Posted by joslynn on January 22, 2007, at 12:55:29
I was taking Lexapro 10 mg in a.m. and 15 mg Remeron at night. But it was getting hard to wake up unless I got nine hours of sleep, which seems excessive. So I decided to cut Remeron to 7.5. (I have been without any Remeron at all at times, so it seemed safe to cut down on my own, though I know pdoc will give me the Stern Slightly Annoyed Look when I reveal this. But it is also annoying to need nine to ten hours of sleep!)
Anyway, on the 7.5 mg, I still feel very tired in the morning if I get only 8 hours of sleep. Then I read on this board that 7.5 can be even MORE sedating.
I do not feel a marked change of mood since going down to 7.5...maybe a teeny bit less happy? But I am under some stress, nothing bad, just busyness. I do not feel depressed though, considering that it's so dark and cold here now! Hello January. Bleah.
My question is...at the 7.5, am I even getting any of those receptor blocking actions that could offset side effects that could come with the SSRIs? (I may be miswording this.) Or, is 7.5 just a sleep aid, and it does not affect the things that could cause depression, nor offset SSRI side effects?
I am wondering next steps, because I am getting married soon, which is wonderful, but I don't want to have any sexual SE from SSRIs, since I will be married, and I want to be in the best mood possible. Remeron could help with both those things, but is 7.5 enough?
On the other hand, since we may try to get pregnant in a year or two, it seems unwise to go back to 15 mg of something when 7.5 seems to work ok. The fact is, if we do decide to try have a child, I will want to get off BOTH meds for the pregnancy.
But, for the short term happiness of my marriage and myself, should I go back up to 15 mg? Does 7.5 Remeron even work as an antidep or is it strictly a sleep aid at that point?
Could the 7.5 still offset any sexual SE I may have from the lexapro (assuming I have SE in this department, maybe I should just think positive).
It's hard to weigh the different pieces of one's life and how to make med decisions. And pdoc's don't always consider all the nuances of things.
Thanks.
poster:joslynn
thread:725220
URL: http://www.dr-bob.org/babble/20070119/msgs/725220.html