Posted by Maximus on August 4, 2002, at 12:02:02
In reply to Re: Increased OCD symptoms--sign of lifting deprss'n?, posted by Shawn. T. on August 4, 2002, at 2:40:49
The action of Remeron on 5HT2 receptors is simply and purely not enough strong/adequate for OCD symptoms. This is a well known fact. The essential and primary target for treating OCD symptoms is 5HT1A receptors, and Luvox is the best agent as SSRI. Period. Beside that, the vast majority of people gain weight on Remeron. So if you are already overweight it is not such a big deal.
In OCD symptoms, an augmentation of NE is "probably" irrelevant. However even a slight augmentation of DA can trigger OCD symptoms. It is very well established. The cause? I personaly do not know...
But here, don't get me wrong guys. I also find Remeron a great AD with awesome anxiolitic properties. Its heavy sedation property is also great for sleep disturbance in agitated depression. Moreover its other actions on NE are very helpful for the vegetative fonctions of the brain.
Does an AD as add-on can help overcome the side effects of Remeron? Yes for some. But not for the vast majority of people.
And don't forget:
1- Remeron is not an anti-psychotic agent.
2- Remeron can also easily triggers a manic phase
3- Remeron is an "antidepressant".Hope that helps and have a good day!
poster:Maximus
thread:115082
URL: http://www.dr-bob.org/babble/20020731/msgs/115164.html