Posted by colin wallace on April 23, 2002, at 11:11:10
In reply to Question for Colin, posted by johnj on April 4, 2002, at 10:41:46
Hi John,
it's strange, but those two particular meds. (amitriptyline-nortriptyline's metabolite- and remeron caused exactly the same effects in me as you describe, post aerobic exercise.For me personally, any percieved benefits of these meds was wholly negated by the completely poleaxed feeling I'd get following running or cycling.It was pretty awful, prevented me from functioning at all, and lasted ages.
As for the reasons behind it, ican only guess that it must have something to do with the sedating nature of both these AD's- I never experienced post exercise probs with, say lofepramine/imipramine.
If you plan to discontinue Remeron, then I would just try an immediate switch to be honest.Your dose is low, and you don't seem to have been on it for too long.Generally, Remeron is not known to cause many discontinuation probs- I got none whatsoever, and I'd been up to 90mg at one point.
You could though try splitting a 15 mg pill for a few weeks at night, taking 7.5mg, whilst introducing Sam-e first thing in the morning.It should quickly improve your energy-levels/alertness, at the very least.You may not then need to ditch the low-dose Remeron if it helps you sleep.
I guarantee you'll have no problems running etc on Sam-e.Whether it will work for your depression of course, is another matter.Fingers crossed.It works fantastically for me, and my depression was severe.Col.
poster:colin wallace
thread:101455
URL: http://www.dr-bob.org/babble/20020416/msgs/103895.html