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Posted by Elizabeth on March 2, 2000, at 16:14:44
In reply to Re: General Remeron Questions, posted by tam on March 1, 2000, at 22:47:48
> i was on serzone for awhile and slept much better then on remeron with no risidual hangover in the morning. I had wonderful dreams on it and no anxiety. unfortunately i had itchiness on my face which I didn't like at all. i had to stop. i am a person who has tried everything.
>
> only 2 things have been sucessful for me more than remeron
>
> 1) serzone - 100 mgs twice a day in morn and afternoon
>
> 2) doctor's choice St. John's wort sedative - 1 300 mgs at night put me out better than any prescription meds but too tired during day
>
> i say serzone was the best, wish i wasn't allergic to it.
>
> also don't forget relaxation therapy at night. close your eyes and listen to calming music and fill your mind with positive thoughts. i think about being able to figure skate fantastically , eventhough i can't skate - sounds hokey but relaxation therapy does help, don't just base
> things on medications use both and exercise to maintain balance, i think people focus too much on just meds.
>
> email me at eggbert1@sprint.ca if you feel like talking more about this.>
> goodluck.I have been on Remeron just over a week. 15mg. I am having a really hard time getting up in the morning for work. The sedation hangs on most all day. It has not yet conquered all my anxiety and oddly enough when I take a samll amount of Xanax I actually become more alert rather than the opposite which is what I expected. How long would one expect to be on Remeron to get full relief from anxiety? How about a higher dose?
Posted by juniper on March 2, 2000, at 22:56:26
In reply to Re: General Remeron Questions, posted by Elizabeth on March 2, 2000, at 16:14:44
the grogginess should begin to lesson soon. are you on remeron for anxiety or depression or both? for depression at least, remeron takes anywhere from 2-6 weeks to kick in. oddly enough a higher dosage may make you less sleepy, as this is the effect it has on many people. i don't know why the xanax is making you feel more alert (is this simply more alert in a clear nonanxious way, or does it heighten your anxiety?) though if it is alertness as in clearness it may be because your anxiety was masking this clarity.
were you taking xanax before you began remeron?sorry to throw back more questions than answers....
juniper
Posted by Elizabeth on March 3, 2000, at 12:22:46
In reply to Re: General Remeron Questions, posted by juniper on March 2, 2000, at 22:56:26
> the grogginess should begin to lesson soon. are you on remeron for anxiety or depression or both? for depression at least, remeron takes anywhere from 2-6 weeks to kick in. oddly enough a higher dosage may make you less sleepy, as this is the effect it has on many people. i don't know why the xanax is making you feel more alert (is this simply more alert in a clear nonanxious way, or does it heighten your anxiety?) though if it is alertness as in clearness it may be because your anxiety was masking this clarity.
> were you taking xanax before you began remeron?
>
> sorry to throw back more questions than answers....
>
> juniperI appreciate your response. I am taking the remeron for anxiety and yes I was taking the xanax before but only on an as needed basis as little as possible. The xanax with the remeron makes me more alert in a calm not at all anxious way. I would love to have all the relief from the anxiety from the remeron as my doc has me scared of getting addicted to the xanax. I actually just spoke with him and he wants me to continue on the 15mg until my next appointment in 10 days. Maybe I just need to be on it a little longer as you suggested. Thanks again.
Posted by Linda on March 5, 2000, at 9:52:25
In reply to Re: General Remeron Questions, posted by Elizabeth on March 3, 2000, at 12:22:46
I have fibromyalgia and have been taking 7.5 mg. of Remeron at bedtime to help me sleep for the past 3 months. I have tried many antidepressants but have had to quit most due to side effects. I seem to be extremely sensitive to these meds and can only tolerate very low doses if at all. I'm sleeping much better with the Remeron, but since starting it, I have been waking up with headaches almost daily and my tongue is constantly sore. A complete blood count was done recently which revealed no problems. Has anyone had a similar experience with Remeron?
Posted by kazoo on March 8, 2000, at 1:36:37
In reply to Re: General Remeron Questions, posted by juniper on March 2, 2000, at 22:56:26
> the grogginess should begin to lesson soon. are you on remeron for anxiety or depression or both? for depression at least, remeron takes anywhere from 2-6 weeks to kick in. oddly enough a higher dosage may make you less sleepy, as this is the effect it has on many people. i don't know why the xanax is making you feel more alert (is this simply more alert in a clear nonanxious way, or does it heighten your anxiety?) though if it is alertness as in clearness it may be because your anxiety was masking this clarity.
> were you taking xanax before you began remeron?
>
> sorry to throw back more questions than answers....
>
> juniper
^^^^^^^^^^According to sources, Xanax imparts a small antidepressant effect.
This information might be included in the Abstract found in the PDR.
Posted by Elizabeth on March 10, 2000, at 10:39:35
In reply to Re: General Remeron Questions, posted by kazoo on March 8, 2000, at 1:36:37
> >Tuesday will mark week three for me on the Remeron and most of the morning grogginess is gone. Is not doing that great of a job for sleep, but not bad either. The small amount of xanax (.25 mg) does still seem to help - but have just been thrown a curve ball with my employer of 15 years deciding to go out of business and now I'm faced with looking for a new job. Thank goodness I landed on the Remeron that seems to handle my anxiety well because interviewing is almost top on my list of anxiety triggers!
Posted by allisonm on March 10, 2000, at 19:26:35
In reply to Re: General Remeron Questions, posted by Elizabeth on March 2, 2000, at 16:14:44
I have been taking Remeron for two years now for major depression, single episode, moderate. Started at 15 mg, upped to 30, then the maximum of 45. My doctor warned me to start on a weekend because of the sedative effect. I took it on a Friday night and slept most all of Saturday. But I had not slept well for so long, so it was a relief.
I gained some weight, but much more so when my doctor added lithium in October 98. No matter what I did I could not take the weight off.
I found 45 mg most sedating. As I have written before, I would have to be careful when I took it because within half an hour I would get dizzy and groggy and HAVE to go to bed. Alcohol exacerbates this.
Got off lithium in April 99. Things got bad again in May and June 99. Got put on Wellbutrin SR 100mg and Remeron was cut down to 30mg.
Things got worse in October 99, so Wellbutrin dose was upped to 200 mg. I took it all in the morning, then the 30mg Remeron at night.
Lately, the 200 mg of Wellbutrin in the am has made me squirrelly, so my doctor and I decided to split the dose and take 100 in the am and 100 in the afternoon, with the 30 mg Remeron at night. It seems to be working. I am content with this mix. I am afraid to reduce the dosage for fear of going backward again.
When things have been bad, I often have wondered whether the Remeron was working at all, except that I always could count on being able to fall asleep pretty easily every night. I have trouble recalling my dreams also, no matter the dose. If I take the Remeron too late (like 10 or 11 pm instead of 9), I have trouble getting up when the alarm goes off at 6. Alcohol at night exacerbates the morning haze. Coffee eliminates it, but now that I'm on the Wellbutrin, I have to be very careful about caffeine because I will get jittery and shaky. I am almost completely decaffeinated these days. This means being a little more vigilant with the Remeron timing at night, although I think the Wellbutrin has been cutting the haze, too.
Contrary to what I have read in earlier posts, my doctor tells me the weight gain INCREASES as the dose increases. Since I started the Wellbutrin, I have lost weight -- almost 10 pounds without exercise. I'm just not hungry most of the time. I'm just glad my jeans are getting loose again.
Right now I feel all right. There were times this last fall and winter when I was not (some may recall my fall post asking about hospitalization). When feeling bad, I have often thought of just discontinuing the drugs and the weekly psychotherapy and letting nature take its course. If that meant suicide, so be it. I cannot vouch for Remeron and Wellbutrin as the end-all of cure-alls. I think they supply a degree of normalcy, but only when the rest of the world cooperates.
allisonm
(I was just allison last fall, but I see there's another allison now, so I'll be allisonm.)
Posted by liz36 on March 14, 2000, at 15:16:30
In reply to Re: General Remeron Questions, posted by allisonm on March 10, 2000, at 19:26:35
>Hi, I was hoping someone might be able to relate to my experience thus far, altho I wouldn't wish side effects of this drug on anyone!!-It does indeed make me fall asleep w/in 20-30 mins, not sure how helpful it has been for the depression as I have been taking Zoloft at 100 mg and Tegretol 100 mg prior to starting the Remeron at 15 mg, approx 2 wks ago-I was pleased to have virtually NO side effects for the first 2 wks on the Remeron, now I have noticed in the past 2-3 days an excessively dry mouth (which I can handle) but a more serious side effect (at least I THINK it's from the Remeron) of excessive sweating during sllep, while waking up with chills at the same time, and a generalized muscle weakness (almost as if you'd had the flu) in all my limbs, in addition to a feeling of shakiness and hand tremors during the day- could this mean a serious problem? I had noted that Remeron can cause low white-blood cell counts and/or infection-should I be concerned? I'm feeling concerned enough to want to stop taking this med or at least cut the dose in half-any experiences or thoughts on this? Thanks so much!!! I have been taking Remeron for two years now for major depression, single episode, moderate. Started at 15 mg, upped to 30, then the maximum of 45. My doctor warned me to start on a weekend because of the sedative effect. I took it on a Friday night and slept most all of Saturday. But I had not slept well for so long, so it was a relief.
>
> I gained some weight, but much more so when my doctor added lithium in October 98. No matter what I did I could not take the weight off.
>
> I found 45 mg most sedating. As I have written before, I would have to be careful when I took it because within half an hour I would get dizzy and groggy and HAVE to go to bed. Alcohol exacerbates this.
>
> Got off lithium in April 99. Things got bad again in May and June 99. Got put on Wellbutrin SR 100mg and Remeron was cut down to 30mg.
>
> Things got worse in October 99, so Wellbutrin dose was upped to 200 mg. I took it all in the morning, then the 30mg Remeron at night.
>
> Lately, the 200 mg of Wellbutrin in the am has made me squirrelly, so my doctor and I decided to split the dose and take 100 in the am and 100 in the afternoon, with the 30 mg Remeron at night. It seems to be working. I am content with this mix. I am afraid to reduce the dosage for fear of going backward again.
>
> When things have been bad, I often have wondered whether the Remeron was working at all, except that I always could count on being able to fall asleep pretty easily every night. I have trouble recalling my dreams also, no matter the dose. If I take the Remeron too late (like 10 or 11 pm instead of 9), I have trouble getting up when the alarm goes off at 6. Alcohol at night exacerbates the morning haze. Coffee eliminates it, but now that I'm on the Wellbutrin, I have to be very careful about caffeine because I will get jittery and shaky. I am almost completely decaffeinated these days. This means being a little more vigilant with the Remeron timing at night, although I think the Wellbutrin has been cutting the haze, too.
>
> Contrary to what I have read in earlier posts, my doctor tells me the weight gain INCREASES as the dose increases. Since I started the Wellbutrin, I have lost weight -- almost 10 pounds without exercise. I'm just not hungry most of the time. I'm just glad my jeans are getting loose again.
>
> Right now I feel all right. There were times this last fall and winter when I was not (some may recall my fall post asking about hospitalization). When feeling bad, I have often thought of just discontinuing the drugs and the weekly psychotherapy and letting nature take its course. If that meant suicide, so be it. I cannot vouch for Remeron and Wellbutrin as the end-all of cure-alls. I think they supply a degree of normalcy, but only when the rest of the world cooperates.
>
>
> allisonm
> (I was just allison last fall, but I see there's another allison now, so I'll be allisonm.)
Posted by John on March 14, 2000, at 15:34:02
In reply to Re: General Remeron Questions, posted by Michael on February 1, 1999, at 13:19:58
> > > Can anybody tell me of their experience on Remeron? Specificly, is it really as sedating as many say it is? What about weight gain? Thanks.
> I have been on 30mg. for some time; gained 10 lbs but no more; sleep very well but slow to wake up; at first had a high degree of irritability but that seems to have passed; experimented with 45mg to good results, i.e. higher level of energy and interest; have also in the past taken Paxil and Well-Butrin Sr. and prefer the Remeron. Hope this helps.
Posted by allisonm on March 14, 2000, at 21:10:56
In reply to Re: General Remeron Questions, posted by liz36 on March 14, 2000, at 15:16:30
a more serious side effect (at least I THINK it's from the Remeron) of excessive sweating during sllep, while waking up with chills at the same time, and a generalized muscle weakness (almost as if you'd had the flu) in all my limbs, in addition to a feeling of shakiness and hand tremors during the day- could this mean a serious problem? I had noted that Remeron can cause low white-blood cell counts and/or infection-should I be concerned? I'm feeling concerned enough to want to stop taking this med or at least cut the dose in half-any experiences or thoughts on this?
Liz,
I would suggest that you give your doctor a call and ask him/her for advice on what the problem could be before adjusting the dosage yourself.
allisonm
Posted by daniele on March 15, 2000, at 15:20:11
In reply to General Remeron Questions, posted by steve on December 31, 1998, at 2:08:58
> Can anybody tell me of their experience on Remeron? Specificly, is it really as sedating as many say it is? What about weight gain? Thanks.
I've been on Remeron about 5 months now for moderate depression.
I started at 15mg and worked up to 45mg under my psych's direction.
I take no other psych. drugs. My experience with this has been similar
to others...at the lower dose there is considerable drousyness...after a
while and with the higher dose, the drousyness has completely disappeared
for me. Slight weight gain at first due to increased appetite, but this
has leveled off and is not a problem now. I have no other side effects
at all.While it has helped me feel "better", at times I still feel a little
"low". My psych. says no problem, try 60mg if you want for a couple of
weeks and see if it helps...if it doesn't, drop back to 45mg. I wonder
about that...Question...has anyone had experience with a dosage higher than
the 45mg per day? Any comments?kind regards to all!
Posted by Jo on March 22, 2000, at 15:39:20
In reply to Re: General Remeron Questions, posted by John on March 14, 2000, at 15:34:02
> > > > Can anybody tell me of their experience on Remeron? Specificly, is it really as sedating as many say it is? What about weight gain? Thanks.
> > I have been on 30mg. for some time; gained 10 lbs but no more; sleep very well but slow to wake up; at first had a high degree of irritability but that seems to have passed; experimented with 45mg to good results, i.e. higher level of energy and interest; have also in the past taken Paxil and Well-Butrin Sr. and prefer the Remeron. Hope this helps.I was gaining alot of weight on the remeron so I told my Dr. I wanted to increase the dose, that I had read that at increased doses,appetite and weight gain side effect is decreased. He laughed and told me that this was just a way the company that manufactures remeron gets you to spend more money on the drug and said there was absolutely no correlation between an increased dose and decreased side effects. I don't know if he is right or wrong but I thought it was interesting that he said that. I have tried 15, 30, and 45 mg. doses, and still want to eat all of the time. I never had a problem with my weight before now so I am going to just stop taking it. It really helped with my insomnia... for the first time in my life, I slept through the whole night. It's too bad that the weight gain was so terrible (is still, I haven't stopped it yet)
Posted by Jackie on March 27, 2000, at 17:19:21
In reply to Re: General Remeron Questions, posted by Jo on March 22, 2000, at 15:39:20
> > > > > Has anyone used Trazadone with so-so results and then switched to Remeron with better results. I'm taking 200 mg. of Trazadone now for anxiety and sleep problems, and is has helped but I'm not getting my 8 hours of sleep. I get about 5 or 6 and wake up a few times at night. Does anyone know if Remeron is better?
Posted by steve on March 27, 2000, at 19:19:21
In reply to Re: Remeron vs. Trazadone, posted by Jackie on March 27, 2000, at 17:19:21
I've had good results with remeron at various dosages: 15-30 for the most part. When I came off it I started having trouble sleeping though I was no longer depressed. Trazadone did not work particularly well (I fall asleep reasonably easily but would wake after 5-6 hours) so I went back on a low dose (15) of remeron which worked pretty well until recently. I'm still not depressed but have resumed premature awakening. Anybody had any experience with this symptom?
Posted by Linda on March 28, 2000, at 8:30:31
In reply to Re: Remeron vs. Trazadone, posted by Jackie on March 27, 2000, at 17:19:21
> > > > > > Has anyone used Trazadone with so-so results and then switched to Remeron with better results. I'm taking 200 mg. of Trazadone now for anxiety and sleep problems, and is has helped but I'm not getting my 8 hours of sleep. I get about 5 or 6 and wake up a few times at night. Does anyone know if Remeron is better?
I took Remeron for 3 months. Slept well at 15 mg., but had to reduce the dose to 7.5 mg. due to fatigue and daytime sleepiness. Still slept pretty well at 7.5 mg., but eventually had to discontinue it completely because I awoke every morning with a throbbing headache. Also felt very tired and depressed while taking Remeron, plus I was hungry all the time. Just started taking Trazadone so I don't know yet how well it will work for me. I miss the good sleep that Remeron provided, but not the side effects.
Posted by Jackie on March 28, 2000, at 15:16:18
In reply to Re: Remeron vs. Trazadone, posted by steve on March 27, 2000, at 19:19:21
> Thanks for the info. I too wake up after 5 or 6 hours on the Trazadone. That is my biggest complaint. Thanks for sharing. I am going to see the psychiatrist (first time) next week, and I am going to ask and see if they will put me on the Remeron.
About your not feeling depressed -- I think you can be depressed and not know it. I know that sounds strange, but I never would have thought I was depressed either. I have more anxiety due to a number of major changes in my life which is what cases the insomnia.
Good luck!
Posted by Lindsay on March 31, 2000, at 13:03:50
In reply to Re: General Remeron Questions, posted by daniele on March 15, 2000, at 15:20:11
> > Can anybody tell me of their experience on Remeron? Specificly, is it really as sedating as many say it is? What about weight gain? Thanks.
> I've been on Remeron about 5 months now for moderate depression.
> I started at 15mg and worked up to 45mg under my psych's direction.
> I take no other psych. drugs. My experience with this has been similar
> to others...at the lower dose there is considerable drousyness...after a
> while and with the higher dose, the drousyness has completely disappeared
> for me. Slight weight gain at first due to increased appetite, but this
> has leveled off and is not a problem now. I have no other side effects
> at all.
>
> While it has helped me feel "better", at times I still feel a little
> "low". My psych. says no problem, try 60mg if you want for a couple of
> weeks and see if it helps...if it doesn't, drop back to 45mg. I wonder
> about that...Question...has anyone had experience with a dosage higher than
> the 45mg per day? Any comments?
>
> kind regards to all!Oops, I'll try this again. I've been on 60mg for past 2 weeks. Dr says if no change is noticed go back to the 45. Myself , I havn't noticed a change, but need to ask perople around me, sometimes it is people we associate with that notice our improvement, and we don't
Posted by Jackie on March 31, 2000, at 13:32:06
In reply to Re: General Remeron Questions, posted by Lindsay on March 31, 2000, at 13:03:50
> > > Lindsay, did the Remeron help you sleep?
Posted by Lindsay on March 31, 2000, at 15:47:38
In reply to Re: Did it help you sleep?, posted by Jackie on March 31, 2000, at 13:32:06
> > > > Lindsay, did the Remeron help you sleep?
>
Remeron by itself hasn't made me sleep, I need a small dose of xanax. But remeron does help with the sleep. I get about 7 hours a night which is good for me
Posted by Cindy on April 1, 2000, at 3:05:18
In reply to Re: General Remeron Questions, posted by John on March 14, 2000, at 15:34:02
> > > > Can anybody tell me of their experience on Remeron? Specificly, is it really as sedating as many say it is? What about weight gain? Thanks.
> > I have been on Remeron for 2 years. I started with 45mg and after one month moved to my current dosage of 60mg. I suffered depression, Bulimia, panic attacks and sleeplessness (2 to 3 hours a night) prior to Remeron. I am diagnosed OCD, ADD and I'm a recovering addict. I am now sleeping 6 to 8 hours a night. No more Bulimia, panic attacks. I've remained drug and alcohol free for 3 years and 7 months. I feel great. I began seeing results after the first week of treatment. I have been on several combinations of Zoloft, Serazone, Doxepin, Amitriptyline, Imipramine, Hydroxyzine, and Haldol. I am very pleased with my results. I gained about 10 pounds, but lost it a year later. Sometimes hard to wake up, but that is minor. I am rarely tired during the day, but I also take a dose of Adderall in the morning. I have been on the same dose of both for 22 months now. Hope this helps, but remember to listen to your doctor. Different drugs work for different people. Also, once my depression and bulimia left me, I began to eat healthier foods and exercise 3 days a week (outdoors if possible). This last change helped bring me to where I am today.
Posted by Tony P on April 11, 2000, at 22:29:29
In reply to Re: Remeron vs. Trazadone, posted by Jackie on March 27, 2000, at 17:19:21
I've been taking Serzone - somewhat related to Trazadone - for about 4 years. Currently I'm taking 400 mg. a day, all at bedtime. The Serzone has been very helpful in managing night time wakefulness and anxiety attacks, as well as the underlying depression.
Lately though I seem to be waking up in the night more again. After doing some web research, I discussed switching to either Trazodone or Remeron with my doctor, and we decided to try Remeron.
But Remeron is still classed as experimental here in Canada, so neither my doctor nor my regular pharmacist have any experience with it! Has anyone any experience/suggestions re the switch-over period, e.g. overlap them or wean from Serzone first or whatever??
Tony P.
> > > > > > Has anyone used Trazadone with so-so results and then switched to Remeron with better results. I'm taking 200 mg. of Trazadone now for anxiety and sleep problems, and is has helped but I'm not getting my 8 hours of sleep. I get about 5 or 6 and wake up a few times at night. Does anyone know if Remeron is better?
Posted by Lois on April 26, 2000, at 16:36:52
In reply to Re: Remeron vs. Trazadone, posted by Tony P on April 11, 2000, at 22:29:29
> I started taking Remeron 15mg this week, have been experiencing throat pain and daytime drowsiness. Is this normal?
Posted by Berl on May 18, 2000, at 12:34:04
In reply to Re: General Remeron Questions, posted by daniele on March 15, 2000, at 15:20:11
>
>I have been on Remeron 15mg for slightly over a year. Should I be concerned about addiction? I tried lowering my dosage to 7.5mg and had a sleepless night. I resumed taking my 15mg and it took me 4 days to recouperate. What are my chances getting off of this drug completely?
Posted by Danny on May 18, 2000, at 19:13:24
In reply to Re: General Remeron Questions, posted by Berl on May 18, 2000, at 12:34:04
> >
Hi BerlI'm not sure if there is a definitive answer to your question. These drugs are new, and psychiatry is constantly reassessing it's attitude towards depression. I did read an article (CBS Healthwatch?) yesterday saying that a new study found that medication in conjunction with psychotherapy was the most effective treatment for depression. I myself was on Paxil for 4 years, I don't think it is unusual to be on these meds long term. These drugs are not considered addictive, in the usual sense, because you don't need more and more over time (like heroin). On the other hand, if you need it to feel normal, you could consider it a form of addiction. Personally, in most cases, I think it is important to cover the therapy angle and hopefully improve your chances of getting off a med eventually. How and why you got depressed would also have a bearing on the long term outlook. This is my opinion only. I wish you the best of luck.
> >I have been on Remeron 15mg for slightly over a year. Should I be concerned about addiction? I tried lowering my dosage to 7.5mg and had a sleepless night. I resumed taking my 15mg and it took me 4 days to recouperate. What are my chances getting off of this drug completely?
Posted by allisonm on May 18, 2000, at 19:44:43
In reply to Re: General Remeron Questions, posted by Berl on May 18, 2000, at 12:34:04
Berl,
I have said this in earlier posts, so forgive me if this seems like deja vu. One of the primary reasons I sought treatment for my depression was my insomnia. The way I found out I had depression was through a screening when I signed up for a drug trial at the university for folks with insomnia and depression. I went through the trial, which meant sleeping for three nights with wires glued to my scalp while two guys watched my brain patterns all night. They paid subjects a small amount, but I figured my real reimbursement would be to be given the answer to end the insomnia. So when I asked when/how will the insomnia go away, I was floored to be told "when the depression goes away."How's your depression, Berl? Is it gone?
I've been on Remeron for more than 2 years. From what I have read and from what I have experienced, I don't believe it's addictive, but I do notice that when my sleep patterns change, it takes me several days to readjust and in that time I'm extremely moody, weepy, sad, unhappy and tired. I went to a timezone 12 hours ahead of mine for 2 weeks last summer. I felt in a stupor, slow, retarded even, and unable to control my emotions. I spent the first three days trying to act normal among normal people -- try to carry on a conversation in more than a monotone, act like I was having fun, try not to weep at the dinner table...when my friends wanted to go out at night, I had to decline. I was exhausted and just too irritable.
One other thing I have learned since my depression was diagnosed:
At first I didn't want to take drugs. I started out of desperation because I had become suicidal. For a long while I thought I would get off them someday, but the more I read this board and other sources, the more I am becoming accustomed to the idea that I may be on these drugs for the rest of my life. For whatever reason, it may be that my brain chemistry never will be normal (in fact, now I often wonder whether it ever was) and that I will need some chemical supplements to avoid the downward spirals or at least keep them from being so severe.This doesn't sound optimistic. I suppose I am resigned. Perhaps your mileage will vary. I wish you the best.
allison
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