Posted by MoBe on August 31, 2002, at 12:58:28
In reply to Re: remeron/wellbutrin, posted by SLS on May 16, 2000, at 10:46:44
> > > I am surprised that you are only on 150mg of wellbutrin to treat major depression. Is this low dose helping? About your problem - this is an easy one. If the remeron is making you drowsy then simply reduce the dosage to 15mg. If 15mg is not enough to help with sleep, then maybe a switch over to trazadone could do the trick. I currently take 100mg of traz at night to help with sleep and I luv the stuff. I notice a big difference when I am not taking the traz and when I do. The effexor I take makes my feet agitated and therefore difficult to sleep. The trazadone takes care of this and more. Without it, I am only a partial responder to effexor. It takes away the side effects from the effexor such as agitation, insomnia and a lack of emotion towards anything. Just some suggestions for ya. Good luck!
>
> > Yes, I've been on Remeron for more than 2 years, Wellbutrin for almost a year. If you're having trouble getting out of the fog, perhaps lowering the Remeron to 15mg and upping the Wellbutrin (300 *I think* is the therapeutic dose). Right now, my Remeron has been lowered from the top dose of 45 down to 30 and now to 15. Meantime, Wellbutrin has been upped from 100 (with 45 Remeron), to 200 (with 30 Remeron) and now to the top dose of 400mg (with 15 Remeron). More energizing. Less fog in the morning. Actually, I usually wake up before the alarm. Your mileage, of course, may vary.
>
> Wellbutrin 150mg/day is often an effective dosage, but some people need as much as 450mg/day (even 600mg/day). It makes sense to try going up to 300mg/day to evaluate how much more you can get out of it. People tend to need less Wellbutrin when they use the SR preparation.
>
>
> - Scott
>
Regarding Remeron and Wellbutrin combination- for the last couple of months I have been on 15 mg Remeron and 150 mg wellbutrin. This does wonders for my insomnia and my ADD but doesn't quite lift the depression well enough. I don't seem to have any side effects on this dose - but when I increase either (in order to lift the depression) I end up getting myoclonus (the muscle jerking). I'm wondering if this is part of serotonin syndrome ie. is it dangerous. It usually subsides in about an hour but it's fairly bothersome for that hour.Has anyone had their psychdoc comment on those symptoms???
poster:MoBe
thread:33306
URL: http://www.dr-bob.org/babble/20020829/msgs/118351.html