Posted by med_empowered on July 19, 2005, at 23:32:39
In reply to Re: Anxious and depressed again, posted by linkadge on July 19, 2005, at 18:24:26
Hey! My first thought would be a Remeron+Wellbutrin+Buspar combo. Wellbutrin is kind of stimulating; people on it lose an average of 5lbs..it also can cause anxiety, but has few sexual side effects. Remeron is good for inducing sleep, calming anxiety...it also tends to make people gain weight :-( . If you don't have a huge insomnia problem, though, you could probably jump from 15mgs/ at nite to 30/mgs at nite; the higher dose actually reduces the likelihood of over-sedation and weight gain. Remeron has a better sexual side effects profile than the SSRIs, but it isn't all that popular in the US. It plays well with other drugs, so drug-drug interactions are pretty rare. Buspar is an odd anti-anxiety drug...its not sedating (once you adjust to it), it doesnt cause addiction...anyway, the usual starting dose is 15mgs/day, divided up into 3 even doses...your doc can start higher, and some docs do 2X dosing for convenience. It takes a while to start working, but it works for a lot of people...it seems to be particularly good for anti-depressant induced anxiety problems, which would make it an awesome choice for you. If you dont like it or choose to stop taking it at some point, you can do so without any major withdrawal problems. Buspar is also available in generic buspirone tablets, as is Remeron; be sure to ask your doc to sign off for a generic since some of them aren't so good about that.
poster:med_empowered
thread:530215
URL: http://www.dr-bob.org/babble/20050718/msgs/530441.html