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Re: My visit to the doctor - he recommended remeron? » Jaynee

Posted by zeugma on January 29, 2003, at 19:30:11

In reply to My visit to the doctor - he recommended remeron?, posted by Jaynee on January 29, 2003, at 15:34:32

> Well I got more celexa, and thank god, ativan. But it is going to take me around 3 to 6 months to see a pdoc. I am in Canada. The only way to see one sooner is to slash my wrists, but I don't feel like doing that, so I will wait. I guess the good news is I don't want to hurt myself, well at least not today.
>
> The weird thing is, my doctor thought I should try Remeron. I told him I don't feel like waking up one morning to find myself weighing more than my fridge. I don't know why he thought Remeron was my answer. I am not all that anxious right now, just overwhelmed by most things and I can't seem to get my shit together. I am only working part-time, and it takes everything I have to get up and go. Why remeron?
>
> Anyways, second day on Celexa, 5mg and I feel like I am kind of dopey stoned, which I kind of like. But I still have this feeling that I just can't get high enough, the same feeling I get when I drink. I didn't get this feeling the first few weeks the first time I took celexa, but then again I was in a state of constant panic first time around trying Celexa. I think I will go for 10mg tomorrow. The self abusive thoughts seem to be slowing down, but they are just below the surface, waiting to jump out, f*&#in weird.
>
> Thanks again everyone for you support, it is so nice to be able to talk to others about this, without feeling like some sort of alien creature, or some kind of human defect.

I guess if I had to take any other AD other than a TCA, I'd choose Remeron. Why? Because left to my own devices I can't sleep (chronic insomnia) or eat (virtually anorexic for several reasons, unfortunately). So it's just common sense that I'd recommend this drug for myself. Beyond that, though, I'm thinking of its properties and trying to think of the effects they have (besides obvious ones like weight gain, sedation). I've been finding Buspar extremely useful so far for motivation, for getting myself to do simple but essential things like getting out of bed when the alarm rings. Remeron has some similarities to Buspar in its pharmacological profile. It's an alpha-2 adrenergic antagonist, like Buspar, and it seems that drugs that have this action are pretty good at boosting the sex drive (I think part of depression itself is lack of sex drive, so this is definitely therapeutic in itself in my opinion). Also according to an abstract in the J. of Clinical Psychiatry, it's an 5-HT1A receptor agonist, just like Buspar, and probably another source of helpful effects. So common sense would dictate to me that I try Remeron at some time in the future if I'm in the market for another AD. It's common sense, plus picking properties from drugs that have worked well for me and extrapolating. Those are only reasons for ME to take this drug though. I wonder what thought process led tour doc to to suggest it for you? Are there any drugs you've found helpful in the past?


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poster:zeugma thread:137993
URL: http://www.dr-bob.org/babble/20030125/msgs/138223.html