Posted by Phoenix1 on January 4, 2008, at 8:51:03
In reply to Re: I Wonder Why Remeron Isn't More Popular?, posted by James_Glasgow_UK on January 4, 2008, at 8:24:39
> it made me sleep from 10pm to 3pm the next day and also made me very hungry when I was actually awake. So I gave in and went back on an SSRI.
>
> JamesWhat was your starting dose, and what was the highest dose you took?
I really believe a lot of the people who found that Remeron caused somnolence were either started on too low a dose or never raised to a high enough dose. (James, I'm not assuming this is the case with you) I know the manufacturer recommends starting at 15mg/day, but I think this sets people up for failure because of the drowsiness. It's hard for most people to understand that for Remeron, higher dose = less drowsiness. For most people it should be STARTED at 30mg/day. Any lower and you aren't getting the norepinephrine boost to counter the H1 blocking action that causes somnolence.
And the manufacturers recommended max dose of 45 is ignored by many pdocs. I was on 60mg for a while, and I know of patients who were taking 90mg. Somnolence is really not an issue at these doses. The appetite thing seems to be brutal at all doses though.
Phoenix1
poster:Phoenix1
thread:803861
URL: http://www.dr-bob.org/babble/20071225/msgs/804139.html