Posted by Bob on May 13, 2002, at 22:51:52
In reply to Re: Antidepressants and sedation, etc. » old pro, posted by Ritch on May 10, 2002, at 21:28:09
>
> Hi,
>
> It sounds like you might want to revisit the lithium again, and stick with it after the depression goes away the next time. What dose of lithium were you taking? Just from personal experience, I didn't need any more than 600mg/day for a decent antidepressant response. Even 300-450mg/day taken as a long-term regimen wasn't that bad. Interesting that the Remeron aggravated insomnia for you. I found that 7.5mg knocked me on my ass for 12 hrs straight (no matter how long I took it), and 15mg pretty much did the same thing, however when I increased to 30mg I noticed some nighttime awakenings (lucid dreams), that may have contributed to my daytime drowsiness the following day. Maybe that is why the *brain fog* never lifted during the day with increasing doses of Remeron (it was actually *waking* me up at nite!). Tricyclic antidepressants like doxepin, etc. tend to diminish REM sleep stages, so maybe that is where your trouble lies. If you haven't done so already, you might consider getting a polysomnogram (sleep study) with EEG to rule out a sleep disorder (sleep apnea, etc.). I would retry the lithium and just keep taking it, IMO.
>
> MitchMitch:
Did you ever get beyond 30mg of Remeron per day?
Bob
poster:Bob
thread:105496
URL: http://www.dr-bob.org/babble/20020510/msgs/106262.html