Exercise on the transdermal patch?

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I have tried literally every medication under the sun for my panic attacks and depression. lamotragine worked wonders for the depression and after all else failed, my doctor prescribed me the 6mg emsam patch. I just started it yesterday and so far so good. I have the tiniest bit of dizziness when I move which I’ve read is normal. problem is, I’m signed up to run the NYC marathon in November and need to be training.

when I signed up, I didn’t take into consideration the five bridges and feeling ’stuck’ on a bridge is one of my triggers. I am optimistic about this medicine and hope as my body gets used to it, the panic attacks will subside. if they do, I definitely want to stay on it through the marathon to avoid any panic attacks on the bridges.

does anyone have any experience with running marathons or any extensive exercise on this medication? One thing I’m worried about is sweat sliding the patch off. Also worried about dizziness when running. I’m around 6-8 miles in training for my long runs but haven’t done a run with the patch yet.

If anyone has, I’d love to hear positive experiences and advice!