Posted by chemist on May 6, 2004, at 16:28:05
In reply to Re: thanks, Panda.... » chemist, posted by Sad Panda on May 6, 2004, at 15:13:20
> > > > Panda, thanks for stepping in....you have your act together with these meds....i assume you concur that 16 mg/day of klonopin is a bit high, yes? for my own edification, why the zyprexa over the remeron? and what do you think about the effexor, especially at such a high dose? all the best, and thanks! chemist
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> > > Hi Chemist,
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> > > Please don't over estimate my knowledge. :) I primarily know the most about AD's, because they are the drugs I am taking, so I reasearch them. I know a little about AP's because pychosis interests me & I am interestested in it's treatment. I know very little about AED's & Lithium other than what I have read here.
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> > > Here is my thinking: I suggest dropping Remeron as a test firstly because it's the easiest thing to do, altering the levels of the other three drugs is much more difficult. I suggest keeping Zyprexa because he said it treats his OCD just fine. The thing that Zyprexa & Remeron have in common is they are both H1 & 5-HT2A blockers & I think, but I'm not sure that taking both would be additive & be the cause of his excess sedation. Yes, I would say 16mg of clonazepam would be extreme. After waiting a couple of weeks to see if the removal of Remeron had the desired effect & no unforseen effects, I would then try an increase in Effexor while monitoring blood pressure, as Effexor can provide anxiety relief & may actually allow a lowering of the clonzaepam dosage.
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> > > Cheers,
> > > Panda.
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> > thanks, Panda, for your rationale...i had assumed that the effexor would be problematic - it gets bashed quite heavily around here - but then again, there weren't any complaints from the poster, so i clearly overlooked a satisfied customer...fyi, i took remeron a few years back, and very briefly, as i found it to be sedating and increased my depression as a result...it seems to be a pretty common add-on, from what i'm reading on this board...after the back-and-forth over remeron, serotonin, etc. (which cleared up my misconceptions and, really, i don't want to get into shouting matches), do you think in the end that as monotherapy remeron is worth a darn as an antidepressant? all the best, and thanks for answering! chemist
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> Hi Chemist,
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> Remeron has been a great add-on for my Effexor, but as monotherapy I think it would rate about as usefull as Trazodone, Wellbutrin & Serzone, that is, it would be useless to most people, but a God send for the few people it does work for.
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> Hi dose Effexor I would use with caution as it is more pro-seizure than even the worst TCA Dothiepin, my personal experience with it was great until I got to 300mg, then it caused me to have bad cognitive problems. I still rate it as good, just wish I could have taken more of it.
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> Cheers,
> Panda.
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thanks much, Panda....as an aside, have you been following the thread on effexor and ecstacy? have a look, this gal is about to start celexa after a long history of ecstacy use....i think your input would be of great value....all the best, chemist
poster:chemist
thread:343851
URL: http://www.dr-bob.org/babble/20040505/msgs/344059.html