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Re: Remeron

Posted by JohnL on December 4, 1999, at 4:23:00

In reply to Remeron, posted by Trish on December 3, 1999, at 17:42:21

> My Dr. wants me to try remeron 30 mg a day. I have been on several ad in four years. I have never felt so down as I do today. I couldn't stop crying in the dr's office today. Has anyone has any experience with this drug? Did it work? Side effects? I feel so alone.

Hi Trish, sorry you're feeling so bad right now. But Remeron might help fairly quickly. I've used it for a long time in doses ranging from 7.5mg to 60mg, so I'm a little familiar with it.

In clinical studies where Remeron was compared to Paxil and Prozac in head to head double blind trials, Remeron was generally "faster acting" and stronger than both Paxil and Prozac. You might possibly feel it work as soon as the first week. Primary side effects are sedation and weight gain. The weight gain goes away after 2 or 3 months of use with many people. I only gained about 3 pounds. The sedation will give you good sleep, with a mild hangover sort-of feeling upon waking that goes away with the first coffee. If you are overly sedated on your first dose, don't worry, it will lessen in a few weeks. Personally I think 30mg is a lot to handle all at once. Even 15mg will seem like a lot at first. Without getting used to it first, 30mg might be a bit much to start with. The theory is that there is less sedation at higher doses, but I have yet to hear direct experience from anyone that could verify that. Didn't happen with me.

Overall Remeron is a fine antidepressent. Just don't let its sedating side effects scare you. Take it an hour to three before bedtime.(the earlier the better so it doesn't carry over into the next day) Daytime sedation is rare after a few weeks of getting used to it. I think Remeron is probably good in all despressive subtypes, especially those with some anxiety and insomnia, but not so helpful in those with melancholic me. But due to its track record of working rather quickly, it should help you out of that miserable mood in no time. Cheering for ya. JohnL




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