Posted by Ritch on May 10, 2002, at 22:14:06
In reply to Need help, very down. Anyone try 45 mg Remeron?, posted by BarbaraCat on May 10, 2002, at 17:21:38
> Hi fellow Babblers,
> Hitting the skids again - shit! Just got my first SSI Disability rejection. I know how that game goes and I have a lawyer and we're going to wrangle the whole mess, but I'm feeling so down, worried about how I can survive with a periodic descent into hell - like who is going to hire me when I have to take weeks off at a time to go crazy? Plus my husband is out of work as well and the stinkin' bills don't stop coming. I'm just so worried, discouraged, burned out, and starting to wake at 4 am, cry alot. The symptoms are all there. Life is getting to me despite my healthy routines and I'm descending into that black bottomless pit. I don't want to go there. I'm scared of that place and once I'm there it takes so much out of me to crawl back out.
>
> I'm currently on 45 mg Remeron and 600 mg Lithium as augmentor, Klonopin 2-3 mg a day, Ambien for sleep. Called my pdoc and can't see him for another 3 weeks plus he just doesn't have any new ideas anyway. So, does anyone know about dosages of more than 45 mg Remeron? I heard that in Europe they typically go 60 mg and higher, but I haven't heard of anyone with any experience. Any other ideas on my med combo? It was working but the current worries and anxieties are breaking through. Any help would help. - Barbara
Barb,I am sorry to hear about all of this crap you are going through! Where I work everybody is all paranoid about being laid off, etc. Just an honest hunch, but could you drop the Klonopin back a click or two? Benzos *always* make me depressed at higher dosages. Valium was the worst, Klon., Xanax, and Ativan less so, but nevertheless, they do set me down. You could go higher on the Remeron (I have heard up to 90mg/day), but I would expect insomnia to worsen (possibly just at first), however. When you wake early, are you in the middle of a dream? Just curious. If so, you might consider *dropping* the Remeron to 30mg from 45mg, it might make your sleep *more* sound.
Here are some add-on ideas:
Neurontin at bedtime.
Take a little Celexa or Paxil at bedtime with the Remeron (i.e.5mg).hope this can help some,
Mitch
poster:Ritch
thread:105920
URL: http://www.dr-bob.org/babble/20020510/msgs/105944.html