In 1982 I was put on Nardil 15mg and could only sleep 2 hours a night, then added Ativan 2mg and Benadryl. I had to stay in hospital until I could sleep at least 6 hrs. Now I am on EMSAM patch 9mg every other day because of insomnia and still suffer with sleeplessness. And now I don't have the positive effects of it relieving the depression/anxiety and also improving my energy and motivation. For sleep I am on Ativan 2mg and Seroquel 300mg and still struggling with sleep issues. How do you treat severe insomnia when you are on a therapuetic dose?
How do you treat severe insomnia on EMSAM?
Question posted by circleround on 29 Oct 2010
Last updated on 28 September 2018 by jmkhealth1
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5 Answers
My doctor called the manufacturer of EMSAM. The manufacturer stated that 80% of the drug is released within 3 to 5 hours after adding it to your skin. My doctor advised to take it as early in the day as possible to minimize the insomnia. You may want to try this option to decrease the amount of insomnia you experience.
Try Xanax. You can take it with Emsam. Do not take Benedryl. It will interact badly. I also have insomnia on this medication but here's why I just don't care. I live with fibromyalgia which was unexpectedly ameliorated on this drug to the point where I feel 90-95% every single day. This drug has possibly saved my life. I have the energy to wake up at a normal time, go to work, take care of things at home, carry my groceries and laundry, and live my life like a normal human being without pain, overwhelming fatigue, cognitive problems, depression, or anxiety. It also restored my libido. If I only sleep 4 hours a night and feel incredible I will take that over sleeping 14 hours a day and never wanting to wake up again.
i see you have not tried dalmane or restoril,when i had severe insomnia nothing else would do it except these two drugs.dr would switch me back and fourth so i would not get tollerent to one,ask your doc about this it has been a lifesaver. goodluck friend
maybe you could switch to restoril its like ativan only its meant for sleep
I am also struggling with severe insomnia, so I can definetly relate. I am currently taking trazodone, 100mg but I started out on 50mgs. I have been on it for three years. In the beginning it helped a great deal, however it is not working for me anymore. I know sometimes when using different medications, such for anxiety, depression, etc, you have to switch, since the no longer are effective. I am making an appointment with my doctor this week, to discuss switching my trazodone to another sleep med. Please keep in contact with me as we could probably help eachother out. Best wishes, Elle
Related topics
emsam, depression, anxiety, insomnia, sleep disorders, insomnia - stimulant-associated, sleep
Further information
- Emsam uses and safety info
- Emsam prescribing info & package insert (for Health Professionals)
- Side effects of Emsam (detailed)
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