Posted by Toby on September 30, 1998, at 11:09:31
In reply to Re: A little better?, posted by DL on September 29, 1998, at 20:07:40
if the grogginess continues, I would recommend you call your doctor and see about going on up to 30 mg. That is an effective dose for depression in many patients, whereas 15 mg is sometimes effective, but usually only when it is added to another antidepressant to aument it. Remeron is designed specifically to help anxious depression, panic, insomnia. Once the dose is increased, the side effects generally stop (the sedation and carb cravings) and no new ones start. Buspar can be used with Remeron and I do use that combination but you should probably hold off on trying that combo until after the EMDR in case you don't need anything extra after that. With Remeron, improvement generally begins within 2 weeks (faster than with other antidepressants) and certainly begins to kick in at 30 mg within a week or so.
The anxiety may be due to the decrease in Klonopin, but because you only take it at night, I would think that would not be the primary cause. It may the a combination of decreasing the Klonopin, the incredible stress you are under with the mediation etc, and the anticipation of possibly starting to work on the past in a dramatic way with the EMDR. It's probably not an effect of the Remeron since that's not a side effect and generally acts to relieve anxiety (won't kill situational anxiety because that is a "life-preserving" emotion).
poster:Toby
thread:511
URL: http://www.dr-bob.org/babble/19980901/msgs/752.html