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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by wcfrench on September 3, 2002, at 16:47:15
I have heard that Remeron sometimes acts quicker than other SSRIs.. some people have said that it takes 4 weeks. I have had it.. I have felt pretty much no change since starting Remeron and I am getting quite hopeless. Should I quit.. switch.. complain? Could I be immune? This is very frustrating and scary. Paxil worked and then wore off... any suggestions, thoughts?
-Charlie
Posted by oracle on September 3, 2002, at 16:54:48
In reply to almost 5 weeks on Remeron and still nothing, posted by wcfrench on September 3, 2002, at 16:47:15
> I have heard that Remeron sometimes acts quicker than other SSRIs.. some people have said that it takes 4 weeks.
I would not expect anything till 6 to 8 weeks
Posted by linkadge on September 4, 2002, at 17:40:49
In reply to Re: almost 5 weeks on Remeron and still nothing, posted by oracle on September 3, 2002, at 16:54:48
I disagree with the last statement.
You might try a combo of an SSRI
and Remeron. I believe, you should
feel somewhat better within the first
week. If paxil pooped then try another
SSRI. Celexa has worked well for me.Linkadge
Posted by wcfrench on September 4, 2002, at 17:53:27
In reply to Re: almost 5 weeks on Remeron and still nothing, posted by linkadge on September 4, 2002, at 17:40:49
Remeron plus an SSRI? I thought that it was pretty similar to SSRIs except that it also works on norepinephrine. Did you try Celexa + Remeron?
Thx
-Charlie
Posted by oracle on September 5, 2002, at 0:54:07
In reply to Re: almost 5 weeks on Remeron and still nothing, posted by wcfrench on September 4, 2002, at 17:53:27
For myself, if I jumped ship every week (or 5 weeks) I would of never found an AD that works !
No AD, and I have tried over 15, has ever worked
before 6 weeks.
Posted by Roo on September 5, 2002, at 9:28:22
In reply to Re: almost 5 weeks on Remeron and still nothing, posted by oracle on September 5, 2002, at 0:54:07
Everyone is different...you learn what kind of person
you are after you've been on a few meds...I'm like one of
the other posters, if I'm not responding within 3 weeks, it's
usually just not the drug for me. But if you don't really
know which camp you fit into because you haven't been on a lot
of meds, of course it would be logical to wait...UNLESS you're feeling
_worse_ or having unbearable side effects...then I think it's not good
to wait. If you're having a really dangerous, suicidal depression
and it's been 5 weeks of being in that place...then I don't think it's
good to just 'hang on' hoping that a med will work. Move on and try something
else. Some people get ECT if they're in this situation, so they won't have
to be unbearably miserable waiting for their meds to work.
Posted by linkadge on September 5, 2002, at 10:14:27
In reply to Re: almost 5 weeks on Remeron and still nothing, posted by Roo on September 5, 2002, at 9:28:22
I am currently taking Celexa 10mg which
is for the core depressed mood. By itself
the Celexa can make me feel wired often,
and euphoric at times. This is all good,
but it also causes insommnia. When I add
the remeron, it seems to block the high
that I get (which greatly imrpoves the insommna). It also resores sexual function to a tolerable degree. Remeron is not a reputake inhibitor
it stimulates the release of seritonin somehow
I found that, by itself, Remeron is not a very
effective AD (although some swear by it).Even at 7.5 mg Remeron will greatly improve
an SSRI's insommniaLinkadge
Posted by Robin David John on September 5, 2002, at 11:10:16
In reply to Re: almost 5 weeks on Remeron and still nothing, posted by Roo on September 5, 2002, at 9:28:22
I Take to meds really good and in very short periods of time and effexor was not the one for me ..and I knew it as soon as i started getting more suicidal 3days after i started taking it this happened, I went 11 really rough days. Put myself in the Hospital and they put me on remeron at night before bed and clonazepam during the day and whalla..Im a new man ...I hear the birds again sing and even see things that make me laugh..so if you have to go for a long time to see a change ..make a change
Posted by wcfrench on September 5, 2002, at 14:46:27
In reply to Re: almost 5 weeks ... Im with you Roo » Roo, posted by Robin David John on September 5, 2002, at 11:10:16
That's great Robin, I am glad you have had good experiences... I felt good before and I'm trying so hard to get back there because it's a great place.
I have taken 5 other meds before, Effexor, Paxil, Seroquel, Zyprexa, and Geodon and all of them I noticed response within the first week.. the kind of response I would consider feeling happy and like myself. So that would make me believe that this isn't going to improve. But on the other hand, I definitely can say I have not gotten worse, or have been suicidal (like I slightly felt w/no AD).. I just feel about the same as when I started, maybe a tiny bit better. Just not productive, not really happy, slumpish, tough to get motivation. So I'm wondering if it's going to get better or what, because if this is it, I definitely need something else. It definitely doesn't feel like the reponse I have had on other meds when they were working.. like when you can say for sure "I feel good and like myself"... I think we all know what I'm talking about.(we've all been there at some point!) So do you think because of my early responses with other meds that this just isn't the one? or since I feel not suicidal that I should stick with it or increase dosage? I feel like I'm stuck at a 5 out of 10 since I started and I can't feel emotion...
-Charlie
Posted by Roo on September 5, 2002, at 16:12:10
In reply to Re: almost 5 weeks ... Im with you Roo, posted by wcfrench on September 5, 2002, at 14:46:27
Charlie--
I was exactly where you were with it...took it (effexor xr)
for a month or so, and didn't notice any improvement....Personally,
if I were you...I'd nix it and move on...although I'm sure many would
argue with me, that's just the way I feel. Particularly if you've responded
more rapidly in the past. Just be prepared for the withdrawal, which I think
can be bad even if you start another drug. I was on it for only a month
or so at a low dose most of the time (33 mg's) and then a couple of weeks
at 75 mgs...and withdrawal was still really, really hard for me. I am
still feeling a little dizzy, but emotionally things have calmed down
and the dizziness is a little less every day...The more I think about it, the more glad I am that I decided not to be
on effexor...even if it would have worked well for me, I don't want to be
on a med that is that damn hard to get off of.
Posted by Robin David John on September 5, 2002, at 17:49:46
In reply to Re: almost 5 weeks ... Im with you Roo, posted by wcfrench on September 5, 2002, at 14:46:27
> That's great Robin, I am glad you have had good experiences... I felt good before and I'm trying so hard to get back there because it's a great place.
>
> I have taken 5 other meds before, Effexor, Paxil, Seroquel, Zyprexa, and Geodon and all of them I noticed response within the first week.. the kind of response I would consider feeling happy and like myself. So that would make me believe that this isn't going to improve. But on the other hand, I definitely can say I have not gotten worse, or have been suicidal (like I slightly felt w/no AD).. I just feel about the same as when I started, maybe a tiny bit better. Just not productive, not really happy, slumpish, tough to get motivation. So I'm wondering if it's going to get better or what, because if this is it, I definitely need something else. It definitely doesn't feel like the reponse I have had on other meds when they were working.. like when you can say for sure "I feel good and like myself"... I think we all know what I'm talking about.(we've all been there at some point!) So do you think because of my early responses with other meds that this just isn't the one? or since I feel not suicidal that I should stick with it or increase dosage? I feel like I'm stuck at a 5 out of 10 since I started and I can't feel emotion...
> -CharlieCharlie I am by no means an expert ..but I can say that I respond to meds well ..If you think that the meds are not working for you and you know your metabalism then be keen and smart ..I have heard great things about Remeron and it has put me on track where I feel almost whole again ..you know yourself if things are getting better ..so be wise and do the right thing ..sometimes the dose that the Doctor puts you on is not enough..or you just dont adjust to it ..I take 30mg of Remeron at 11:00 pm and as well take 0.5 mg of clonazepam at bed time too. in the morning I take clorazepam 0.5 mg and this gives me a lift..and take another at 3 to4 pm and I dont give care ..I am happy now ..thats all that counts..so do yourself a favour see that the dose you are taking is the right dose ..this is my opinion only ..someone might have to take more of each ..But I feel alive again and wish I could share my good feelings with someone else if you know what I mean...all the best.I t has workred for me ..I even got a part time job to take up the loneliness ..but that is part of my lost loved one ..I do fell great though..Hope you can find thwe best thing for you ..all the best a new ...Robin
Posted by Robin David John on September 5, 2002, at 17:52:57
In reply to Re: almost 5 weeks ... Im with you Roo, posted by Roo on September 5, 2002, at 16:12:10
> Charlie--
>
> I was exactly where you were with it...took it (effexor xr)
> for a month or so, and didn't notice any improvement....Personally,
> if I were you...I'd nix it and move on...although I'm sure many would
> argue with me, that's just the way I feel. Particularly if you've responded
> more rapidly in the past. Just be prepared for the withdrawal, which I think
> can be bad even if you start another drug. I was on it for only a month
> or so at a low dose most of the time (33 mg's) and then a couple of weeks
> at 75 mgs...and withdrawal was still really, really hard for me. I am
> still feeling a little dizzy, but emotionally things have calmed down
> and the dizziness is a little less every day...
>
> The more I think about it, the more glad I am that I decided not to be
> on effexor...even if it would have worked well for me, I don't want to be
> on a med that is that damn hard to get off of.Im still with you Roo..you got it ..Doctors dont always know the best ..but we do ..I think
Robin
This is the end of the thread.
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