Posted by Ritch on May 11, 2002, at 9:05:21
In reply to Re: Need help, very down. Anyone try 45 mg Remeron? » Ritch, posted by BarbaraCat on May 11, 2002, at 0:29:51
> Thanks Mitch,
> No dreams when I wake. Come to think of it, I haven't been dreaming at all lately which is unusual. I've been taking more Klonopin due to increased anxiety but it seems to have the opposite effect of making feel mellow for only an hour or so and then wired. So I will cut down and monitor, but I wish there was something that would help with the anxiety and worry ruminations and general feeling of unease. I did force myself to work out some this afternoon and it helped alot, but it was definitely forcing since I'm feeling rather scattered and off balance.
>
> I think I understand your Neurontin suggestion, but perhaps you could go into more detail? Also, why the Celexa and Paxil? Isn't that just more of the same as Remeron, i.e., serotonin/NE with maybe a different pathway? Anyhow, I do appreciate your taking the time. - Barbara
>
Hi Barb,Oh the Neurontin. It is good for social and generalized anxiety, panicky feelings, that sort of thing. Not as good as benzos are, however, but I don't get depressed from taking Neurontin like I do with benzos. It's also good to help smooth out your sleep. I have increased it from 100mg 3x to 4x daily (two caps at bedtime) lately and it has helped. I definitely have a "limit" on benzo dosages where they stop making me agitated and I become sad and apathetic. With Klonopin it is about 1.0-1.5mg/day-above that and depression seems to deepen. You mentioned feeling beter for a few hours after your dose and then quickly worse again. The parent drug with Klon is more active than the metabolites from what I understand. You might try breaking up your total dosage and take it 4x daily (ie.).
No dreams? Wow, it definitely sounds like early-morning awakenings associated with a depressive spell. However, you are mentioning primarily anxiety and GAD-ruminative worry stuff. I have had stress events trigger the same reaction, and it can "cascade" into a depression. That is where I think a little of a sedative SSRi might help. That way, you don't have to change your Remeron/lithium/Klon (at least for now anyways). I tried adding Zoloft to Remeron once and it made me too wired, Celexa or Paxil would be better IMO. I don't get much sleep disruption on Celexa.
hope you get to feeling better,
keep us updated on how you are doing, OK,Mitch
poster:Ritch
thread:105920
URL: http://www.dr-bob.org/babble/20020510/msgs/105973.html