Psycho-Babble Medication Thread 701395

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I am considering a very brief Remeron trial...

Posted by saturn on November 7, 2006, at 19:03:04


for say 7-10 days. I've only ever taken a few doses between 15-30 mgs.

While I realize everyone is different, would it be reasonable to take 30 mg for 7-10 days and then abruptly stop if not satisfied? Would there likely be withdrawal effects?

Thanks much!

 

Re: I am considering a very brief Remeron trial... » saturn

Posted by yxibow on November 7, 2006, at 22:56:42

In reply to I am considering a very brief Remeron trial..., posted by saturn on November 7, 2006, at 19:03:04

>
> for say 7-10 days. I've only ever taken a few doses between 15-30 mgs.
>
> While I realize everyone is different, would it be reasonable to take 30 mg for 7-10 days and then abruptly stop if not satisfied? Would there likely be withdrawal effects?
>
> Thanks much!

Although a steady state is reached rather quickly and the half life is at least a day, I don't think a week's usage will have significant withdrawals. I would probably taper off though after the end of the week down to 15 and off, because there are longterm reports of withdrawal syndrome, usually the typical flu like sensations and shocks and all that fun stuff. Do remember that Remeron, while it will give you probably interesting sleep, maybe even hypnagogic hallucinations on wakeup (which I found sort of interesting actually, rather trippy), in most people will also give you rather profound weight gain, so watch for hunger.

-- best wishes

Jay

 

Re: I am considering a very brief Remeron trial...

Posted by Johnathan on November 8, 2006, at 5:17:38

In reply to Re: I am considering a very brief Remeron trial... » saturn, posted by yxibow on November 7, 2006, at 22:56:42

I enjoyed the sleep I had with Remeron, but my wife hated the agression I had when I came down. The dreams were interesting. Overall I think I am much better off without it. If you are trying it for a short trial just expect to be very tired so it might be good to start when you have a couple days off. Talk about munchies, expect to put on a few pounds and not take them off for a while. Johnathan

 

thanks (nm)

Posted by saturn on November 8, 2006, at 7:08:14

In reply to Re: I am considering a very brief Remeron trial... » saturn, posted by yxibow on November 7, 2006, at 22:56:42

 

Why a *brief* trial? » saturn

Posted by pseudoname on November 9, 2006, at 9:04:26

In reply to I am considering a very brief Remeron trial..., posted by saturn on November 7, 2006, at 19:03:04

Hi, Saturn.

> for say 7-10 days.

Why such a short trial? The AD effect of Remeron is like the rest of the NRIs & SSRIs isn't it? 2-6 weeks before the real benefit kicks in?

The worst of the side effects won't go away in that period, either. (And my own 2-month experience with Remeron was that the side effects for me were intolerable.)

 

Re: Why a *brief* trial? » pseudoname

Posted by saturn on November 9, 2006, at 12:07:39

In reply to Why a *brief* trial? » saturn, posted by pseudoname on November 9, 2006, at 9:04:26

> Hi, Saturn.
>
> > for say 7-10 days.
>
> Why such a short trial? The AD effect of Remeron is like the rest of the NRIs & SSRIs isn't it? 2-6 weeks before the real benefit kicks in?
>
> The worst of the side effects won't go away in that period, either. (And my own 2-month experience with Remeron was that the side effects for me were intolerable.)

You make a good point, a longer trial may be more appropriate. Remeron is alleged to having a faster onset than most antidepressants--though this has not been proven. May I ask at what dose the side effects were intolerable for you?

 

has anyone started remeron at 30 mg?

Posted by saturn on November 9, 2006, at 13:03:27

In reply to Re: Why a *brief* trial? » pseudoname, posted by saturn on November 9, 2006, at 12:07:39


I have heard of one person doing so and wonder if that's not too high a dose to start with?

...and whether starting at 30 might help mitigate some of the start up side effects, particularly sedation/somnolence and increased appetite.

any thoughts?

Thanks

 

Re: has anyone started remeron at 30 mg?

Posted by saturn on November 9, 2006, at 19:15:25

In reply to has anyone started remeron at 30 mg?, posted by saturn on November 9, 2006, at 13:03:27

Basically I'd like to give Remeron a fair trial...the few days I did take 15 mgs totally knocked me out. I can afford to be like that for a single weekend but beyond that for work I simply can't afford to be that out of it.

My understanding and hope is that at 30 mg and above there will be minimal if any sedation---but I simply can't be a zombie for days to weeks waiting to get to this point. I know I'm impatient ;)

 

Re: has anyone started remeron at 30 mg? » saturn

Posted by yxibow on November 9, 2006, at 20:23:46

In reply to Re: has anyone started remeron at 30 mg?, posted by saturn on November 9, 2006, at 19:15:25

> Basically I'd like to give Remeron a fair trial...the few days I did take 15 mgs totally knocked me out. I can afford to be like that for a single weekend but beyond that for work I simply can't afford to be that out of it.
>
> My understanding and hope is that at 30 mg and above there will be minimal if any sedation---but I simply can't be a zombie for days to weeks waiting to get to this point. I know I'm impatient ;)

I hope that -- its said that at 30, 45, even higher there is more stimulation but I'm not really clear that is the case from what I've experienced and heard. At least for me anyhow. And the same goes for the theory of less weight gain. But I wish the best.

-- Jay

 

my intolerable Remeron doses » saturn

Posted by pseudoname on November 10, 2006, at 11:57:58

In reply to Re: Why a *brief* trial? » pseudoname, posted by saturn on November 9, 2006, at 12:07:39

> May I ask at what dose the side effects were intolerable for you?

I took Remeron at 15 & 30 mg/day and briefly at 45. The total collection of side effects, but especially that insane, insatiable hunger, was intolerable for me at all three doses. I stuck it out for almost 8 weeks, though.

Your mileage will vary, of course. Good luck, Saturn!

 

Re: has anyone started remeron at 30 mg? » saturn

Posted by Oppycat on November 11, 2006, at 11:16:50

In reply to Re: has anyone started remeron at 30 mg?, posted by saturn on November 9, 2006, at 19:15:25

> Basically I'd like to give Remeron a fair trial...the few days I did take 15 mgs totally knocked me out. I can afford to be like that for a single weekend but beyond that for work I simply can't afford to be that out of it.
>
> My understanding and hope is that at 30 mg and above there will be minimal if any sedation---but I simply can't be a zombie for days to weeks waiting to get to this point. I know I'm impatient ;)

I believe I was on Remeron for about 5 months. I actually began with 10mg Lexapro. I suggested to my pdoc to start adding Remeron, I know I started at 15mg and eventually got up to 45mg, but I can't remember the how quickly the pace was.

This is the way it worked for me. There was a rapid onset of activity, even at 15mg. This was very real to me, because I had been depressed to some degree for several years, using stimulants to get me through the work day. Beyond 15mg, I can't remember how quickly I went to 30mg, and ultimately to 45mg.

I do remember that at 45mg, it was virtually impossible to wake up and function without several cups of strong coffee. Also, like most people, I couldn't control my eating. Basically, it magnified all of my vices, eating, smoking, drinking, sex (that one was ok). Of course, these things increased my blood sugar and cholesterol. My pdoc told me to reduce to 15mg, which I did quickly. Somewhere along the line, I had eliminated the Lexapro and that probably wasn't a good thing. However, I did pretty well on 15mg Remeron for a while. My appetite was way down and controllable. Waking was much easier at 15mg and sex was still great. In retrospect, I should have re-started the Lexapro and stayed on 15mg Remeron.

Michael

 

thanks (nm) » pseudoname

Posted by saturn on November 11, 2006, at 17:37:29

In reply to my intolerable Remeron doses » saturn, posted by pseudoname on November 10, 2006, at 11:57:58

 

Re: has anyone started remeron at 30 mg? » Oppycat

Posted by saturn on November 11, 2006, at 17:41:10

In reply to Re: has anyone started remeron at 30 mg? » saturn, posted by Oppycat on November 11, 2006, at 11:16:50


Hey Michael,

Thanks for sharing your experience. Allegedly higher doses are supposed to be less sedating and have less hunger stimulation...but your experience seems to run contrary to this. Just goes to show how everyone is different. Thanks again...Saturn.

 

Re: has anyone started remeron at 30 mg?

Posted by tessellated on November 12, 2006, at 20:17:05

In reply to Re: has anyone started remeron at 30 mg? » Oppycat, posted by saturn on November 11, 2006, at 17:41:10

I took up to 75mg of remeron in order to counteract the histamine sedation. then i added provigil. but in the end my mood was stable, but the sedation was overwhelming.

i definitely noticed a greater NE effect at 75, just monitored my heart rate, sex drive also suffered...

l8

sure makes ice cream hella desirable....
> Hey Michael,
>
> Thanks for sharing your experience. Allegedly higher doses are supposed to be less sedating and have less hunger stimulation...but your experience seems to run contrary to this. Just goes to show how everyone is different. Thanks again...Saturn.

 

thanks (nm) » tessellated

Posted by saturn on November 15, 2006, at 14:57:25

In reply to Re: has anyone started remeron at 30 mg?, posted by tessellated on November 12, 2006, at 20:17:05


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