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Re: remeron sleep » doxogenic boy

Posted by doxogenic boy on October 26, 2013, at 11:25:18

In reply to Re: remeron sleep » marcus1968, posted by doxogenic boy on October 24, 2013, at 12:05:14

>The side effects you decribe from Remeron may be smaller or disappear if you give it some time.

I am sorry that I gave you this answer, I should have read your message more closely. When you have been apathetic, lethargic and groggy all day due to Remeron side effects for 4 months, it is probably best to stop taking Remeron.

Melatonin for sleep, as Sheilac proposed, is worth trying.
http://www.dr-bob.org/babble/20131025/msgs/1053006.html

Long-term use of Klonopin, as you mentioned earlier of which you use 1,5 mg, can worsen your depression. When you have mild OCD and bad anxiety and depression ( http://www.dr-bob.org/babble/20130930/msgs/1052864.html )
and also has become apathetic because of the Lexapro and/or Remeron, it is difficult to find medicines that both doesn't make you apathetic, that works for OCD and that works for anxiety and depression. Maybe clomipramine and Seroquel could work. But any medication could cause some side effects.

Or you can try augmenting Lexapro with Seroquel, which could help for your anxiety and insomnia, and even your depression.

So here is a summary of what you may discuss with your doctor:
1) Stop taking Remeron, and taper off Klonopin very slowly (use more than two months for tapering) and start melatonin for sleep. Keep Lexapro and add Seroquel and possibly Atarax or Buspar for anxiety.
2) Stop taking Lexapro and start clomipramine + melatonin and/or Seroquel
(Clomipramine is on the list because of your OCD.)
There are also lots of other combinations that may work.

This is only my advice, it could be that your doctor has other opinions.

- doxogenic


Earlier TRD/anxiety
300 mg tianeptine, 6 X 50 mg successfully since Oct 2009
20 mcg liothyronine
40 mg escitalopram
100 mg trimipramine
50 mg agomelatine
600 mg quetiapine


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poster:doxogenic boy thread:1052927
URL: http://www.dr-bob.org/babble/20131025/msgs/1053093.html