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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by ddog on May 2, 2006, at 17:42:38
Can remeron at 15mg at night cause a fast pulse or high Blood Pressure?
Posted by linkadge on May 2, 2006, at 18:01:05
In reply to Remeron Question, posted by ddog on May 2, 2006, at 17:42:38
It is possible. The drug shares a similarity with yohimbine in that it can cause norepinephrine release. Both of those symptoms could be a side effect.
Linkadge
Posted by blueberry on May 2, 2006, at 18:03:25
In reply to Remeron Question, posted by ddog on May 2, 2006, at 17:42:38
At 15mg you wouldn't think remeron would affect blood pressure or pulse much, but mileage varies so much. I think any med that affects norepinephrine has the potential to affect blood pressure and pulse, though it will vary quite a bit from one body to another. Remeron does boost norepinephrine.
Posted by ddog on May 2, 2006, at 18:08:36
In reply to Re: Remeron Question, posted by blueberry on May 2, 2006, at 18:03:25
> At 15mg you wouldn't think remeron would affect blood pressure or pulse much, but mileage varies so much. I think any med that affects norepinephrine has the potential to affect blood pressure and pulse, though it will vary quite a bit from one body to another. Remeron does boost norepinephrine.
Will this side effect go away I've only been on it for a month and it works well. Also does the dry mouth go away.
Thanks
Posted by ddog on May 2, 2006, at 23:09:06
In reply to Re: Remeron Question, posted by ddog on May 2, 2006, at 18:08:36
Jay, what do you think about the above posts?
Does the Remeron drymouth I have go away or does it only disappear at hire doses or never its aggravating.What about the slight fast pulse @(90) slight Hbp?
Posted by ddog on May 4, 2006, at 19:32:35
In reply to Re: Remeron Question to JAY, posted by ddog on May 2, 2006, at 23:09:06
Jay, what do you think about the above posts?
> Does the Remeron drymouth I have go away or does it only disappear at higher doses or never its aggravating.
>
> What about the slight fast pulse @(90) slight Hbp?
Posted by yxibow on May 5, 2006, at 4:22:58
In reply to Re: Remeron Question to YXIBOW, posted by ddog on May 4, 2006, at 19:32:35
> Jay, what do you think about the above posts?
> > Does the Remeron drymouth I have go away or does it only disappear at higher doses or never its aggravating.
> >
> > What about the slight fast pulse @(90) slight Hbp?
>
> cA pulse of 90 is on the borderline of significance and is not particularly dangerous although I know it can be felt by some and is not pleasant. A very small dose of a beta blocker such as propranolol (helps with anxiety sometimes though causes depression at high doses) or a more cardioselective one such as atenolol would lower that as well as the blood pressure.
The previous explanation for the blood pressure/pulse is probably correct. There also was about a 3 point difference in mean blood pressure in people who took Remeron in trials, if that means anything.
The dry mouth I can't say -- it has been experienced at 10 points above placebo but the most common side effects of Remeron are weight gain, somnolence, and constipation (which may go away over time).
I never experienced dry mouth with Remeron at 45mg, but I have experienced it with some SSRIs. Sometimes these effects do not go away. They're annoying, I do agree, but little droplet candies, sugarless (or sugared) gum, and the like help in that regard. If it is a make or break decision, you have to weigh the consequences of either -- it is a very good antidepressant with mainly weight gain to monitor, and as for the dry mouth, there are various options as mentioned :http://www.drymouth.info/consumer/TreatmentForDM.asp
One can take pilocarpine if its severe or the newer Evoxac, but adding medications of course adds side effects, especially with pilocarpine, because they interfere with the cholinergic system in your body, a very important part of the body as a whole.
Posted by ddog on May 5, 2006, at 17:24:05
In reply to Re: Remeron Question to YXIBOW » ddog, posted by yxibow on May 5, 2006, at 4:22:58
> > Jay, what do you think about the above posts?
> > > Does the Remeron drymouth I have go away or does it only disappear at higher doses or never its aggravating.
> > >
> > > What about the slight fast pulse @(90) slight Hbp?
> >
> > c
>
> A pulse of 90 is on the borderline of significance and is not particularly dangerous although I know it can be felt by some and is not pleasant. A very small dose of a beta blocker such as propranolol (helps with anxiety sometimes though causes depression at high doses) or a more cardioselective one such as atenolol would lower that as well as the blood pressure.
>
>
> The previous explanation for the blood pressure/pulse is probably correct. There also was about a 3 point difference in mean blood pressure in people who took Remeron in trials, if that means anything.
>
>
> The dry mouth I can't say -- it has been experienced at 10 points above placebo but the most common side effects of Remeron are weight gain, somnolence, and constipation (which may go away over time).
>
>
> I never experienced dry mouth with Remeron at 45mg, but I have experienced it with some SSRIs. Sometimes these effects do not go away. They're annoying, I do agree, but little droplet candies, sugarless (or sugared) gum, and the like help in that regard. If it is a make or break decision, you have to weigh the consequences of either -- it is a very good antidepressant with mainly weight gain to monitor, and as for the dry mouth, there are various options as mentioned :
>
> http://www.drymouth.info/consumer/TreatmentForDM.asp
>
> One can take pilocarpine if its severe or the newer Evoxac, but adding medications of course adds side effects, especially with pilocarpine, because they interfere with the cholinergic system in your body, a very important part of the body as a whole.
>The pulse seems to be lower now. The dry mouth thing is not that big of a deal I think I can live with it.
I will see my GP to get the pressure checked because I was using a home monitor which is sometimes off.
Thanks
Posted by yxibow on May 6, 2006, at 2:38:49
In reply to Re: Remeron Question to YXIBOW, posted by ddog on May 5, 2006, at 17:24:05
> The pulse seems to be lower now. The dry mouth thing is not that big of a deal I think I can live with it.
> I will see my GP to get the pressure checked because I was using a home monitor which is sometimes off.
> ThanksYour pulse and blood pressure will change throughout the day. A home monitor is an FDA regulated device and is usually fairly accurate but maybe not "the doctor's touch." One thing to note though, there is also doctor's phobia which increases pulse and BP artificially in the office sometimes, so it also wont always be exactly the same.
Deep breathing excercises will also reduce your pulse. And thinking about it too much somatisizes and increases it further. Excercise, even 30 minutes a day could reduce it also.
I'm glad it is resolving more and that you can cope with the dry mouth though it isn't a fun deal for sure.
Tidings and cheers
-- Jay
This is the end of the thread.
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