Posted by medlib on January 24, 2003, at 21:06:50
In reply to Switching from Remeron to Effexor?, posted by BrittPark on January 19, 2003, at 19:03:02
Hi BrittPark--
Sorry to be so belated with this post--hope it's still relevant/seen. Remeron and Effexor are frequently prescribed together; the combo is called the "California Cocktail" by many, the "big guns" by my pdoc. He had good success combining them; supposedly they have a synergistic effect together. So there's no reason that they can't overlap; but, have you considered taking them together?
Here follows a couple of tidbits that occurred to me while composing the above; my apologies if they're old news to you.
A note re Remeron: this is the only psych med (that I know of) where "less is more". Low dose Remeron has a higher incidence of side effects, especially weight gain and sedation, than higher doses. Many pdocs begin with 30 mg. and increase to 45 mg. 2 weeks later. Unfortunately, adding Remeron to my Effexor did not prove helpful for me.
A note re Effexor: If, for some reason, you decide to stay on E., it may be wise to keep E. below 225mg./day as long as you're taking it w. imipramine.
poster:medlib
thread:136618
URL: http://www.dr-bob.org/babble/20030119/msgs/137399.html