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Re: Remeron 30mg comments welcome

Posted by polarbear206 on August 6, 2007, at 12:00:50

In reply to Remeron 30mg comments welcome, posted by ClearSkies on August 6, 2007, at 11:20:12

> Redirected from the wrong board!! Darn.
>
> > My depression has improved greatly since starting Remeron, and the daytime sleepiness is getting less. I has some optimism that this medication might be a good one for a while for me. Is 30mg considered a standard dose, or do most people go up to 45mg (it seems I've done best at slightly lower dosages on medications)?
> >
> > I've gained about 6 lbs of weight but have become really out of shape because of being so very lethargic. It seemed to take no time at all to lose the slight muscle tone I had gained, and it was unthinkable that I try to take on any exercise, seeing as I had a hard time just staying awake between morning and night.
> >
> > If there is one thing having a single day of good mood has taught me, though, it's to take things slowly. I'm going to see how thing progress this week; take a walk in the evenings if my body allows, and then if I can maintain some alertness and stay conscious during daylight hours, I'll undertake some more rigorous exercise to get firmed up.
> >
> > As I mentioned in a post on Social, the combination of sleepiness on this med and the effects of anxiety have made the past several months doubly hard. I'd love to just drink some high-octane coffee and get on with it (whatever it is), but I'm jittery enough as it is. Finding the balance between wakefulness, having some energy to get some very basic tasks accomplished, and the heart-thumping discomfort of anxiety is nasty. For this reason, I think that stimulants aren't a good idea for me. I had a short trial on Provigil a few years ago and found it really unsuitable.
> >
> > Comments, suggestions, etc. are appreciated. Below are listed all daily medications.
> >
> > Remeron 30mg
> > Xanax .5mg, split into two doses
> >
> > Also,
> > Zonegran 150mg (migraine prevention)
> > hormone treatment for perimenopause - estrogen and progesterone replacements
> >
> > Dx is "mild" bipolar II, which is in the process of being reevaluated (characterized as mostly major depression), GAD, and the occasional, well-placed panic attack.
> >
> > ClearSkies
>
>


Hey ClearSkies,

If you have a soft bipolar II diagnosis, have you tried any mood stabilizers in the past? I take Lamictal, been on it for a very long time with excellent results. It keeps anxiety/fatigue at bay that I would have on antidepresant monotherapy. How long have you been taking the Remeron? Hopefully, the fatigue will fade the longer you are on it. I know that higher doses of rememron 45mg and above, the more activating it is and weight gain is less compared to lower doses. What's really important is that you are sleeping well on it. It has a good track record for great and restful sleep. It's really important to get out and get moving with exercise to help with the weight gain, fatigue and anxiety you are having. Remeron is also low with sexual side effects, which is a PLUS compared to the other antidepressants. I also have SAD, so I will probably have to increase my Effexor soon to 300mg. Was able to lower dose this summer. I am considering adding Remeron instead of another 150mg of Effexor. The reason is that I can't stand the sexual side effects at higher doses. Keep us posted with updates on how you are doing.

Polarbear

Effexor 150mg
Wellbutrin150mg
Lamictal 200mg
Omega 3 fatty acids 6 caps daily


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poster:polarbear206 thread:774286
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