Posted by Zana on April 18, 2009, at 10:20:05
I have a new pdoc, as some of you may know already. She has put me on Pristiq which, oddly, seems to be helping my depression. Odd because Effexor didn't work and I've been through all the other ADs.
So, I am also on Remeron 45mgs and 300mgs of Seroquel. Two previous pdocs, the old one who dumped me and a consult, have recommended that I taper off the Remeron, suspecting that it is exacerbating my anxiety and increase the Seroquel.
My new pdoc doesn't like Seroquel and wants to start by tapering me off it at 25mgs a week.
I did get some modest anti-depressant effect from the Seroquel but also think it makes me shakey, wakes me early (i know it's supposed to be a knock-out drug.)I can't quite put my finger on it but I feel like I would at least like to try reducing the dose.
Here's the question: which would you start with?
Don't want to lose the sleep which Remeron is great for. But I understand it is even more sedating a lower doses. Is that what other people have found? What dose works for sleep for other people.
Seroquel is a big question mark. Don't know what it's doing good, bad or indifferent.
I'm inclined to start by lowering the Remeron but I don't want to lose sleep. I really need 8 hours and I can tell the Pristiq is interfering with my sleep and I also take Provigil. I have tried every benzo in the book for sleep with no luck. Remeron is the first med that has really knocked me out and kept me asleep.
So. Advice? Suggestions?
I am taking Remeron 45mg;Seroquel 300mgs;Pristiq 50mg;Provigil 150mgs;klonopin 3mgs.Thanks for your thoughts.
Zana
poster:Zana
thread:891387
URL: http://www.dr-bob.org/babble/20090416/msgs/891387.html