![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by zana on February 15, 2008, at 18:52:05
I am taking 45mgs of remeron, 600mgs of lithium, 4mgs of klonopin and 900mgs of neurontin. All of this because I went into an agitated depression about 5 months ago. I'm no longer agitated. With all the downers, I'm surprised I can stand up. I still feel moderately depressed and anxious.
Since increasing my dose of remeron from 30mgs to 45mgs I have been waking up with panic attacks. My pdoc thinks it is because of the remeron but also thinks that if I reduce the dose I may lose the antidepressant effect. Anybody have any experience reducing remeron? I'm thinking of dropping back to the 30mg dose but I don't know if that is too big a reduction to make all at once.
My pdoc believes in doing one thing at a time, which makes sense, but I'd love to reduce the lithium too. I hate the way it makes me feel shakey internally and the way it makes my hands shake.
Any advice?
Posted by Phillipa on February 15, 2008, at 19:47:47
In reply to Remeron panic attacks and lithium shakes, posted by zana on February 15, 2008, at 18:52:05
Just curious why the high dose of lithium? Phillipa
Posted by jms600 on February 17, 2008, at 16:23:33
In reply to Remeron panic attacks and lithium shakes, posted by zana on February 15, 2008, at 18:52:05
> I am taking 45mgs of remeron, 600mgs of lithium, 4mgs of klonopin and 900mgs of neurontin. All of this because I went into an agitated depression about 5 months ago. I'm no longer agitated. With all the downers, I'm surprised I can stand up. I still feel moderately depressed and anxious.
>
> Since increasing my dose of remeron from 30mgs to 45mgs I have been waking up with panic attacks. My pdoc thinks it is because of the remeron but also thinks that if I reduce the dose I may lose the antidepressant effect. Anybody have any experience reducing remeron? I'm thinking of dropping back to the 30mg dose but I don't know if that is too big a reduction to make all at once.
> My pdoc believes in doing one thing at a time, which makes sense, but I'd love to reduce the lithium too. I hate the way it makes me feel shakey internally and the way it makes my hands shake.
> Any advice?
I had a dreadful time on Remeron. My main problems are GAD, panic phobia and depression. The Remeron helped my depression, but just made my anxiety far worse - especially at 45mg doses (I guess due to the effect the drug has on Noradrenaline re-uptake at higher doses).I was on Remeron for about three months - it gave me a ravenous appetite; made me aggressive (especially at higher doses); rapidly increased my racing thoughts; and made my anxiety and panic attacks far worse.
Some people on here seem to do really well on it, but for me it's a drug that I won't even be going near again. I've now switched to Cipralex, so hopefully that will do what the Remeron failed to do!
Posted by yxibow on February 26, 2008, at 13:52:46
In reply to Re: Remeron panic attacks and lithium shakes » zana, posted by Phillipa on February 15, 2008, at 19:47:47
> Just curious why the high dose of lithium? Phillipa
Lithium is dosed in some slightly above the 1 gram level.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.