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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by grrovymotion on October 23, 2002, at 17:19:52
Ive been on remeron 14 months. I just had to reduce remeron 30mg to 15mg for sleep enhancement, remeron is suppoed to be extremely sedative at a low-dose.
Over the summer I picked up energy, a little more optimistic, before that it was a more tired state; Then in october, I had alot of panick attacks, some short periods of depression. Then I had three days where I felt heavy and a little lightheaded, a little foggy; then two days later agitation set in, I'd wake up alert in night, I became stimulated like the bad trials of sssri's in the past. Sleep disturbance, racing dreams, a few times before hitting sleep consciousness I heard a few short seconds of people chatter, woke up and felt find- none of it was personally directed to me, it would pass thru my head; then sensitivity to noise,felt wired, more irritable, stimulated. So I speeded to the emergency room doctor after a horrible panic attack, was prescribed neurotinin, which is helping, but I cant miss a dose. I know I have congnitive component of Gad, some obssesive-compulsive as well (obessissnal thinking and in past intrusive thoughts). Right now, Sometimes its a mixed state, sometimes its not, no mania though, more like stimulation and just pure agitation (which neurotinin has relieved, stopping me so far from going pyschotic. Problems shutting off my thoughts sometimes if I walk; but not on the internet, or computer. In the past, I remember (several years ago) when I was on paxil, I had agitation and 45 min of extreme depression, (I was on paxil just three days) and put on prozac: restless legs, had to walk or exercise, panic attacks, and tremors.
Currently, I think the 15 mg of remeron alone should put me out. Now on 300mg-400mg of neurotinin, and might increase it. Its sad because Remeron was alright for almost a year, slowly took away my chronic fatigue (which I now miss)
In the past (before remeron, which helped) : I had alot symptoms of atypical depression, where I didnt always feel the full affect of depresion but was damged from it. I was often pessimistic type, inhibited.
Is this remeron doing it to me? Is this bi-polar? My mother is. Is this schizo?
I hope its just extreme Gad, (which I know I have).
Posted by judy1 on October 24, 2002, at 0:48:45
In reply to Gad or bi-polar?, posted by grrovymotion on October 23, 2002, at 17:19:52
just some thoughts- the amount of remeron you are taking is helpful for sedation, not depression. you sound anxious and depressed, and honestly in later studies neurontin worked little better than a placebo for anxiety. have you ever been prescribed a benzo like xanax- it really helps with anxiety and may sedate you enough that you won't need the remeron. akathesia is very common with ssri's- so what you are describing really doesn't sound like bipolar to me. try not to worry about labels, but do try to get effective treatment for your anxiety disorder. take care, judy
Posted by ST on October 28, 2002, at 19:01:38
In reply to Re: Gad or bi-polar? » grrovymotion, posted by judy1 on October 24, 2002, at 0:48:45
Hi,
If your mom is BP, chances are, you could be too. It doesn't sound like you're schizophrenic...These do sound like mixed states, though which can be tricky to treat. There are so many, many ways bi-polar disorder manifests itself in different people. Has your doc ever suggested it?
I'm bi-polar and am on Depakote (mood stabilizer), Wellbutrin (antidepessant) and Serzone (antidepressant).
Good luck!
Sarah
Posted by grrovymotion on October 31, 2002, at 0:03:52
In reply to Re: Gad or bi-polar?, posted by ST on October 28, 2002, at 19:01:38
Just yesterday I swore I was on some weird six hour high, part of it definitely felt good. But I felt way too much energized. So I panicked by rushing home from the mall, I no longer trusted myself, a growing problem these days. I have always been an ocd person as well, obsessed with control, so this is double hard on me, and I dont know how to handle this. My obsessional thinking increased (I've always had obssessive thoughts) and I nearly got lost. Thank God Im feeling calmer today. But the strange thing with the neurotinin, the horrible agitation part had went. Still, I had speeded up a bit and at some point experienced this as a loss of control. I wonder if neurotinin could have contributed to the elevation though, in some weird way.
Posted by judy1 on October 31, 2002, at 10:44:32
In reply to Re: Gad or bi-polar?, posted by grrovymotion on October 31, 2002, at 0:03:52
I think GAD and OCD commonly present together (although others on this board are more qualified), but I'm always told not to worry about labels- those are for insurance purposes only. So getting your symptoms under control are paramount and it sounds like neurontin isn't helping, but perhaps making things worse. why not talk to your pdoc? take care, judy
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