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Re: Remeron and Lithium -Barbara » Nala

Posted by BarbaraCat on August 29, 2002, at 23:13:23

In reply to Re: Remeron and Lithium -Barbara, posted by Nala on August 29, 2002, at 5:48:28

Hi Nala,
Good to hear from you again. I've been reducing the Remeron slowly due to the weight gain and the fact that I wasn't getting as good an antidepressant response as I felt I should at 75mg, a high dose. I think the lithium has helped very much in keeping the crazier part of my condition at bay and to act as a stabilizer. However, I've been under extra stress lately and am acutely feeling the lessened dose of Rem (at 45mg and will stay here til life settles down more). I've found a very good naturopath who has pinpointed some considerable health issues that may be very influential in my fibromyalgia and neuro-inflammatory symptoms, and general feeling of fatigue, pain and anxiety. So, hopefully, I'll be able to manage things better with correct metabolic and nutritional support instead of only targeting it from the antidepressants. I guess what I'm saying in a nutshell is that I think Remeron and lithium are a very good combo. I don't think Remeron has as good a track record on it's own and seems to need the lithium kick - but that may be due to my own BP-II idiosyncracies. There is the real problem of weight increase, but many folks on this board seem to manage it through exercise. I could not, especially since my fibromyalgia makes strenuous exercise out of the question. I eat well and definitely not in excess, but any seems to be too much.

It's difficult to separate what's emotional and what's physical stress, however, I know that my condition requires much more than head meds (and probably needs prayer more than anthing) so I'm probably not the best person to ask on the efficacy of any AD - they just don't work after a bit.

Question: why does your doc think you have BP-II? It's become the catch-all dx du-jour, and sometimes I wonder about my own diagnosis.

> Barbara,
> You've responded to me in the past re: Remeron as monotherapy. However, since then my pdoc has diagnosed me with BP II as well as started me on Lithium. I've been on it about 1 week. Is this combo still working well for you? I also practice a healthy lifestyle like you including: exercise, healthy eating, water drinking, etc. I have felt no change "yet" since beginning Lithium. But, everyone tells me "watch out, you'll gain weight!" I may have put on 2 nEEDED pounds on Remeron, alone, but I've already noticed I'm not hungry like I used to be on Remeron. Any input would be appreciated. Thanks a bunch,
> Nala
>
> !


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URL: http://www.dr-bob.org/babble/20020829/msgs/118177.html