Posted by email@example.com on October 20, 2001, at 15:12:20
In reply to Remeron in a Nutshell, posted by SalArmy4me on June 8, 2001, at 3:06:56
I agree Remeron can be useful, but primarly for major depression.
However for anxiety, SP, panic, etc, I think opposing type meds (serotonergic/axiolytic) would usually be necessary, I believe that in long term use Remeron primarily is a powerful norepinephrine booster.
I think it's very novel but in actual practice it is still rarely used, and I really don't think it ever will be.
I believe that doctors interest is mainly in it's novel mechanisms.
Medline shows little continued research on mirtazapine (remeron) however, in my opinion because remeron has sort of been "given up on" for most people.
I *DO" definitely agree it CAN FREQUENTLY BE VERY USEFUL TO AUGMENT PRN FOR SEXUAL SIDE EFFECTS, AS IT IS POTENT SEROTONIN ANTAGONIST. UNFOTUNATELY IN PRN USE THERE IS ALSO MORE (INITIALLY) SEROTONIN BOOST SO I THINK VERY LOW DOSE (7.5MG) IS BEST BET FOR PRN USE.
I think I was a bit overly generalizing there.
I do think some will definitely like Remeron, I just don't think it is practicle med for most people taking psychotropics...
> Regardless of whether one will gain weight on Remeron or not, I strongly recommend that people give Remeron a try, because it is perhaps the best medication that has come out in the last 5 years. And I will explain why:
> Here are the benefits of Remeron:
> --It can be used for all types of depression, anxiety, OCD, and insomnia.
> --It is convienient because it is taken only once at bedtime.
> --It may improve libido and sexual performance (its the only medication that improves mine). Dr. Bob Hsieung's fellow doctors recommend it for sexual dysfunction.
> --You can take Remeron with most antidepressants except MAOIs.
> --It has none of the anticholinergic effects of SSRIs.
> --It has gained recognition as a very useful medication from psychiatrists in only four years of FDA approval.
> I myself started Remeron at 60 mg right away and had no side-effects. I had no weight gain or sedation during the day.