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Re: Remeron Poop-out? » cole

Posted by SLS on January 4, 2001, at 21:30:03

In reply to Re: Remeron Poop-out? » SLS, posted by cole on January 4, 2001, at 11:35:47

> > A friendly suggestion: Once you find again a therapy that works, STICK with it. Your depression returned for one of two scenarios. Either you relapsed for not taking Remeron for long enough before discontinuing it, despite your not having a recurrent-type depression, or you have a recurrent-type depression and require continuous treatment indefinitely. It is far too common a story that someone arbitrarily discontinues an effective treatment, only to relapse and remain less responsive to the same medication.

> I recognize the role my discontinuation may have played in this current depression,

How were you to know? Not your fault.

> but it doesn't do much to realize that now.

Of course it does. I'm sure your future decisions will take this experience into consideration. Smart.

> I stopped the remeron for a month to try reboxetine, and found that the rebox didn't do it for me. At 60mg this summer my appetite was completely out of control, although I did only take it for 3 months and perhaps it would have lessened over time then too. I do realize that remeron could be my life saver, but it has stopped working and that is really frightening, since I am either non-responsive or get agitated with the other psych meds.

I think 75mg of Remeron would turn your appetite around.

> Is there anything that you know of that I can do now,

There's a ton of stuff. What I can't think of, dozens of other people on Psycho-Babble will. Two quickies...

The most obvious alternative is to raise your dosage of Remeron to 75mg. Aside from possibly recapturing your antidepressant response to it, you may find your appetite may be reduced. You can then try adding 300mg - 600mg of lithium for a week to ten days to see if that does the trick. If nothing happens by then, you can consider it a fair trial and discontinue it. Very often, lithium augmentation produces results within four days.

I don't know which medications you are unable to tolerate, but Effexor + Remeron is supposed to be a particularly potent combination. It would be helpful to list the drugs and drug combinations you have tried, and what were their effects - good and bad.

I wouldn't want to throw too many ideas at you, but suffice it to say there will be many, many that will be offered to you by people
here. Best to take things one step at a time and look for feedback as you progress logically and prudently through treatment trials.

> or have I basically painted myself into a corner?

I am sure that you haven't. However, you may not so quickly forgive yourself for making such a perfectly logical decision that just did not work out in your favor, that is, until you find something else that works. And you will. Then everything will be peachy-keen. :-) I can see myself wanting to try a different medication in the hopes that it will work as well but without the side effects that are an issue with me. Unfortunately, beggars can't be choosers. I still have a tough time accepting this perspective, but from a bird's eye view, I know this to be excruciatingly true for *me*.

> Thanks for taking the time to respond.

What's an hour and a half?

:-) :-)


- Scott

 

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