Psycho-Babble Medication | about biological treatments | Framed
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Re: To: MATT w/?

Posted by Matt on March 28, 1999, at 23:33:06

In reply to Re: To: MATT w/?, posted by Cindy on March 28, 1999, at 18:17:04

Well, two weeks really is too short of a time period to judge the effectiveness of a medication. I also wonder why it was the Prozac that was judged to be ineffective, rather than the Remeron (This isn't to say that the Remeron should have been judged ineffective after 2 weeks, either.) Remeron has been shown in at least one study to work more quickly than Prozac. Why does he insist on staying with the Remeron? (Or why did he start you off on two antidepressants to begin with?) Do you have comorbid anxiety? (This isn't to say that you shouldn't stick with the Remeron; I'm just curious as to what he's thinking wrt the Remeron.)

Call me old-fashioned, but I'd much rather try either a more activating SSRI (like a real trial of Prozac), or dropping one of the two antidepressants you're on than add a stimulant. I mean, you're on what is considered to be a "therapeutic" dose of both the Remeron and the Celexa. Certainly some people will take an SSRI and Remeron, but this usually isn't a first-line sort of solution.

You'll probably feel less zonked on the Celexa alone, though Remeron may be a more effective antidepressant (not to say that Celexa isn't an effective antidepressant). If it were me, I'd try dropping one of the two drugs and seeing if that improved things before I added a stimulant.





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