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

Posted by DL on September 29, 1998, at 20:07:40

In reply to Re: A little better?, posted by Toby on September 29, 1998, at 16:12:47

> 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.

Today I was not quite as even and alert as yesterday. I don't know if it is because I slept less than the night before or due to the Remeron. Again I felt "nervous/on edge" during the day, but under somewhat of a fog. Sedation was worse in the afternoon. I had a real struggle concentrating and by afternoon when I was shopping I found the time just slipping away. It bothered me that I was staring at the same things for a long time and aimlessly wandering the aisles forgetting what I was looking for. I will try one more day before calling the doc. I will get to bed early and give myself a chance to sleep for a length of time in case I can--then see how the day goes.

If the grogginess continues, should I increase to 30mg? Is that an effective dose for depression? Is 15mg effective for depression?

Will Remeron help with the anxiety? Can Buspar be used with Remeron and would you suggest it?

As REmeron is titrated up what are the common side effects--since the sedation and appetite should decrease. (Yes, I have noticed some increased craving for carbohydrates)

Do you think the anxiety is just me, the lower dose of klonopin (I have only used .25mg since starting Remeron) or related to the Remeron?

For a while I was feeling a little more sturdy in relation to dealing with aggressive and controlling people. It was while I took the SJW but I don't know if it was related or coincidental.

> Part of depression itself can disrupt sleep so perhaps getting some benfit from the medication regarding that will also help the sleep.

At what dose and at what point in taking Remeron should I hope for some improvement here?

> 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.

I never thought of this--perhaps just another struggle to add to the list? If I hear from you that I should try to increase the dose from 15 mg, I will call the doc and ask about a new prescription. If it works I can fill the refills before the end date to save some money. Then I will check on the appeal process or samples.

THANKS AGAIN. I know I must seem like quite a bother with all these conversations. But I feel quite alone and unsupported at the same time I am feeling very vulnerable and "controlled" by a drug. And my MD is not available to me. I feel I am "disconnected" from my brain and floating off at times--loosing a few seconds at a time--almost like a petit mal seizure. Will check in tomorrow evening again. Dotty




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