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Re: So confused about where to go next :(

Posted by 49er on March 9, 2008, at 7:06:07

In reply to Re: So confused about where to go next :(, posted by g_g_g_unit on March 9, 2008, at 4:20:04

> if its any help the first post in this thread perfectly describes how i feel . http://www.dr-bob.org/cgi-bin/pb/mget.pl?post=/babble/20030708/msgs/240216.html
>
> the symptoms first started appearing after i came off remeron. i know this is just like total uneducated speculation but like my pdoc doesnt make me wean off stuff - i was at a low dose (15mg) for about a month but he just made me stop abruptly. same with the prozac now. could it be like just trying stuff for short bursts (i.e. month or two) and then ceasing be messing with my seretonin levels and giving me a fuzzy feeling? sorry if theres no pharmacological logic behind that lol . i guess i should try lexapro and give it a decent shot to try and stabilize, or have a total clear out and just go clean for a while. i guess its moments like these that make me worrya bout the accumulative effect putting all these pills into me might be having ...

Hi,

Because of the board rules, I can't really tell you what I think of your doctor's practice in not tapering you off of Remeron. Let's just say I don't think it is a good idea. That is an extreme understatement.

The recommendation on the Paxil Progress Boards, which is run by an RN, is 10% of the current dose every 3 to 6 weeks. I have been tapering at this rate on Remeron that last few weeks and have had minimal problems. When I tried to taper more quickly, I paid dearly. I will not make that mistake again.

When you taper a psych med too quickly or cold turkey it, it is like putting the car in reverse at 60 miles an hour. Your brain needs time to adjust as these drugs make alot of neurochemical changes to your body.

Also, when you taper too quickly or cold turkey a med, you will get symptoms that seem like a return of the illness but are not.

That sounds like what happened in your case.

By the way, it has been my experience that many doctors are not familiar with a slow tapering rate that the Paxil Progress Boards recommend. When I initially proposed it to my psychiatrist, he was quite resistant. To his credit, he was still willing to do what I want but it was rough sailing at first.

Anyway, I hope this helps.

49er


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poster:49er thread:816784
URL: http://www.dr-bob.org/babble/20080303/msgs/816945.html