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Re: Remeron - what is the maximum safe dose? » polly

Posted by JahL on August 21, 2001, at 21:22:18

In reply to Remeron - what is the maximum safe dose?, posted by polly on August 21, 2001, at 20:55:07

> Pdoc wants to raise remeron dose up to 90mg before
> moving on to another med or augmenting.
>
> Is this an acceptable dosage?

From Dr Bob's psychopharmacology tips:

"Subject: Mirtazapine effects and dosage

So far I've had good luck with mirtazapine (Remeron) in 3 cases of previously treatment-resistant (failures on multiple medication classes, plus ECT) depression.

The Organon recommendation is 45 mg max -- I have one patient who is a partial responder on 60 mg/day.

------------------------------------------------------------------------

Subject: Mirtazapine effects and dosage

I've had 6 or so patients who were non-responders to several prior antidepressant classes (and in 2 cases to ECT) who've remitted on Remeron (mirtazapine). After talking to the drug manufacturer and getting reprints from them on European research, I'm more comfortable pushing the dose up (in 1 case to 90 mg) where tolerated."

J.



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poster:JahL thread:75823
URL: http://www.dr-bob.org/babble/20010814/msgs/75826.html