KellyJ... medication "Wash" prior to putting me on it. I'm taking Prozac, Concerta, Buspar, Trazadone, Ability, and Topamax. Which of these do I need to come off of and how long after I quit taking them can I start using the Selegeline patch? Should I try to do this at home or go into the hospital to do it? I've used every kind of antidepressent except MAOI inhibitiors. A little scared. So many warnings. Any advise would be helpful. Only other idea my doc has is Electric Shock Therapy if we cannot get me into Transcranial Magnetic Stimulation at Walter Reed Medical Hospital. Too much going on. I'm stressed
Selegiline - My doctor is suggesting putting me on Selegeline Transdermal but says I need a?
- Posted:
- 22 Aug 2011 by KellyJ
- Topics:
- buspar, concerta, prozac, topamax, selegiline, trazodone, doctor, medication
Details:
Responses (5)
LaurieShay22 Aug 2011
Hey KellyJ,
The following is a link to the interactions between your medicines including the selegiline. It recommends discontinuing Prozac, Concerta, Trazadone and Buspar for 14 days before starting on an MAOI. I would not discontinue all of these meds at the same time and I would do so slowly if you are going to be doing it at home. I would take at least a couple weeks to get off each over a couple months time if this must be done without medical supervision.
I would not go the route of ECT until I had exhausted ALL my other avenues. There is another member here who has tried the TMS and hopefully she will see this post. Also another member who has had ECT who will hopefully post. I'll try to contact them for you.
Best wishes,
Laurie
ElizaJane2322 Aug 2011
Hi - I just finished TMS therapy at Walter Reed 8/8 I believe, and it worked! Walter Reed has moved into the new hospital now, and when I left they had not hired a new coordinator yet, so there is no one to run things yet. The phone number they gave me for the new location is 301-295-0500. If you can't get in there are several major hospitals and a few providers here and there that have the equipment - do whatever you have to do to get this therapy - it really helps. Took me. 24 treatments - borrow the money, but get it. Don't ruin your brain with ECT please!
KellyJ
23 Aug 2011
Thanks for your reply. What percentage of improvement did you get and how long do they think it will last. I read that it goes away quickly unless you get upkeep treatments. That will be hard for me because I live in japan. Did they do it in 4, 6 or 12 weeks? Appreciate your assistance.
ElizaJane23
23 Aug 2011
Kelly - they usually do 5 treatments a week for 4-6 weeks depending on how you are doing with the treatments. It is recommended that you have 20-30 treatments. I ended up with 24. I am a chronic pain patient so Walter Reed really worked with what I could do as it was 45 miles each way in heavy traffic so the trip was really hard on me. I ended up going 2-3 treatments per week right up until they moved into the new building. I really noticed a lot of improvement once I hit 20 treatments. They said just to call when I felt I needed a booster treatment and it usually is just 1-2 treatments before you're on your way. I hope you can get this incredible new treatment!
22 Aug 2011
It looks like you've been adding on medications, trying to find a combination that will help. Are you a person that has a lot of allergies? Are you sensitive to medications, do you experience a lot of side effects from them? I'm just asking because looking back, I think the thing that benefitted me most was going on a medication break - getting off all meds for a period of 3 months and seeing what my baseline symptoms were. Of course, don't go off anything without your doctor knowing about it first so you don't harm yourself. It is something to consider since you are contemplating such a huge change. I hope you can get the TMS therapy but either way getting off all the meds for a bit and allowing your brain and body to reset may be of benefit. Best wishes -
KellyJ
23 Aug 2011
I'm not sensitive to most medications, don't experience a lot of side effects (except for Wellbutrin... that was pure hell). I don't have allergies at all. I just don't know whether it would be better to do the wash in the hospital or at home. At home I would be alone all day. Pretty sure I'll get depressed and anxious off the meds. Not looking forward to it. Could take it for 2 weeks. Any longer than that not sure if I can do it. Husband not really very supportive. Always "bad timing" for him, if you know what I mean. I appreciate all the replies. I really do.
ElizaJane23
23 Aug 2011
If you go this route, I wish it could be inpatient for you while going off the meds. The military will usually let you be inpatient during a time such as this, so I would take advantage of that.
pledge22 Aug 2011
Hello KellyJ. LaurieShay and ElizaJane, gave you some sound advice. Both knowledgeable people in thier own right. Long tale short, for I can go on and on, I'm a talker. So I'll cut it short. :-0) I was on a MAOI (parnate) and the strict diet that comes along with it. Then, having little success, I went the ect route. I did several series of treatments. A series is the number of sessions you receive. Its usually given, meaning a session 3 times per week. Monday, wednesday and friday. Usually a series will run 9 to 12 sessions or 3 to 4 weeks. (depending on the severity of your depression) I had mine done as an in-patient. Theres a libality factor, so you sign a waiver, that the hospital, then the doctor, and the anesthesiologist, are not liable to any damage you may incur. The first two are signed once, the one for the anesthesiologist are always signed the night before your treatment. Since its not always the same one putting you to sleep.
6 Dec 2011
I was on EMSAM about a year ago and I also had to get off of Prozac and other SSRI's and SNRI's. It's been a while but I do remember withdrawal was tough. I was weaned off the SSRI's and SNRI's for two or so weeks then I had to be off of them completely for two weeks before I could have the EMSAM Patch. I could stay on Seroqeul though. I did it at home and took Ativan to help with the anxiety. EMSAM caused severe insonmia even with being on Seroquel and Ativan, I had to get off of it mainly because that Psy didn't research to find me some answers and I went out on my own... not very good idea - ended that Psy because she was too short handed by two Psy's and didn't have the time..
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oops, forgot to give you the link to your interactions:
http://www.drugs.com/interactions-check.php?drug_list=2051-0,2228-0,233-109,441-206,1606-976,1115-648,2216-1469