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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by geno on October 10, 2001, at 20:31:14
Hi all im currently on a med combo for sleep, anixety, social phobia and depression.
Remeron 30mg At bedtime (helps with sleep alot)
Xanax .5mg as needed in day
Desipramine 25-50mg nightthis med combo is good, my sleep is good, anixety is lower, but my mood is a bit up and down. angry sometimes then sad, then gloomy. I have a few alternatives. or addatives, id like someone, maybe pharmonut to give me some advise.
Add 20mg of prozac in the morning?
Or
Add neruonitin to combo
or
up the remeron to 45mgi also have 37.5 effexors and 200mg serzones laying around. i DONT wanna add all 3. I want to add just one other med. need advise.
GOAL is to improve my mood.geno
Posted by Psychopharm Nut on October 10, 2001, at 22:42:27
In reply to med combo help?, posted by geno on October 10, 2001, at 20:31:14
How about raising your dose of Desipramine before adding another drug? The maximum dose is around 200 mg and you're still at 50 mg--probably not a therapeutic dose if you were to take a blood-level.
Posted by Elizabeth on October 11, 2001, at 11:41:07
In reply to med combo help?, posted by geno on October 10, 2001, at 20:31:14
> Add 20mg of prozac in the morning?
> Or
> Add neruonitin to combo
> or
> up the remeron to 45mgIf antidepressants seem to be leaving you irritable or labile, I'd try Neurontin or another anticonvulsant drug (such as Lamictal or Depakote).
I don't recommend adding old drugs that you have lying around -- stick to what your doctor suggests!
-elizabeth
Posted by Elizabeth on October 11, 2001, at 11:41:34
In reply to Re: med combo help? » geno, posted by Psychopharm Nut on October 10, 2001, at 22:42:27
> How about raising your dose of Desipramine before adding another drug? The maximum dose is around 200 mg and you're still at 50 mg--probably not a therapeutic dose if you were to take a blood-level.
I think it's probably there for augmentation purposes or as a sleep aid (although I take mine in the morning so I'm surprised to see it there). Anyway, tricyclics aren't the best ADs for mood swings and irritability, IMO.
-elizabeth
Posted by geno on October 11, 2001, at 16:39:20
In reply to Re: med combo help? » Psychopharm Nut, posted by Elizabeth on October 11, 2001, at 11:41:34
> > How about raising your dose of Desipramine before adding another drug? The maximum dose is around 200 mg and you're still at 50 mg--probably not a therapeutic dose if you were to take a blood-level.
>
> I think it's probably there for augmentation purposes or as a sleep aid (although I take mine in the morning so I'm surprised to see it there). Anyway, tricyclics aren't the best ADs for mood swings and irritability, IMO.
>
> -elizabethelizabeth,
true, maybe illl take my des in the am. It seems a little activating and waking me up in the middle of the night from vivid dreaming, i beleive from remeron. my mood is up and down, partly because my life isnt going well, shitty job and not liking what im doing. I may add neuronintin to stablize my mood.thanks
geno
Posted by Elizabeth on October 12, 2001, at 10:33:12
In reply to Re: med combo help?, posted by geno on October 11, 2001, at 16:39:20
> true, maybe illl take my des in the am. It seems a little activating and waking me up in the middle of the night from vivid dreaming, i beleive from remeron.
I've been having vivid dreams since I started taking desipramine. This has been going on (the vivid dreaming, that is) all my life, but I think the desipramine is making it worse.
> my mood is up and down, partly because my life isnt going well, shitty job and not liking what im doing. I may add neuronintin to stablize my mood.
Neurontin sounds like a good choice. It might help you sleep better, too.
-elizabeth
This is the end of the thread.
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