Posted by SLS on April 3, 2013, at 8:35:10
In reply to Re: Long-term antidepressant studies )) tensor » Scars R. Stories, posted by Emme_V2 on April 2, 2013, at 23:50:45
> I'm not talking about my "friends". I'm talking about people that I've encountered while working at an inpatient psychiatric facility.
There is an important place for anecdotal observation, especially in a field of medicine that still relies on empirical evidence. I would not negate your submissions here as invalid. I was able to observe a rather large population of folks with mental illness while I was at a partial hospitalization program for mental illness and substance abuser / addiction (MICAA) for 8 years. I would guess that I witnessed the outcomes of various pharmacological and psychotherapeutic treatment modalities of over 150 people treated there.
I didn't see Remeron used very often. That doesn't surprise me, though. Understandably, the medical staff followed the guidelines for treatment protocols as described in the drug manufacturer's label or PDR. Unfortunately, this means using dosages of Remeron not exceeding 30 mg/day. That's like prescribing dosages of Prozac not to exceed 5.0 mg/day. From what I have read, and my observation of others, the true effective dosage range for using Remeron to treat severe depression is actually 45 - 90 mg/day. It is at these higher dosages that pro-noradrenergic effects emerge. For whatever reason, higher dosages of Remeron are generally less sedating than lower dosages. I don't know if the propensity for weight gain differs at higher dosages.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1041418
URL: http://www.dr-bob.org/babble/20130322/msgs/1041601.html