Psycho-Babble Medication | about biological treatments | Framed
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Re: A little better?

Posted by Toby on September 29, 1998, at 16:12:47

In reply to A little better?, posted by DL on September 28, 1998, at 22:13:48

Remeron does require a little patience since it is so sedating at first and can make you feel strange as a result. If you continue to slowly improve regarding the grogginess (which is typical) and sleep well with the klonopin and kava together, keep it up. I think I said something about going up on the dose if you are still really groggy by Tuesday (today) and that is still what I would recommend if you aren't greatly improved, but if you can tell that it is still getting better, then maybe wait another day or two before increasing. Part of depression itself can disrupt sleep so perhaps getting some benfit from the medication regarding that will also help the sleep. I think your therapist is probably right about the anxiety and that your depression has probably followed the anxiety (due to your system getting exhausted from being in a constant state of stress).

Prescriptions can always be appealed to get the insurance company to pay for them, especially if you can demonstrate that you did not tolerate the preferred ones or that they did not work. If you cannot afford the large copay for remeron, your doctor may be able to get samples for you. The tablets come in a 30 mg size also which can be cut in half if the 15 mg tablet works out. Also, he should be writing for a 1 month supply per prescription so that you don't have to pay 25 bucks for each refill.

If the thyroid is subclinical, then you won't see any symptoms of thyroid disease, but depression can be a symptom of hypo thyroid, and anxiety can be a symptom of hyper thyroid. The level will be very close to the extreme ranges of normal on the lab work if indeed there is a problem there. When that is the case, often nothing is done because it is "within normal limits" but when the level is very close to the extreme limits, sometimes it is worth a trial of medication just to see if it affects the mood. If the level is about in the middle of the range, then thyroid generally won't do much for the mood.




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