Posted by sowhysosad on April 18, 2009, at 16:46:53
In reply to New Med Regime, posted by Zana on April 18, 2009, at 10:20:05
> 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.
It's weird isn't it? Some would have you believe that Pristiq (which is just Effexor's active metabolite) is merely a patent-extender with identical effects to Effexor, but many people's experience says otherwise.
Same deal with Celexa and Lexapro/Cipralex (Lex just being a "purer" version of Celexa with the inactive bit removed). The UK health service discouraged docs from prescribing Cipralex because they claimed no convincing advantage over Celexa in the research.
Celexa costs the government way less to subsidise because it's available as generic citalopram whereas Cipralex is under patent, so no wonder they'd say that! But when a penny-pinching GP switched my wife from Cipralex to generic Citalopram she relapsed within a few days, so clearly there's a difference!
> 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.
I think that's a bit of marketing bull from the drug company to mitigate criticism of its ridiculous level of sedation. They originally claimed that the norepinephrine boost at higher doses made you less sedated. I didn't find that, and neither have friends who've taken it.
poster:sowhysosad
thread:891387
URL: http://www.dr-bob.org/babble/20090416/msgs/891440.html