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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by tensor on December 5, 2004, at 10:04:16
Hi all,
for the first time in my life i felt happy, i mean i've never felt that good in my entire life. The med combo i had was remeron 15mg, zoloft 50mg and klonopin 2mg all daily and i've been on it for 6-7 months. A couple of weeks ago i crashed again. Damn!! It was the first combo that worked almost perfectly with liitle or no side effects(no sexual ones!). I recently saw my pdoc and we raised the dosage to 30mg remeron and 100mg zoloft. But so far, no success.
I have a rather long history of mental illness, it seems that i crash appr. every six months, why? Is it some sort of cycling depression that i've to live with for the rest of my life??Thanks for your time, please shred some light on this, my own ideas(i had many) are exhausted..
/Mattias
Posted by ed_uk on December 5, 2004, at 10:26:01
In reply to Damn!!, posted by tensor on December 5, 2004, at 10:04:16
Hi Mattias,
Do you take the medication for depression or anxiety (or both or something else)? What symptoms are you experiencing at the moment? If you tend to experience depression during the winter months perhaps you have a seasonal affective disorder.
Regards,
Ed.PS. Is Mattias a Finnish name? I once knew someone from Finland called Mattias.
Posted by tensor on December 5, 2004, at 13:12:35
In reply to Re: Damn!!, posted by ed_uk on December 5, 2004, at 10:26:01
Hi Ed,
I take zoloft and remeron for deperssion. Klonopin for anxiety and social phobia. I actually discussed the seasonal affective disorder with my pd last thursday. I'm really not sure how that works, because I don't feel sad or pessimistic when *thinking* about summer changing to winter or vice versa. But could season changes trigger depression anyway? Last time I 'crashed' was in february.
>PS. Is Mattias a Finnish name? I once knew someone from Finland called Mattias
Yes it's a swedish/finnish name, I live in Finland :)
Thank you,
Mattias
Posted by ed_uk on December 5, 2004, at 15:05:10
In reply to Re: Damn!!, posted by tensor on December 5, 2004, at 13:12:35
Hi Mattias :-)
Is it your depression that has relapsed rather than your anxiety? In seasonal affective disorder, depression is thought to be associated with the shorter days (in winter) and reduced exposure to sunlight- this is thought to have a negative impact on the functioning of the brain in some people.
Ed.
Posted by tensor on December 5, 2004, at 15:48:50
In reply to Re: Damn!!, posted by ed_uk on December 5, 2004, at 15:05:10
Hi,
Yes, it is the depression that has relapsed. The anxiety is always there but it is controlled by the klonopin(clonazepam). So if it is seasonal affective disorder, how long does it usually take to recover? Maybe light therapy could be something for me. I have to bring this up with my doctor.
The strategy now is that we have increased zoloft from 50mg to 100mg and remeron from 15mg to 30mg. I have been on 100mg zoloft for two weeks and 30mg remeron for four days. Nothing has improved yet.Thanks you,
Mattias
Posted by ed_uk on December 5, 2004, at 15:59:45
In reply to Re: Damn!!, posted by tensor on December 5, 2004, at 15:48:50
Hi,
SAD is diagnosed if people have recurrent episodes of depression in the winter months. If your depression is always worse in the winter it could be SAD. Depression tends to improve when the days get longer. If you do have SAD, light therapy may help. The increased dose of antidepressants may take several weeks to work so don't give up yet!
Regards,
Ed.
Posted by tensor on December 6, 2004, at 4:36:59
In reply to Re: Damn!!, posted by ed_uk on December 5, 2004, at 15:59:45
Hi,
Thanks for your help and ideas, i will give light therapy a shot. I will let you know how it worked out.
regards,
Mattias
Posted by dove on December 6, 2004, at 9:39:34
In reply to Re: Damn!!, posted by tensor on December 6, 2004, at 4:36:59
Remeron didn't really kick in for me until I went up to 45 mgs. per day. I also take it in combo with Effexor, Prozac, Adderall and Klonopin. It took a few weeks to really feel or notice the difference, so don't give up to early. Remeron definitely behaves differently at the higher doses, which was/is a good thing in my case. Hope you're holding on!
dove
This is the end of the thread.
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