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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by PrettyLady on February 7, 2013, at 17:25:16
Hi,
Been on Remeron (Mirtazapine) 7.5mg with a bit of luck for the past couple weeks, but still very depressed and anxious. When I try to raise it I eat everything in sight all day long and sleep 12+ hours. Plus I get irritable leg syndrome at night. Not cool.
My miracle med in the past was zoloft, but lost its effectiveness a few years back but going to try it again tonight. I'm thinking 7.5 mg Remeron to sleep plus the Zoloft and maybe I'll feel normal again. Anyone taken remeron and zoloft at the same time?
What was your experience? Did it work? Side effects? Good effects?Much love, thanks!
Posted by gadchik on February 7, 2013, at 18:43:17
In reply to Remeron (Mirtazapine) and Zoloft?, posted by PrettyLady on February 7, 2013, at 17:25:16
Hi, I had great luck with 25mg of zoloft and 7.5mg remeron, also added .5mg klonopin. I took all in one dose at night for 2 1/2 yrs. Emotionally, I did really well on this combo. However, I did gain 30lbs,and my cholestrol inscreased.But Ive never slept better! When I tried to raise the remeron,I had a paradoxil reaction,and restless legs at night,so I stayed low. I tapered the zoloft,remeron to lose weight.I did lose it,and have found just the .5mg klonopin works. Ive been diagnosed with gad,panic, and mdd. Good luck!
Posted by jono_in_adelaide on February 7, 2013, at 19:27:43
In reply to Remeron (Mirtazapine) and Zoloft?, posted by PrettyLady on February 7, 2013, at 17:25:16
If remeron is too sedating and causes too much increase in apatite, a reasonable alternative would be zoloft in the morning and nortriptyline 75mg at night.
After a few weeks on the nortriptyline, it would be a good idea to get a blood test and ensure that your blood levels are in the theraputic range
Posted by PrettyLady on February 8, 2013, at 0:47:48
In reply to Re: Remeron (Mirtazapine) and Zoloft?, posted by jono_in_adelaide on February 7, 2013, at 19:27:43
gadchik - did you mean pmdd?
jono_in_adelaide - I'm interested in the tricyclics because of this new sensitivity I have to SSRIs. Have you taken Nortryptaline? What was that like, did it work?Thanks.
Posted by jono_in_adelaide on February 8, 2013, at 2:57:17
In reply to Re: Remeron (Mirtazapine) and Zoloft?, posted by PrettyLady on February 8, 2013, at 0:47:48
Yes I have, and yes it did.
A little drowsiness for the first few days (I started on 75mg at night though, starting at 25mg and building upto 75mg over 7 days should reduce drowsiness)
it helped depression and anxiety and was easy to tolorate
Posted by gadchik on February 8, 2013, at 6:04:33
In reply to Re: Remeron (Mirtazapine) and Zoloft?, posted by PrettyLady on February 8, 2013, at 0:47:48
major depression, I do hav issues around menses, but not to that extreme, just more anxiety,and trouble sleeping.
Posted by Phillipa on February 8, 2013, at 9:33:57
In reply to Re: Remeron (Mirtazapine) and Zoloft? » PrettyLady, posted by gadchik on February 8, 2013, at 6:04:33
Gadchik do you up the klonopin then? P
Posted by gadchik on February 8, 2013, at 9:43:30
In reply to Re: Remeron (Mirtazapine) and Zoloft? » gadchik, posted by Phillipa on February 8, 2013, at 9:33:57
P, Im pretty strict with my k. I do sometimes go to .75mg around then. But alot of the times, if i up it one day, then the next day i take less. i will sometimes lower my k, and add a crumb of remeron, that knocks me out if I only do it occasionally:)
Posted by PrettyLady on February 8, 2013, at 14:48:57
In reply to Re: Remeron (Mirtazapine) and Zoloft? » Phillipa, posted by gadchik on February 8, 2013, at 9:43:30
Well I took Zoloft first day today, 25 mg., and I can already say that I feel a lift. Celexa and Prozac both gave me panic first day, but no panic so far with the Zoloft. Looks like Zoloft is the drug that agrees with my system. I must say that these drugs are quite powerful. I am med sensitive and I feel better already. But I am going to be extremely cautious and stay on a low dose.
Still have a crazy appetite, I am going to try to go down on the Remeron as much as possible. I'm just too hungry. I will try as jono did, to take a crumb, just enough to sleep.
thanks
Posted by gadchik on February 8, 2013, at 15:36:19
In reply to Re: Remeron (Mirtazapine) and Zoloft?, posted by PrettyLady on February 8, 2013, at 14:48:57
I'd say youre on the right track. I did taper remeron first,before zoloft,but I would use it sparingly to help with a deep sleep,and still do. 25mg zoloft worked fine for me,and I felt better quickly too, after starting it.But I was also on klonopin. I hope you can keep the dose low as well.:)
This is the end of the thread.
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