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Re: California Rocket Fuel +

Posted by SLS on October 10, 2003, at 17:07:08

In reply to Re: California Rocket Fuel + » SLS, posted by DSCH on October 5, 2003, at 18:44:50

> > This is kind of weird. Two weeks ago, I added Remeron 30mg to my regime of imipramine + Effexor. I have felt absolutely no sedation, no increase in appetite, and I haven't gained a pound. If anything, I have lost weight. I'm hoping that this is a good sign.
> >
> > Current regime: "California Rocket Fuel +"
> >
> > imipramine (Tofranil™) 200mg
> > venlafaxine (Effexor™) 300mg
> > mirtazapine (Remeron™) 30mg
> > lamotrigine (Lamictal™) 200mg
> > aripiprazole (Abilify™) 10mg
> >
> >
> > - Scott
>
> *eyes pop* *hair blown back*
>
> Wow, Scott! How did this scheme come about? Care to tell the tale of how it evolved?

Sorry to disappear on you. My hard-drive crashed and, well, you know the rest...

Effexor + Remeron is a combination considered to be safe and potent. Stephen Stahl, MD is an advocate of its use and has referred to it as California Rocket Fuel or something like that. The only things that give me relief are combinations of:

MAOI + tricyclic
Lamictal + tricyclic
Effexor + tricyclic

So far, nothing. I have been taking Remeron 30mg for about three weeks. It's a low dose I know, but I wish I felt something encouraging. If this doesn't work, I would like try duloxetine (Cymbalta).

As paradoxical as it sounds, the only way that I experience a true antidepressant effect is upon discontinuing a TCA abruptly, especially while taking Nardil. The improvement can last as long as a week or two.


> Oh, thanks for maintaining the meds chart, I check it out several times each week.

No sweat.

Take care.


- Scott

 

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