDEPRESSANTS
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EMSAM (SELEGILINE) reviews and ratings reportsThe average rating for EMSAM (SELEGILINE):
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Key to ratings for EMSAM (SELEGILINE): |
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If you want to share your experience on EMSAM (SELEGILINE) please, specify the following details: 1 Sex. 2 Age. 3 Side effects. 4 Time taken and dosage. 5 Review. |
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treatment resistant depression
by Reviewer30427
on April 20, 2010
Sex: F
Age: 49.0 Side effects: insomnia, some difficulty with orgasm, but still attainable Time taken and dosage: 2.5 months6mg 1X D Review: has changed my life- I have my life back and feel like my old self once again, its been 3 years of trying everything else with always intolerable side effects. 
Depression
by Reviewer30428
on October 4, 2009
Sex: M
Age: 60.0 Side effects: The patch left marks on my chest een after 30 days. In addition my heart rate become even more irregular and pulse was low 42bpm then at the normal Brady Cardia rate 58bpm. Drs were considering a pace maker. Emotionally I was not much better either. Discontinued Emsam and heart returned to normal as test by Dr. in a running stress test. So Emsam can have heart rate impact for certain people. Time taken and dosage: 45 days Review: 
Major Depressive Disorder with GAD
by Reviewer30429
on September 25, 2009
Sex: F
Age: 41.0 Side effects: Site specific irritation, scarring eventually- accept this cosmetic issue over insanity/suicide. able to tolerate patches on my outer hips (more fat there?) better than stomach or back application. Overall, more insomnia, but of different style- can be overcome w/ mild sedative (doc chose Sonata), good sleep hygiene/routine. slight manic effect of patches. Cant tolerate the 9mg ones- went crazy anxious manic on those. at 6mg24. Have noticed significant weight gain over last 2 years, despite increasing activity (running again for first time in years!). Going to try more weight training to see if that helps- at least stops weight gain, even if no loss. Time taken and dosage: 3 years Review: Was incredibly happy on Serzone (SSRI) but it was removed from market (though my regular tests showed no liver damage/other side effects). However, given my cycling onset of depressive episodes, SSRIs are not as effective (Cymbalta was @1st,then crazy rapid weight gain, doc took me off it). The continuous, transdermal dosing of the patch is what has kept Depression at bay. Though i am depressive (melancholic?), therapy and ongoing behavioral mod, especially working with thoughts/thought patterns, and EMSAM has meant I have not had a major crash since 2005. Like someone else said, its like a safety net. No negative effect on libido; restored ability to orgasm (though it does effect how they feel- if that makes any sense). 
severe depression
by Reviewer30430
on June 19, 2009
Sex: F
Age: 36.0 Side effects: Insomnia, homicidal thoughts not related to my illness--these were new and disturbing. Caused frequent urination I was already having with Interstitial cystitis to get worse. I was up all night and up to pee 6-7 times. No thanks. Time taken and dosage: 2 weeks Review: I wish Id have had the luck that other people have. Instead of giving it a 1, I gave it a 2 because I think people with severe depression should be encouraged to at least try something to improve their lives. I couldnt shake the insomnia for anything and my dr. wanted to add Zyprexa so I could sleep. He didnt believe it made my IC worse and didnt believe it gave me homicidal thoughts. Oh well. I have tried nearly EVERY anti-depressant out there and just struggle with therapy. sigh.
bipolar (rapid cycling)
by Reviewer30431
on May 31, 2009
Sex: M
Age: 45.0 Side effects: For the first 6-8 months after I began taking EMSAM I experienced severe acne on my upper trunk and arms -- a shock to the system of a 45 year old man who never had acne before. However, this very unpleasant and disturbing side effect diminished considerably by the end of the first year. Oddly, I found that once I limited application of the patch to my back, and no longer applied it to my chest or upper arms, the acne diminished. I also experience some insomnia, of a different and less disruptive sort than I experience when I am having bipolar episodes. The insomnia is usually quite manageable only occasionally disrupting my daily functioning. Also, though it may be unrelated to the EMSAM and more related to the discontinuation of my previous medication, I note that I have gained significant weight(going from 165 pounds to 210 pounds)since starting the EMSAM although my diet and exercise routine are unchanged or better than they were before. Time taken and dosage: 18 months Review: I was diagnosed with bipolar disorder (rapid cycling) nearly 20 years ago. I have been on dozens of medications (all the usual suspects), abandoning each in turn for lack of efficacy or intolerable side effects (e.g., toxicity, dramatic weight gain, loss of bladder control, excessive sedation, mental dullness or confusion). My doctor finally prescribed EMSAM, in combination with Lamictal and Deplin, and I am thrilled to report that is the first regime that has had any modicum of long-term success (now 18 months) in the treatment of my bipolar disorder. The bipolar episodes are much more muted, of shorter duration, and far less frequent than they were with any other medication regime. As the side effects are very tolerable compared to the other medications I have used and the efficacy quite high, this is a miracle drug for me. If only it worked so well for everyone!
severe depression
by Reviewer30432
on November 12, 2008
Sex: F
Age: 50.0 Side effects: some difficulty staying asleep. Mild skin redness under patch that lasts for about 24-36 hours after the patch has been removed. I have VERY sensitive skin though. Time taken and dosage: 2 years Review: This medication has given me my life back (and probably saved my marriage!). Over the past 35 years Ive been on just about every antidepressant made. The side-effects were always unbearable. Major anxiety on the SSRIs, complete insomnia and horrible paranoia on tricyclics. From the moment I put the patch on there were no unbearable side effects or really any adjustment period. Then with each passing day I started to feel more and more normal. It was gradual, and after about 3 weeks I realized I no longer felt like I was walking through mud every day in order to function. My attention and memory increased. My over-all mood improved. I no longer got irritated about things I used to get irritated with. Ive been in therapy for years and at best I was only able to maintain in therapy. Having my depression lifted has allowed me to move forward with my therapy. I know everyones body is different and this drug wont be the miracle drug for ev
MAJOR DEPRESSIVE DISORDER
by Reviewer30433
on November 6, 2008
Sex: F
Age: 26.0 Side effects: Slight sleeping problems depending on dose.either sleep too much or not at all but thats basically normal for me whether on meds or not. Higher dose seemed to bring on a little anxiety & irritation but it didnt last after adjusting to it. When you increase or decrease a dose you have to remember that it may take a little time for your body to get used to it, if you get side effects they might go away if youre patient enough to wait it out a couple weeks. Time taken and dosage: 3 years Review: Everyone reacts differently to everything.Emsam happens to be the one thing that has finally worked for me after years of trying numerous meds. But yes i still have to try hard to maintain a normal lifestyle because there is no such thing as a perfect miracle pill, but this has totally made life easier, better, & more content. Especially considering that before i used to have suicidal thoughts constantly & cried all the time, since i started the patch those have basically disappeared!!! YAY! I really hope you find the same relief, whether its from this drug or not. :)
Atypical Depression
by Reviewer30434
on September 21, 2008
Sex: M
Age: 57.0 Side effects: Daily site-specific skin reaction to 6mg patch. Increased to 9mg for depression symptoms. Severe skin reaction under patch turned to severe auto-immune response (body-wide hives, welts, severe itching)within 4 days. Immediately stopped using Emsam, but required 2 weeks steroids to subdue hives. Time taken and dosage: 3 months Review: Also experienced insomnia on Emsam.any possible therapeutic effects got lost in side effects. Will try oral selignine next. If that doesnt work, next step is monastery in Nepal.
depression
by Reviewer30435
on June 9, 2008
Sex: M
Age: 30.0 Side effects: At first did not work well because I didnt figure out how to apply it. This has the least amount of side affects than other med I have tried. Cant sleep at night, So some times I just take the patch off at night and put a new one on it the morning. Time taken and dosage: 4 months Review: I have found out that you must apply this patch one way only for it to work well. 1. I use hydrogen peroxide on my skin were you are going to apply it. It does not dry out your skin.2. Your upper chest or middle of outer arm works well as the patch will not crease or fold as you move around.3. You have to take the small peace of plastic off first and stick it to you skin. Then take the big peace fold it over to the other small peace and press and move it down tell it comes off you may have to try this a number of times before you get it down. There should not be any creases in the patch or bubbles for it to work good.Hope this helps every one having trouble with the patch, I think its the best product out there for depression if applied wrong it wont work as well if at all.
depression
by Reviewer30436
on June 7, 2008
Sex: F
Age: 45.0 Side effects: Dont even bother trying it. Was neutral in terms of mood and just gave me intolerable insomnia and a chronic urinary tract infection. Time taken and dosage: 60 days Review: Went off it 2 weeks ago and I STILL cant sleepThe cure is worse than the disease.
Depression
by Reviewer30437
on March 3, 2008
Sex: F
Age: 33.0 Side effects: Headaches that would last 1-3 days with no relief. Insomnia. Time taken and dosage: 2 months Review: I started with the 6mg patch and worked up to 9mg. During this 2 month span I had about 3 episodes of severe migraine-like headaches that lasted up to 3 days. Made work unbearable. Mild insomnia. Did not help my depression but could not give it longer time due to headaches. I did almost fall over once getting out of bed due to the drop in blood pressure effect from MAOIs.
Bipolar Disorder
by Reviewer30438
on January 30, 2008
Sex: F
Age: 51.0 Side effects: Some hypomania/mania and insomnia, see explanation Time taken and dosage: 16 months Review: Emsam was a wonder-drug for me. I believe it worked better than all the SSRIs and tricyclics I have tried over the last 15 yrs. My theory, the MAOI (Emsam) catches your depression BEFORE you can free fall into a full blown one, like a trapeze artists safety net.For the mania side effect, my doctor decreased the patch (9mg) to every other day--worked great until I had some depression and anxiety over starting a new job. Then we went back to every day. Then some insomnia started, and I asked my doctor about removing the patch 2-3 hours before sleep. He thought that was a great idea and it worked like a charm.Sadly, I have to give the patch up as the lithium that Ive been taking for almost 6 years, has shown some lousy side effects. However I praise lithium to the hilt--I initially lost 35lbs on lithium. I am soon to start tegretol as a mood stabilizer and you cant be on an MAOI with that. If it works as well as the MAOI, Ill be thrilled.Talk to your docs about ways to ge
treatment-resistant depression
by Reviewer30439
on January 22, 2008
Sex: F
Age: 27.0 Side effects: There have been few side effects that have bothered me: dry skin and a red mark that persist for 12-36 hours after removing a patch, the fact that the patches will fall off if I am too sweaty or the skin flexes too much (mostly with exercise), and a worsening of the dry eyes that I've had since my Lasik procedure in August of 2006. I've found that I can minimize the first two issues by washing thoroughly with soap before applying a patch, and by washing and using lotion after removing it. A doctor at the clinic where I had my Lasik procedure was able to prescribe Restasis eyedrops, which have eased the dryness back to its pre-Emsam level. Time taken and dosage: 8 months Review: Ive been dealing with depression for about 15 years, and have tried almost everything; Ive been on somewhere in the neighborhood of 20 different antidepressants, had 8 hospitalizations and 3 separate series of ECT. Nothing worked for more than a few months at a time (aside from the ECT, at up to a year), if it worked at all. I was finally talked into trying something in the MAOI family of drugs in May 2006; I'd hesitated because of the dietary and drug-interaction restrictions. I noticed - somewhat reluctantly - a gradual improvement in my mood in the first two weeks of taking this medication. My mood continued to improve until reaching something resembling stability in July or August 2007, and has remained there - more or less - since. To quote a journal entry of mine from July, “…it seems just a little easier to do what I need to do, and things dont seem as hard as I remember them being before. Im not worrying about things as much, a
SAD,ADD,and life extension
by Reviewer30440
on December 15, 2007
Sex: M
Age: 56.0 Side effects: the first couple of weeks I had a pick me affect and better concentration. sleeping was not sound until after two weeks.I had been in wellbutrun sr for the last cuople of years and very much liked that med. But when emsam came out i tried to get my doc to prescribe it for me, finally he gave me the prescription last month. I used to order liquid deprenyl from England. Time taken and dosage: 15 years Review: I will take this med and life extension med for life and living longer. look up IAS for more info
depression
by Reviewer30441
on November 26, 2007
Sex: F
Age: 32.0 Side effects: *Mild application site reaction - dry skin, reddness / discoloration. Itching goes away after 12-24 hours of removing the patch. Discoloration lasts around a week before it fades completely.*Insomnia - mostly difficulty falling asleep, occasionally difficulty staying asleep. Havent found a solution yet, but my doc is exploring the idea of sleeping meds with me. Time taken and dosage: 9 months Review: Neither of the above side effects are anywhere near severe enough to warrant going off of this medication. None of the 7 other antidepressants Ive tried have ever touched my depression. Emsam has given me an almost complete remission. I feel more motivated, have more energy, and my overall mood has improved significantly. Im less irritable, my self esteem has improved and Im back to doing things I like, hobbies and seeing friends and such. Its not an instant cure, but its truly made a difference for me. 
general depression with hypomania
by Reviewer30442
on October 5, 2007
Sex: F
Age: 50.0 Side effects: Skin irritation from patch, extremely itchy, red and sometimes raw, marks remain for nearly 2 weeks. Lack of motivation, and it deadened my creative energy and imagination, especially at full 6mg dose. Also terrible insomnia at 6 mg/day. General skin irritation and breakouts, and frequent cold sores. At full 6mg/day dose, had unusually high libido but difficulty reaching orgasm! Time taken and dosage: 13 months Review: Still not sure about this stuff after a year! Ive cut back to half a 6 mg. patch for half a day every other day (less than 3mg a day) and still feel that it keeps me from sinking all the way down when I start to get depressed and anxious. It lifted the general depression that I was under most of the time for years, made me feel like it was worth being alive after all. Also makes me less hypersensitive and emotionally reactive to everything, which is good in some ways but not in others. Ive got my imagination back, which I needed since Im a writer. Im not sure if its still affecting my sleep at this dose. But I still feel completely unmotivated to do daily things, cant keep track of things at all (like bills and finances), have some memory problems and mix up words a lot. I dont get anxious about the future, but I cant make plans, either. I had some of the same problems on Celexa: couldnt think clearly and didnt care enough to worry about all the stuff I was messing up. Still
DEPRESSION
by Reviewer30443
on September 27, 2007
Sex: M
Age: 54.0 Side effects: NONE Time taken and dosage: 19 days Review: Felt a buzz the morning of the 2nd day, but do not believe its doing much now. I am at 6/24.
Atypical Depression/ Panic Disorder
by Reviewer30444
on September 19, 2007
Sex: M
Age: 34.0 Side effects: Took 3.5 weeks to get any benefits at all. At that time, the panic attacks went into remission for a couple of days and then returned intermittently for a week until I contacted the doc. Upped the dose to 9mg patches at that point. At 9mg after 4 days I began to have a hypomanic onset of anger and hostility. Also had a marked increase in energy which I really liked. Have been having to mix the 6mg and 9mg patches back and forth every few days to keep out of depression/panic on the bottom end and out of hypomania on the top end. Note: I e-mailed a doc that assisted with the research of EMSAM, turns out that you CAN cut the patch safely and so I have started doing so. Jury is out on the exact amount I need, I am guessing 8mg. Time taken and dosage: 9 months Review: I had almost given up at 3 weeks, but am happy now I didnt. The one thing it has not helped with at any dose has been the generalized anxiety but that is usually a GABA related issue and I wouldnt expect EMSAM to help that. Also, lost weight and began a great workout routine due to the stimulant effects at a higher dose. Started it 12/23/2006 and am still using it today. Overall it is the second best med I have used through the years (I have been on 27 different ones in 15 years) with Celexa being the best but lost its punch after about 3 years.
Depression
by Reviewer30445
on September 3, 2007
Sex: M
Age: 46.0 Side effects: The discomfort of the adhesive and the remnants of the patch stay for days or more. Time taken and dosage: 8 months Review: It simply didnt work for me. There was some early relief, but it peaked so quickly and tailed off to nothing in a few months. My doctor kept telling me to wait, but there was no real help after eight full months.
depression
by Reviewer30446
on August 8, 2007
Sex: F
Age: 57.0 Side effects: eye pain, severe dry eyes, insomnia Time taken and dosage: 5 weeks Review: No benefit for depression, eye problems intolerable
chronic depression
by Reviewer30447
on June 13, 2007
Sex: F
Age: 40.0 Side effects: I had terrible nausea the first week I started Emsam but it finally went away. I started experiencing insomnia about the second week but it comes and goes. About the 3rd week I had abdominal pain and started having blood in my urine. Time taken and dosage: 5 weeks Review: I do not feel Emsam is helping my depression much. I am waiting to up my dosage to see if it might finally kick in for me. I am afraid it might be causing bladder/kidney problems.
Depression
by Reviewer30448
on April 15, 2007
Sex: F
Age: 45.0 Side effects: No real side effects to speak of. I normally get a reaction from adhesives, I cant wear a band-aid without a rash but I have had no irritation or redness with this patch. Ive had more vivid dreams. There are NO negative sexual side effects, it seems to enhance sex if anything.but maybe thats just because Im not depressed anymore. Time taken and dosage: 4 days Review: LOVE it, I call it the happy patch : )
Major Depression
by Reviewer30449
on April 12, 2007
Sex: F
Age: 37.0 Side effects: Red outline of patch remains several days after removed Time taken and dosage: 13 days Review: Started 6 mg patch after SSRIs stopped working and nothing else I tried stuck for depression relief. I think Emsam is helping, but jury is out. 6th day on 6 mg had a massive rage episode - threw everything I touched and slammed every door for a couple of hours before escaping to bed. After that got depressed again and couldnt control crying. Upped dose to 9 3 days ago. First few days of new dose it definitely stops the constant teariness/weepiness, but its not the rebirth I felt when I first took Zoloft 3 years ago and had the most normal, depression-free year of my life (until it just stopped working). On Emsam, I continue gaining weight rapidly (leave it to me to GAIN weight while depressed instead of lose) and feel fat pushing out on my skin which is quite uncomfortable. Not sure if it is Emsam related or not. Dr. wants to increase dose. |
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