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Re: Is Reboxetine worth the wait? Else

Posted by JohnX2 on March 31, 2002, at 20:43:54

In reply to Re: Is Reboxetine worth the wait? JohnX2, posted by Else on March 31, 2002, at 12:43:52

> >
> > Hi dose Effexor made me very irritable and anxious. Reboxetine was very tolerable except for the urinary retention and erectile dysfunction.
> >
> > The two medicines beared no resemblence to me.
> >
> > BTW, maybe some Zoloft added to the Remeron would help with the hypersomnia? Just a thought.
> >
> > John
> Hey John,
> Thanks for the reply. I was not aware that reboxetine caused sexual problems. Sexual difficulties are always presented as a rare side effect of the drug, not that they would keep me from trying it. Aside from this problem, did you find the drug more effective than serotonergic agents or was it similar?

I don't think I gave the rebox a good trial to be honest. It didn't nullify my emotions like SSRIs, so that was a pro. Also, I didn't feel agitated like on Effexor. I do Okay on Remeron as you do also. In regards to the sexual dysfunction, this was not a libido issue, it was strictly a common side effect for males on NRIs that may be caused by stimulation of a particular noradrenaline receptor. There are medicines that may antidote this (like Flomax). Also it may just go away (I was only on the med for 3 weeks).

> I was on Zoloft for over a year and it didn't work too well. Like Prozac, it did make me less anxious but it also caused very unpleasant irritability and apathy so I prefer to rely on clonazepam for anxiety. Remeron works well for me. It's supposed to be less sedating in higher doses so I will consider asking my doctor to switch my prescription to 45mg instead of 30mg. Hopefully that will do the trick. Every other AD I've tried made me unbearably edgy, even when taken along with Depakote or Neurontin (except for Desyrel wich is definitely not an option, for other reasons). Do you know if a higher dosage of Remeron would help?
> Thanks

I think the higher dosage of Remeron may help, yes. This would be the 1st thing to try before switching meds, etc.

Also, the Remeron blocks serotonin receptors that cause agitation, so the addition of an SSRI like Zoloft may not add any agitation at all and may boost the AD effect.

Good Luck.




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