Posted by ItsHowdyDudyTime on November 27, 2002, at 20:07:40
In reply to Maximum Remeron dosage??, posted by TomV on November 26, 2002, at 21:12:44
> I have read everywhere that the maximum Remeron dosage is 45 mg per day (and usually an hour or two before bedtime). Is this known to be true? Has anyone taken more than 45mg? I'm taking 37.5 mg right now and about to go to 45mg. I've got a wierd feeling that I'll need to go over 45mg but that the literature and my Pdoc's opinion will be to stop there and try something else.
>
> Anyway, it seems strange that the starting dose for Remeron is often 30mgs per day, and the max is 45. Not much of a range if you ask me.
If you dont respond adequately to 45 mg you should be able to go to 60 mg on Remeron. However you might need to go to a more aggressive psychopharmacology type doctor to do this. Some psychiatrists would refuse to go to 60 mg, especially if they are in private practice. But if you push it, you can get it done.You should keep in mind that when you go above the legal PDR dose of 45 mg you are going into a slight "danger" zone but the dangers are in most cases totally manageable if you are under the care of a good psychopharmacologist. You would definitely want to do liver profile tests if you go that high, as high dose Remeron can flare up liver enzymes sometimes. Also, watch the blood pressure on Remeron that high. some might find that high dose Remeron begins to cause mild elevations of BP.
Ive even read of doses of Remeron as high as 90 mg, but that was probably with people who were inpatient and constantly watched.
You can actually go higher than the PDR on all antidepressants. You just have to watch things like liver enzymes, blood pressure, in some cases you might begin to experience some EPS type symptoms with very high dose SSRIs due to dopamine depletion. Also, those with a history of seizures shouldnt normally do this practice of taking higher than PDR doses of antidepressants. You just have to watch things more closely and back off at any sign of problems
Howdy Doody
poster:ItsHowdyDudyTime
thread:129496
URL: http://www.dr-bob.org/babble/20021127/msgs/129647.html