Posted by bleauberry on December 3, 2007, at 18:42:22
In reply to This is probably old news here. Remeron is hell, posted by star008 on December 3, 2007, at 8:46:16
It is a known strategy for some doctors to start patients out immediately at 45mg remeron with no titration at all. This is to avoid the heavy sedation. The noradrenergic effect is stronger at that dose and overcomes the antihistimine effect.
At various sites where people rate their medications there are indeed people who found remeron to be a miracle when just about everything else was not tolerable or didn't work. I believe all of those people were at doses of 60mg to 90mg.
I know what you mean though. I was heavily sedated at 7.5mg, and at 15mg, almost like I smoked some 24 hour lethargic heavy duty cannabis. I was so stunned by it I just did not have it within in me to try a higher dose, even though I knew that probably would have been the right thing to do. I have heard a few comments that even at higher doses people were still sedated. So it's hard to tell without actually trying. Maybe what you could do is wait for your time off from work, the weekend, or whatever, when you have at least a day or maybe two, and then just go for it. Do 45mg or 60mg.
poster:bleauberry
thread:798428
URL: http://www.dr-bob.org/babble/20071125/msgs/798564.html