Posted by bleauberry on April 23, 2011, at 19:01:01
In reply to Remeron and Lexapro combo not working, posted by Jerseygal on April 23, 2011, at 16:55:15
If it were me I would try for 15mg because it has less stimulation at that dose. Or briefly try going to 45mg just to see what happens. If things get worse, then you'll know it has to go the other direction. But it might get better instead. Know way to know.
I don't have a whole lot of faith in remeron other than as a sleeping medicine at super low doses where it works great for that. Sometimes though it does work good for some people.
The TCAs I think have more potential to do what you need. I was thinking of things like Nortriptyline or Amitriptyline. Combined with lexapro. This would be to replace remeron or possibly go with it in a 3 way cocktail.
In the meantime I think it is helpful to address the symptoms in the short run, so as to halt any progression of further stressing on the mind and body. And work on longer term strategies to replace the short term ones. Short term would include something that acts fast on your symptoms to be used on an as needed basis. I guess I'm probably thinking of Xanax or Ativan or Klonopin. Probably xanax since the others have more of a reputation of worsening depression.
I guess an antipsychotic is an option too. Either for as needed relief of longer term. Zyprexa first choice, as low as 2.5mg or cut it in half for 1.25mg. Maybe higher if you like.
Just some things to consider.
poster:bleauberry
thread:983603
URL: http://www.dr-bob.org/babble/20110418/msgs/983605.html