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Re: one more remeron ( wellbutrin) question » michael

Posted by MoBe on April 5, 2003, at 23:45:45

In reply to Re: one more remeron ( wellbutrin) question » MoBe, posted by michael on April 5, 2003, at 21:04:45

> > > I'm also curious if anyone's used remeron in conjunction with wellbutrin. thanks. michael
> >
> > I am presently using wellbutrin 150 mg. once a day with 15 mg remeron at night. It works quite well for an excellent sleep and the wellbutrin gives a gentle lift in the morning. However, I feel much better when I take 150 mg wellbutrin TWICE a day rather than once. The only problem is that my family doctor will not prescribe this amount. He will only prescribe both together if each is in half dose. I haven't quite gotten out of him whether he actually thinks this is unsafe or he is just not experienced with that combination/amount. Anybody out there on that combo, and if so - who prescribed it - psychiatrist or general practitioner - and any dangers reported about it?
> > MoBe
>
> MoBe,
>
> Just thought I'd let you know that it's not dangerous... I've taken 45mg remeron concurrently with 400mg wellbutring sr (that's 200mg sr twice a day), for a number of months. Right now I'm just taking the remeron, but I I'm going to try adding the wellbutrin again in a couple weeks, at my next appt.
>
> My pdoc was the prescriber (& will be again) - he had no qualms about the combo when I suggested/requested adding the remeron to try augmenting the wellbutrin that I was already taking (at least I think that's the order - actually, it may have been the other way around... sorry, I don't recall exactly).
>
> I found the lower doses of remeron too sedating, and was/am hoping that the wellbutrin will help to counter that a bit. My recollection's a bit fuzzy but I think it helped w/that at least a little, when I was previously taking them together. I also want to try to stop smoking - again - which the wellbutrin helped greatly.
>
> Appologies for the rambling - the main point I wanted to make was that there shouldn't be any reason for concern w/that combo. (esp w/the low doses you mentioned that you're currently taking - I generally end up toward the upper end of the dosing ranges for meds that I've tried).
>
> At the risk of rambling on some more... If that combo gets you better results, -- in my opinion, & perhaps a bit crudely stated... -- it's stupid, not to mention wrong, etc., not to allow it. [Especially since there is nothing risky about the combo!].
>
> Too many people (especially here at PB) are on a seemingly endless quest to find somethnig that works... If you've found what works for you, you're fortunate, and should most certainly take advantage of it.
>
> If I were you, I'd do a little rsch (medline, pubmed, etc. -- check the PB tips section too, & depression central.com, etc.) before your next appt., and perhaps bring in a couple abstracts that discuss combination stratagies - and w/any luck you may very well find something that explicitly discusses combinations of those two meds.
>
> Or... try a pdoc, who should (might) be more comfotable &/or experienced w/combo's such as this. It's definitely not dangerous or exotic - or even uncommon.
>
> Or - maybe just a consultation (i.e. phone call) w/a pdoc will make him comfortable with with raising the doses...?
>
> Again - sorry for the rant... but when you've got something that works for you (as you say this does), and it's not only Not dangerous, but is fairly common (i.e.: combining 2 meds) - it should be a crime (perhaps only a misdameanor...?) to withhold it.
>
> Good luck, & I'm glad this is working for you.
> [& don't settle for feeling less good just because your doc is inexperienced/uncomfortable/etc.]
> ... I know, rambling again...
>
> michael

Thanks Michael - I'll make an appointment with my doc and try to convince him.
MoBe


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