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Re: Remeron, 5htp, desipramine » geno

Posted by Mitch on September 22, 2001, at 0:02:56

In reply to Remeron, 5htp, desipramine, posted by geno on September 21, 2001, at 19:43:50

> Hi, im currently on 30mg of remeron,25mg desipramine, and .5mg xanax in day as needed. I feel that i need more of a mood boost. im going to list 3 alernative med combos, and would like some advise on what combo would be the most effective for a good night sleep, improved libido, AND MOOD LIFT.
>
> Combo #1: 15mg remeron at bed
> 50mg 5htp morning
> desipramine 25mg bed
>
> Combo#2 30mg remeron at bed
> 25mg despirimine bed
> 25mg desiprimine am
>
> combo#3 45mg remeron bed
> 25mg des am.
>
> combo#4 15mg remeron bed
> 50mg 5htp am
> 25mg des bed/25 am
>
> geno


Wow, this is like a pharmaco game show! I would vote for ...number two! Just double up on the TCA (desipramine)-at 25mg/day you may not be in the therapeutic range for it (TCA's don't have the "flatter" dose-response curve like newer meds do). Go with #2, doubling your present med then get a blood draw after a couple of weeks and see if you are "in the range"-you might feel a lot different.

Mitch


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