Psycho-Babble Medication Thread 2293

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Toby, can you figure this out??

Posted by Mark T. on January 11, 1999, at 15:50:53

I am a male that is currently taking 100 mg. of Zoloft in the daytime, then 45 mgs. of Remeron at bedtime.. I was taking Paxil at 40 mgs. and the same of Remeron..I was getting a partial response to the Paxil and Remeron, but had mini relapses..I would recover from them though..I told my doc about this and he changed to Zoloft..I was quite surprised thinking that he would increase the dose or augment..Now I feel more anxiety than I did before. I have been on the Zoloft for three weeks now, my depression is back and I have more anxiety..What would you have done if you were my doc??? I want to ask the doc to go back to the Paxil.. I wasn't ready to give up on it yet..I weigh about 225 lbs. What would you prescribe as a dosage for a person my size??? Thanks..

 

Re: med changes

Posted by Toby on January 12, 1999, at 12:00:15

In reply to Toby, can you figure this out??, posted by Mark T. on January 11, 1999, at 15:50:53

Generally when a person has a partial response to a medication, the first strategy is to increase the dose to either the maximum recommended dose (for Paxil that would be 60-80 mg and for Remeron about 60 mg) or until side effects become intolerable. If you weren't having problems taking the Paxil or Remeron I probably would have increased the Paxil and later the Remeron if you were better but still not in remission. After that we'd have to talk about what symptoms in particular were still returning and see if there's a medication strategy that would specifically address those symptoms. As far as a dose based on weight, there really isn't one except for children. Some little tiny people require huge doses of medication and on the other hand very large people will sometimes respond to tiny doses of medication. It's really not body size that determines response to a psychiatric medication, it's the degree of chemical imbalance in the brain.


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