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Re: Remeron? » CareBear04

Posted by King Vultan on January 13, 2005, at 17:09:22

In reply to Re: Remeron? » Joslynn, posted by CareBear04 on January 13, 2005, at 16:05:06

> thanks, josslyn. my dr suggested remeron also because of increased appetite at a low dose, but before, we didn't want the drowsiness of the low dose. i'm sort of afraid of remeron for some reason. maybe i haven't heard very good things about it? the other suggestions were trying depakote again or going back on low-dose zyprexa, which at 2.5mg knocked me out not just for the night but for the next day and made me hungry enough to gain 3 pounds a week. i rejected remeron, depakote, and zyprexa yesterday because i sort of prefer this agitated energy over the deadness of before.
>
> do you or anyone have experience with tricyclics? i've heard they are really effective, much like remeron in side effects but maybe more potent for mood? was remeron a good AD for you or just a good sleep and anxiety med?
>
> thanks!


Seroquel might be a better choice among the atypical APs because (I think) it has a much shorter half life than does Zyprexa. The drowsiness and hunger would not tend to linger into the next day nearly as much. You could also try the tricyclics Surmontil/trimipramine or doxepin, both of which have extremely powerful histamine blockades, but again, you might have some hangover/appetite effects from these. Halcion/triazolam is cheaper and more powerful than Ambien and has a much faster onset of action than does Restoril. Like Ambien, waking up too soon can sometimes be a problem, though. I alternate between 0.25 mg triazolam one night and 5 mg Ambien + 25 mg Benadryl the next. From your description, though, it sounds like you might benefit more from an atypical AP.

Todd


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poster:King Vultan thread:441686
URL: http://www.dr-bob.org/babble/20050113/msgs/441737.html