
EMSAM has two major drawbacks, and they are so significant as to classify this medication as an "after everything else has failed, try this" kind of medication. The first issue is that EMSAM is contraindicated with almost every other drug on the planet and quite a few foods, as well. In other words, if you can't self-monitor and pay attention to what you're putting into your body, this is not the drug for you (unless the threat of hypertensive crisis doesn't make you flinch). The medication itself causes an astounding change in blood pressure all by itself, so the contraindications need to be taken seriously. I've had freakishly low blood pressure my whole life, but in the 17 months I've been using EMSAM, I have developed high blood pressure.
The first and most significant side effect of this medications is...drum roll please...insomnia. At the time of year when so many people north of the equator are fighting off the urge to hibernate, I am hopelessly sleepless. I'm not like Martha Stewart, who sleeps four hours a night and goes about her day without any ill effects (other than being a supreme bitch, which may just be a character flaw). No, I need sleep or I risk going into a tailspin of mood and functionality.
So, in an attempt to alleviate my chronic, severe insomnia, I'm knocking down my EMSAM to the beginner dose of 6mg--a 30% decrease. A bold move at my most vulnerable time of year, I know, but if I start backsliding, I can always bump up the dose. I love playing pharmacist. Bwahahaha!

What the hell were they thinking over there in Somerville? I might as well be wearing a shirt that says, "Ask Me About My EMSAM." I am currently working on some kind of totally outrageous lie of a story. Hmmmmm. Creative lying to avoid embarassment. Hmmmm. Bwahahahaha!
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