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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by crazychickuk on July 16, 2003, at 10:25:19
Hi just another post about remeron but i want to know what the differences are between this med and others.. i r ead that this med is the only kind that dont cause seritonin syndrome, sexual dysfuncion and weightloss.. BUT apparently it can make some people get phsycosis ???? any input?
Posted by PhilChemicalEngineer on July 16, 2003, at 11:02:52
In reply to HOW IS REMERON DIFFERENT TO OTHERS, posted by crazychickuk on July 16, 2003, at 10:25:19
ccuk, been on remeron for a few months now. no delusionals (neverhad them), upsetting, depressing or anxiety. it took weeks on my doc's slowly increasing dosage to get the point where the grogginess lifted. I got a little desperate six weeks ago when I was still groggy all the time and had to write a paper for my course in perception. I delayed and then struggled. Didn't think I would do well but I earned the top grade. Despite the groggy feelings, my thinking was OK. grogginess lifted as I got to 45 mg/day.
now at 60 mg/day which is apparently where I will stay. Also ramped up on neurontin even more slowly (helped me sleep and ask for more if you're interested). now also on effexor at 75 mg/day. all seems to be well, and I am pretty sure that the addition of the effexor pulled me out of depression (not something I have ever had much of and nothing intense for nine years--probably cocaine related back then). good luck, phil
Posted by crazychickuk on July 16, 2003, at 11:06:35
In reply to crazychickuk, posted by PhilChemicalEngineer on July 16, 2003, at 11:02:52
how come the grogginess goes as u go up? i am starting on 15mg ?? have to stay on that for 3 weeks till i go bk to doctors? cant handle grogginess for 3 weeks man !!!! and the doctor wouldnt give me anything esle because i dont get on with ssri's, trylics or snri's such as effexor ..
Posted by MB on July 16, 2003, at 12:57:11
In reply to Re: how is remeron different to others, posted by crazychickuk on July 16, 2003, at 11:06:39
> how come the grogginess goes as u go up? i am starting on 15mg ?? have to stay on that for 3 weeks till i go bk to doctors? cant handle grogginess for 3 weeks man !!!! and the doctor wouldnt give me anything esle because i dont get on with ssri's, trylics or snri's such as effexor ..
At lower doses, the drug increases serotonin activity, but since it is an antihistamine, it makes you tired. At higher doses, it increases norepinephrine activity. More norepinephrine activity helps wake you up and counteract the antihistamine sedation.
MB
Posted by linkadge on July 16, 2003, at 15:39:38
In reply to As dose increases, norepinephrine levels go up! » crazychickuk, posted by MB on July 16, 2003, at 12:57:11
The grogginess will lift, slow but shurly.
Take it as early in the night as possible.
Say at 8:00 in the PM and then just kick back and relax.
You could try a large cup of coffee in the morning untill the sedation lifts. The brain does
adjust to the change in histamine levels, just as antihistamines work for allergies only for so long.Good Luck
Linkadge
Posted by crazychickuk on July 16, 2003, at 19:06:28
In reply to As dose increases, norepinephrine levels go up! » crazychickuk, posted by MB on July 16, 2003, at 12:57:11
do u think 3 weeks is a long time to stay @ 15mg? my prescription is for 30mg but doc told me to take 15mg for 3 weeks then go bk to see him and we will descuss... will the antihestamine mean it wil get rid of my head fog and stop me from having colds?
Posted by MB on July 16, 2003, at 23:44:59
In reply to Re: As dose increases, norepinephrine levels go up!, posted by crazychickuk on July 16, 2003, at 19:06:28
> do u think 3 weeks is a long time to stay @ 15mg? my prescription is for 30mg but doc told me to take 15mg for 3 weeks then go bk to see him and we will descuss... will the antihestamine mean it wil get rid of my head fog and stop me from having colds?
I don't know if it will get rid of your "head fog." It might make you foggy at first until you get to the higher doses. I've heard that at 45mg, it becomes less sedating. It won't *stop* you from having colds, but if you get a cold, your nose will be less runny. Also, your allergy symptoms (hay fever, etc, if you have them) will be better.
MB
This is the end of the thread.
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