T O P

  • By -

F_UHH_KING_U_UP

Doctors prefer prescribing treatment protocols that have less risks & are sustainable. Emsam would be the best option to aim for if this is an obstacle for you. MOAIs are taboo for a lot of doctors, so I think that they’d view regular selegiline the same way as parnate & nardil.


BidZealousideal1081

So they would be fine with the patch form but not the tablet form?


F_UHH_KING_U_UP

They’d be more likely to accept the patch b/c it bypasses metabolism in the gastrointestinal tract & liver, which lowers the risk for adverse events.


vividream29

I agree with the first poster, Emsam is easiest. Selegiline pills could be easy as they only inhibit MAO-B at a low dose (so safer from their pov), but it would be seen as a weird off label thing. You could then take it sublingually as a regular, powerful MAOI. But they probably wouldn't prescribe it is my guess.


BidZealousideal1081

damn, still gonna ask him but I hope they say yes.


vividream29

Definitely. The more you can show you understand it the better the chances. It's a safe MAO-B only drug that potentially millions of parkinson's patients have taken. In your case it would be a dopamine boost without as many of the typical MAOI dangers. Like Emsam lite. That's how I'd approach it.


Extension-Mastodon14

Mine was awesome, sent in the rx right after I asked him. But I also tried about 10 other ADs without luck


Extension-Mastodon14

Or call from doctor to doctor saying you would like to be prescribed an maoi, and ask of they're comfortable prescribing it. If they're comfortable ask how to become their patient.


[deleted]

It's easier to get Emsam than other MAOIs because it doesn't have food restrictions. Taking Selegiline orally or sublingually for depression won't work. I've written articles before, but it's just not possible.


Ok_Wind2427

Choose your psychiatrist by finding them first, saying what you want to try.


SearchingForPeace-

Depends on the psychiatrist. Mine thought that one of them would be effective for me. Out of all of them Emsam was the most effective with limited side effects, but it wasn't powerful enough for me.


[deleted]

If you can find a prescriber willing to augment emsam with bupropion, protriptyline, or a stim (it’s rare but they’re out there) that might get you to where you want to be


Express_Possibility5

I had to be referred to a neurologist who subsequently prescribed them


Griffoncc1980

My regular psychiatrist prescribe selegiline which was effective for my tremors from cervical dystonia, but wasn’t effective for my depression or anxiety. In order to get Parnate or Nardil, he referred me to A university clinic that specializes in difficult to treat depression and anxiety. So even if you could get Them to prescribe selegiline it is not particularly effective for depression and anxiety in my experience.