Posted by med_empowered on March 15, 2005, at 10:28:04
In reply to Remeron poop out, posted by hffcookie on March 15, 2005, at 1:01:30
hey! Its been known to happen...a pill works well, then stops working...or you stop taking it, take it again, and nothing. I don't think it has anything to do with the meds being generic/brand..it seems to be the nature of the beast. Sometimes, I've gotten effects back by getting the dosage upped, but you also have to know when to stop with this approach and move on to other meds (if you go up too much, you're likely to get lots of side-effects and few real benefits). A "booster" can help, too...since you're doing "California Rocket Fuel," the only thing I can think of to add to the remeron+effexor mix would be wellbutrin...or a stimulant (most docs seem to RX low-dose Ritalin for depression, but I think dexedrine or Adderall work better). Provigil and Straterra supposedly help much in the same way as stimulants...if you have a choice, I'd opt for Provigil. If all else fails, you may want to replace 1 or both meds...Effexor could easily be replaced by a Tricyclic, since it is the most Tricyclic-esque of the "new" anti-depressants. Add a dopamine-booster, like higher-end wellbutrin or some kind of stimulant, and things could work nicely with that. Remeron would be harder to replace, since it is a "novel" med. I think the tetracyclic mianserin might be worth a try. Good luck!
poster:med_empowered
thread:471170
URL: http://www.dr-bob.org/babble/20050312/msgs/471265.html