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Dr. Bob is Robert Hsiung, MD,
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Posted by LyndaK on April 23, 2004, at 2:37:20
In reply to Re: How long for Rem to help anxiety?, posted by ravenstorm on April 21, 2004, at 22:49:20
I have been on 60 mgs. per day but recently moved down to 45 mgs. to see if I can get by on less now, or perhaps taper off altogether, but taking it slow and easy and seeing how I do. I needed to be at 60 mgs. to maintain the anxiety control; now I'm going to see if that's still true.
I think it's interesting what others have suggested about other meds in combination to increase the anxiety control. I didn't try that.
Good luck.
Lynda
Posted by ravenstorm on April 24, 2004, at 11:50:41
In reply to Re: How long for Rem to help anxiety?, posted by LyndaK on April 23, 2004, at 2:37:20
Thanks for the posts Lynda and Zena. Lynda it was good to hear that going up in dosage actually helped your anxiety, because I was under the mistaken impression that if I went higher it actually might make my anxiety worse.
I have two weeks in now and definitely have more day time energy am feeling less anxious in that I can go do more things in public now (but that may be bbecause I have more physical energy to get things done now!) but I still get the Physical signs of anxiety (like the explosions in my chest) that are not related to anything imparticular.
All of my mucous membranes are still really dried out and my hunger is through the roof but I just don't let myself eat when I'm hungry (but I don't know if I'm going to want to live like this indefinitely). In your experience, did your appetite lessen or increase as you went up in dose. Does dry mouth lessen when you go up?
Keep in touch about your titration downward. Hope all goes well for you. Did you notice any significant difference between 60mg and 45mg?
Raven
Posted by Zena on April 24, 2004, at 15:04:16
In reply to Re: How long for Rem to help anxiety?, posted by ravenstorm on April 24, 2004, at 11:50:41
> Thanks for the posts Lynda and Zena. Lynda it was good to hear that going up in dosage actually helped your anxiety, because I was under the mistaken impression that if I went higher it actually might make my anxiety worse.
>
> I have two weeks in now and definitely have more day time energy am feeling less anxious in that I can go do more things in public now (but that may be bbecause I have more physical energy to get things done now!) but I still get the Physical signs of anxiety (like the explosions in my chest) that are not related to anything imparticular.
>
> All of my mucous membranes are still really dried out and my hunger is through the roof but I just don't let myself eat when I'm hungry (but I don't know if I'm going to want to live like this indefinitely). In your experience, did your appetite lessen or increase as you went up in dose. Does dry mouth lessen when you go up?
>
> Keep in touch about your titration downward. Hope all goes well for you. Did you notice any significant difference between 60mg and 45mg?
>
> RavenRaven,
On remeron I had the hunger for several months so I chewed gum & drank lots of water. I haven't gained any weight. I was afraid when I added lex I would gain but so far I haven't. But I do have the belly-which I don't like.
Zena
Posted by ravenstorm on April 24, 2004, at 16:01:52
In reply to Re: How long for Rem to help anxiety?, posted by Zena on April 24, 2004, at 15:04:16
Yeah, the belly thing really sucks, doesn't it? My problem with the hunger is that I just don't feel more hungry, my blood sugar actually drops, so I feel really weak and dizzy and have to eat to feel better. Trying to eat healthy thing, though! Makes me feel better that it passed for you after a few months. Hope it does for me too, cause I don't think I could handle it long term.
I've actually heard of lexapro being fairly weight neutral, or people even losing weight on it (without trying). Good Luck!
Will decide in a couple of weeks whether to try 30mg or not. If I knew it would decrease the hunger I would do it tomorrow! Still no weight gain, but having to fight it hard (ie, I'm hungry almost all the time)
Posted by Sad Panda on April 25, 2004, at 1:07:54
In reply to Re: How long for Rem to help anxiety?, posted by ravenstorm on April 24, 2004, at 11:50:41
> Thanks for the posts Lynda and Zena. Lynda it was good to hear that going up in dosage actually helped your anxiety, because I was under the mistaken impression that if I went higher it actually might make my anxiety worse.
>
> I have two weeks in now and definitely have more day time energy am feeling less anxious in that I can go do more things in public now (but that may be bbecause I have more physical energy to get things done now!) but I still get the Physical signs of anxiety (like the explosions in my chest) that are not related to anything imparticular.
>
> All of my mucous membranes are still really dried out and my hunger is through the roof but I just don't let myself eat when I'm hungry (but I don't know if I'm going to want to live like this indefinitely). In your experience, did your appetite lessen or increase as you went up in dose. Does dry mouth lessen when you go up?
>
> Keep in touch about your titration downward. Hope all goes well for you. Did you notice any significant difference between 60mg and 45mg?
>
> Raven
>Hi Raven,
I would consider trying an SSRI again added to your Remeron as it counters SSRI's side effects brilliantly(Insomnia, Anorgasmia & Nausea). Lexapro seems like it is worth a try.
Cheers,
Panda.
Posted by LyndaK on April 25, 2004, at 3:10:41
In reply to Re: How long for Rem to help anxiety?, posted by ravenstorm on April 24, 2004, at 11:50:41
> Thanks for the posts Lynda and Zena. Lynda it was good to hear that going up in dosage actually helped your anxiety, because I was under the mistaken impression that if I went higher it actually might make my anxiety worse.
I have to tell you that some people DID get worse anxiety at higher doses, but that is not how it worked for me.
>
> I have two weeks in now and definitely have more day time energy am feeling less anxious in that I can go do more things in public nowI would take that as a sign that it probably IS helping your anxiety. One of the things that happened for me was, at my job, when I went to a meeting that ususally made me really nervous, not feeling very nervous at all, but being able to speak very clearly and calmly. I walked out of the meeting going "WOW!" That's when I was sold. But I probably had that experience 6 to 8 weeks into it.
< (but that may be bbecause I have more physical energy to get things done now!) but I still get the Physical signs of anxiety (like the explosions in my chest) that are not related to anything imparticular.
Stick with it a little longer and see if that gets better.
>
> All of my mucous membranes are still really dried out and my hunger is through the roof but I just don't let myself eat when I'm hungry (but I don't know if I'm going to want to live like this indefinitely). In your experience, did your appetite lessen or increase as you went up in dose. Does dry mouth lessen when you go up?I honestly don't remember having a dry mouth, though I may have and just don't remember now. I can tell you it definitely didn't stay that way. SSRI's gave me a worse dry mouth than this does. I remember the intense hunger -- just awful! Felt like I was literally STARVING even though I wasn't -- no matter how much I ate it never fully quenched the hunger. That definitely went away too, but I don't know if it was increased dose that did it or just length of time on the med. I seem to remember low-fat yogurt as something that worked well for those ravenous times in between meals.
>
> Keep in touch about your titration downward. Hope all goes well for you. Did you notice any significant difference between 60mg and 45mg?Thankyou. I seem to be a little more emotional, but not depressed. I had some increased fatigue, but that seems to be leveling off again. No significant increase in anxiety so far.
Hang in there.
Lynda
Posted by ravenstorm on April 25, 2004, at 9:41:01
In reply to Re: How long for Rem to help anxiety? » ravenstorm, posted by LyndaK on April 25, 2004, at 3:10:41
Thanks again everybody.
My "gut" tells me just to hang in at this dosage for another couple of weeks and see what happens.
I'm pretty sure the dry mouth,nose etc is from the histamine effect, so if it doesn't get better after four to six weeks I'll try upping to 30mg.
Not ready to add an SSRI again at this point, but it is a good suggestion for down the road if I'm still having problems.
Basically, I think its time to sit tight and see what happens. I am seeing some improvement already, so it is enough to keep me hanging in there.
Yes, Lynda, I feel like I am starving!! Never feel full. But no weight gain yet (but feel like I'm starving myself, even though I absolutely am not!!)
Again, all the posts from you "remeron veterans" are incredibly helpful.
Sad Panda--read a post somewhere from you that absolutely cracked me up--how you can have any mood stabilizer you want (because you live in Australia) as long as it is lithium.
Posted by j-lo on April 26, 2004, at 12:23:10
In reply to Re: How long for Rem to help anxiety?, posted by ravenstorm on April 25, 2004, at 9:41:01
hi all,
it probably seems like i'm "remeron bashing". it just didn't do anything for me. if it's working for you, that's great! i just couldn't stand the weight gain in the belly (15 lbs. around the middle:( in total...) but it's slowly coming off now and i feel so much more energetic now. i was feeling very sluggish...
lexapro was banned here in canada because it was found to have some detrimental effects to the liver...(sorry, not trying to "lexapro bash" :) , so i am curious why it's still available elsewhere in the world. anyway, good luck with it.
my doc is thinking of giving me a very small dose of a mood stabilizer...not lithium though. i'd be too scared to take that. my main concern is losing physical energy...especially now that it's close to summer. for now though, i'm just waiting for a bit to stabilize so that we know what to do next, if anything.
Posted by Chick on May 12, 2004, at 14:11:54
In reply to Re: Remeron weight gain??, posted by northerngal on January 11, 2004, at 3:22:36
I just recently started taking Remeron for anxiety and insomnia. For those who keep talking about the weight problem and taking Zantac. Do you take the Zantac at the same time you take the Remeron or just anytime. Is it over the counter or do you have to have a prescription and how much Zantac do you take?
Posted by ravenstorm on May 13, 2004, at 10:25:09
In reply to Re: Remeron weight gain??, posted by Chick on May 12, 2004, at 14:11:54
I would also like to know about zantac.
Posted by cubic_me on June 9, 2004, at 7:47:04
In reply to Re: Remeron weight gain??, posted by Chick on May 12, 2004, at 14:11:54
I've read quite a few of the posts on this thread and the info has been really helpful. I usually go on the psycho/social boards but I started taking Remeron 6 weeks ago. I've gained 20 pounds and I'm normally pretty slim. I hate it. I can only get into two pairs of trousers and 3 bras that I own and the 'belly roll' I've developed got me so worried I took a pregnancy test! (it was negative!) I go to the gym and do hard excercise 3 times a week, go jogging and eat healthily but I'm still gaining weight. The only thing that remeron has done for me so far is make me even more sleepy - I sleep 11-12 hours a day, and feel like I'm in a little world of my own. I had to cancel my last pdoc appt and can't get another one for 3 months as I'm going away.
I'm going to come off remeron over the next few days - any suggestions (I'm on 30mg)? Also have you got any tips to how to get the weight off after remeron?
Thanks, cubic
Posted by marfaith on June 9, 2004, at 10:42:36
In reply to Re: Remeron weight gain??, posted by cubic_me on June 9, 2004, at 7:47:04
> I've read quite a few of the posts on this thread and the info has been really helpful. I usually go on the psycho/social boards but I started taking Remeron 6 weeks ago. I've gained 20 pounds and I'm normally pretty slim. I hate it. I can only get into two pairs of trousers and 3 bras that I own and the 'belly roll' I've developed got me so worried I took a pregnancy test! (it was negative!) I go to the gym and do hard excercise 3 times a week, go jogging and eat healthily but I'm still gaining weight. The only thing that remeron has done for me so far is make me even more sleepy - I sleep 11-12 hours a day, and feel like I'm in a little world of my own. I had to cancel my last pdoc appt and can't get another one for 3 months as I'm going away.
>
> I'm going to come off remeron over the next few days - any suggestions (I'm on 30mg)? Also have you got any tips to how to get the weight off after remeron?
>
> Thanks, cubicHi. I was on Remeron last fall into winter. I have never had a weight problem in my life, if anything I needed to gain. I gained 33 lbs. When I quit, I lost eight lbs in the first week. I have now lost a total of 23 lbs and have not done a thing to lose it. It just dropped off. And I don't mind the ten lbs that I have kept. I think I look better with it on. My brother gained 40 lbs on it and when he quit the weight dropped off him also. Hope this helps you.
Good luck,
Mary
Posted by ravenstorm on June 9, 2004, at 11:11:54
In reply to Re: Remeron weight gain??, posted by marfaith on June 9, 2004, at 10:42:36
Please keep us posted as to how the titration down goes for you. Are you going to try another AD? Good Luck!
Posted by cubic_me on June 10, 2004, at 4:04:22
In reply to Re: Remeron weight gain??, posted by ravenstorm on June 9, 2004, at 11:11:54
I've been on effexor (150-225mg) for about a year now, remeron was an addition to it, so I'm going to stay on the effexor until I can get another pdoc appt.
So far the titration down is going ok. I feel a bit like I'm swimming in my head, but that's all (I went from 30 to 15mg), I'll keep you posted on how its going.
Posted by cubic_me on June 10, 2004, at 4:05:31
In reply to Re: Remeron weight gain??, posted by marfaith on June 9, 2004, at 10:42:36
Thankyou for those encouraging words, I'm so glad it went well for you. I'll keep you updated on my progress.
Posted by joslynn on June 10, 2004, at 14:30:30
In reply to Re: Remeron weight gain?? » marfaith, posted by cubic_me on June 10, 2004, at 4:05:31
I gained about 7 lbs on it to and then it came off naturally after I went off of it. I didn't have to do anything special to lose it. So you probably don't have to do any extra exercise/dieting when you go off it, just do your usual routine and just give it time.
But with anything, you should probably go off of it gradually.
Posted by ravenstorm on June 10, 2004, at 18:10:19
In reply to Re: Remeron weight gain??, posted by joslynn on June 10, 2004, at 14:30:30
Joslyn-how long were you on it? Did you have any withdrawal symptoms going off?
Thanks
Posted by cubic_me on June 17, 2004, at 6:30:34
In reply to Re: Remeron weight gain?? Joslyn, posted by ravenstorm on June 10, 2004, at 18:10:19
I went down from 30mg to 0mg over 3 days, and I've been off it for a week now. Its strange how much more 'real' I feel now - I've come back down to planet earth! For the first few days I was wanting to sleep all day every day, but now I am back to sleeping the normal hours I was before remeron. My weight is slowly getting back to normal :) tho that might be partly because I had my tongue peirced last week and could only eat icecream for 4 day because it was so swollen!
The only downside is that my suicidal ideation has returned, but I'm able to keep it under control for now.
Posted by SLS on June 17, 2004, at 7:08:37
In reply to How coming off remeron is going, posted by cubic_me on June 17, 2004, at 6:30:34
> The only downside is that my suicidal ideation has returned,
That's a hell of a downside. Do you have a treatment strategy ready to implement should you continue to deteriorate?
- Scott
Posted by cubic_me on June 17, 2004, at 8:41:11
In reply to Re: How coming off remeron is going, posted by SLS on June 17, 2004, at 7:08:37
> Do you have a treatment strategy ready to implement should you continue to deteriorate?Nothing in particular, but I talk to my boyfriend quite a bit, and I'm pretty sensible about hiding pills/razors/belts when things get really bad. I've thought about suicide on and off for years and I don't seem to be dead yet (so to speak), so I'll just see how things go from here. I seem to be able to let the suicidal thoughts and images 'wash over' me, and that way they don't affect me too much.
Hopefully a different drug/therapy will help me get past this.
cubic
Posted by Deryk on September 16, 2005, at 14:18:34
In reply to Re: Remeron weight gain?? » stay at home mom, posted by LyndaK on February 4, 2004, at 22:49:21
Hi there, just started taking Remeron a few days ago, the initial stone has wore off now and not as groggy. My appetite has increased alot though, which is a good thing to me, I am underweight so maybe I can gain a few extra punds. Could anyone on this let me know what to expect. I am currently on 15mg and next week I start on 30mg.
Deryk
Posted by flipsactown on September 16, 2005, at 17:55:39
In reply to Re: Remeron weight gain?? » LyndaK, posted by Deryk on September 16, 2005, at 14:18:34
I was on Remeron for at least 3 years and I gained over 50 lbs., so I quit. That was over 5 years ago and now I am going to ask my pdoc to try it again since I am now in control of my weight. For me, Remeron did not have any sexual side effect as I have with the combo I am on now. I am male.
FST
> Hi there, just started taking Remeron a few days ago, the initial stone has wore off now and not as groggy. My appetite has increased alot though, which is a good thing to me, I am underweight so maybe I can gain a few extra punds. Could anyone on this let me know what to expect. I am currently on 15mg and next week I start on 30mg.
>
> Deryk
Posted by flipsactown on September 16, 2005, at 17:56:01
In reply to Re: Remeron weight gain?? » LyndaK, posted by Deryk on September 16, 2005, at 14:18:34
I was on Remeron for at least 3 years and I gained over 50 lbs., so I quit. That was over 5 years ago and now I am going to ask my pdoc to try it again since I am now in control of my weight. For me, Remeron did not have any sexual side effect as I have with the combo I am on now. I am male.
FST
> Hi there, just started taking Remeron a few days ago, the initial stone has wore off now and not as groggy. My appetite has increased alot though, which is a good thing to me, I am underweight so maybe I can gain a few extra punds. Could anyone on this let me know what to expect. I am currently on 15mg and next week I start on 30mg.
>
> Deryk
Posted by Joslynn on September 19, 2005, at 10:42:07
In reply to General Remeron Questions, posted by steve on December 31, 1998, at 2:08:58
Seems like your question was already answered, but here's my experience....
When I have taken Remeron, I always took it at night, which is how it was prescribed. So, yes it was sedating, but since I took it at night, that was a good thing.
Weight gain...this is a tough question because I went on both Celexa and Remeron at the same time, during a severe episode of anxiety, and I did gain about 10 pounds, but who knows which of the things caused it, I am guessing Remeron. Also, I built up a better social life, which leads to more eating. My weight leveled off after the 10-pound gain. I am on Remeron again now (15 mg at night) and Lexepro (10 mg in the morning).
I haven't noticed any serious side effects, for me, on the Remeron.
Posted by MoBe on October 5, 2005, at 13:30:23
In reply to Re: Remeron weight gain??, posted by Chick on May 12, 2004, at 14:11:54
> I just recently started taking Remeron for anxiety and insomnia. For those who keep talking about the weight problem and taking Zantac. Do you take the Zantac at the same time you take the Remeron or just anytime. Is it over the counter or do you have to have a prescription and how much Zantac do you take?
I just read a piece of medical literature on a medsite on internet and it talked about using ranitidine to halt/reduce the weight gain from psych meds. They did have success but the thing I noticed is they were giving quite a bit of zantac or ranitidine; for the weight reversal sometimes as much as 600 mg, if I am remembering correctly. Although you can get zantac over the counter in Canada, taking 600 mg would result in it being a pricey route to take. I am wondering if this avenue works because it reduces stomach acid; wouldn't giving meds that stop the stomach acid completely work even better. Of course, you would need a Dr's prescription for this one. Any comments, experiences out there with this route???
MoBe
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