Posted by Phoenix1 on January 2, 2008, at 21:46:12
In reply to I Wonder Why Remeron Isn't More Popular?, posted by bleauberry on January 2, 2008, at 19:22:47
I thought the same as you when I first researched it. Yes, the literature certainly makes it look like a very effective AD and it is for some. Sedation is really only an issue on the lower doses, smart pdocs don't bother titrating up, they just atart at an effective, relatively high non-sedating dose.
I found it effective for at least 6 months. But the appetite increase and weight gain was a problem. And it made me feel very numb emotionally, and cognitively fuzzy. And then it pooped out, but the side effects didn't.
But certainly, some VERY depressed patients have imroved dramatically while under high-dose inpatient treatment with Remeron, so it's a valuable tool! And others find it useful in low doses as a sleep aid.
Phoenix1
> Whenever I just surf and study antidepressants, I tell you, remeron just always comes up shining. Speed of response, lack of ssri side effects, unique mechanisms boosting serotonin, norepinephrine, and dopamine, etc etc.
>
> If I surf of lexapro, yeah it comes up top dog. Then effexor, yeah, it's way up there too. Then remeron, it blows both in the weeds. I mean, looking at clinical trials, not actual real world.
>
> So when something looks so good in trials, universities, hospitals, and stuff, how come it doesn't seem that good to the rest of us? I would think remeron would be more popular. I do understand the sleepiness, and it usually goes away, and I understand the weight gain, but I mean, I don't know. It just puzzles me why something looks so good on paper and isn't more popular.
poster:Phoenix1
thread:803861
URL: http://www.dr-bob.org/babble/20071225/msgs/803917.html