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Re: Remeron, anxiolysis

Posted by cache-monkey on January 7, 2007, at 12:53:09

In reply to Re: Remeron, anxiolysis, posted by cgd092 on January 6, 2007, at 23:37:54

Remeron's most selective as an antagonist of the H-1 receptor, followed by the 5-HT2A/2C receptors. And then at higher doses, it blocks the alpha-2 receptor. See: http://www.preskorn.com/columns/0003.html

I believe that it's a combination of the anti-histamine and 5-HT2 blockade that's responsible for Remeron's anxiolytic properties.

The alpha-2 antagonism is supposedly energizing at higher dose because this leads to a higher NE release. But this can cause anxiety for some people, similar to the herbal yohimbine. But if you're like me and have a super-sensitive NE system (based on how I respond to other meds), you might get increased anxiety even at lower doses.

Good luck,
cache-monkey


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