![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Toby on February 2, 1999, at 8:49:04
New info from psychopharm guru Stephen Stahl, MD says that if a person is gaining weight from Remeron and increasing the dose to therapeutic level (30-45 mg) doesn't reverse it, Zantac or Pepcid may help. He says that Remeron has a tendency to increase stomach acid; not usually to ulcer level, but enough to make a person feel constantly hungry. If constant hunger is the problem and not a particular craving, he recommends Zantac 150 mg at bedtime taken with the Remeron and 150 mg first thing in the morning and this usually lowers the acid enough to reverse this effect. He says Pepcid can also be used, but he has more experience with the Zantac. You can use the over-the-counter kind although it may end up being expensive. If your doctor prescribes it and you have insurance, it will pay for it. He does not recommned Tagamet because Tagamet has been shown to cause depression and you don't want to go back down the road you just came from. Hope this helps.
Posted by DL on February 2, 1999, at 22:20:39
In reply to Zantac for Remeron weight gain, posted by Toby on February 2, 1999, at 8:49:04
Thank you for this information. I will try it. Got the Stahl book on psychopharmacology--great illustrations.( Brings back lectures in neurology)--You can get the concepts of the whole book by just reading the captions under the pictures and studying the illustrations. But, it did not have anything other than a sentence or 2 on Remeron and other suggestions you had given me. I think when a book like this is published in 1996 the info was probably gathered a year or more before that and Remeron was new then.----------Still working on my promise............
Posted by Matt on February 3, 1999, at 3:55:52
In reply to Zantac for Remeron weight gain, posted by Toby on February 2, 1999, at 8:49:04
> New info from psychopharm guru Stephen Stahl, MD says that if a person is gaining weight from Remeron and increasing the dose to therapeutic level (30-45 mg) doesn't reverse it, Zantac or Pepcid may help. He says that Remeron has a tendency to increase stomach acid; not usually to ulcer level, but enough to make a person feel constantly hungry. If constant hunger is the problem and not a particular craving, he recommends Zantac 150 mg at bedtime taken with the Remeron and 150 mg first thing in the morning and this usually lowers the acid enough to reverse this effect. He says Pepcid can also be used, but he has more experience with the Zantac. You can use the over-the-counter kind although it may end up being expensive. If your doctor prescribes it and you have insurance, it will pay for it. He does not recommned Tagamet because Tagamet has been shown to cause depression and you don't want to go back down the road you just came from. Hope this helps.
Interesting-- one question, though. Can't antacids interfere with the absorption of the medicine?
Most everyone I've talked to on Remeron has experienced general food cravings, and I myself have noticed an increase in the amount of my antacid use w/ Remeron.
Matt
Posted by Dr. Bob on September 1, 1999, at 19:38:19
In reply to Zantac for Remeron weight gain, posted by Toby on February 2, 1999, at 8:49:04
> New info from psychopharm guru Stephen Stahl, MD says that if a person is gaining weight from Remeron and increasing the dose to therapeutic level (30-45 mg) doesn't reverse it, Zantac or Pepcid may help...
Posted by BTS on March 31, 2003, at 14:49:41
In reply to Re: Disclaimer from Dr. Stahl, posted by Dr. Bob on September 1, 1999, at 19:38:19
> > New info from psychopharm guru Stephen Stahl, MD says that if a person is gaining weight from Remeron and increasing the dose to therapeutic level (30-45 mg) doesn't reverse it, Zantac or Pepcid may help...
>
> I've been on Remeron 30mg for over a year and have put on over 40 lbs!
I have a hiatal hernia and am wondering if Zantac would be ok to take. I'm always feeling very "bloated".
Posted by MoBe on July 15, 2003, at 19:59:55
In reply to Re: Disclaimer from Dr. Stahl, posted by BTS on March 31, 2003, at 14:49:41
> > > New info from psychopharm guru Stephen Stahl, MD says that if a person is gaining weight from Remeron and increasing the dose to therapeutic level (30-45 mg) doesn't reverse it, Zantac or Pepcid may help...
> >
> > I've been on Remeron 30mg for over a year and have put on over 40 lbs!
> I have a hiatal hernia and am wondering if Zantac would be ok to take. I'm always feeling very "bloated".
> I've been on 15 mg of remeron on and off for about 2 years now. I keep going back to it for great sleep but do find it makes me gain weight. When my weight goes up about five pounds I go off it and use 5htp for sleep. This acts also a bit like an appetite suppressant as well. Unfortunately it is not as good as the remeron for sleep. My question to the group is this - if Zantac is indeed effective - why don't more individuals do this? I have heard so very few say they actually try it. I think I will however and after my trial period I'll report back to tell my results. Thanks.MoBe
>
>
Posted by MoBe on November 9, 2005, at 20:27:26
In reply to Zantac for Remeron weight gain, posted by Toby on February 2, 1999, at 8:49:04
> New info from psychopharm guru Stephen Stahl, MD says that if a person is gaining weight from Remeron and increasing the dose to therapeutic level (30-45 mg) doesn't reverse it, Zantac or Pepcid may help. He says that Remeron has a tendency to increase stomach acid; not usually to ulcer level, but enough to make a person feel constantly hungry. If constant hunger is the problem and not a particular craving, he recommends Zantac 150 mg at bedtime taken with the Remeron and 150 mg first thing in the morning and this usually lowers the acid enough to reverse this effect. He says Pepcid can also be used, but he has more experience with the Zantac. You can use the over-the-counter kind although it may end up being expensive. If your doctor prescribes it and you have insurance, it will pay for it. He does not recommned Tagamet because Tagamet has been shown to cause depression and you don't want to go back down the road you just came from. Hope this helps.
Hi All
I thought I'd update you on an article I read. One research study says if you take 600 mg ranitidine with clonazepan it will reverse the weight gain. Anyone tried this much ranitidine with remeron and did it work for you.
MoBe
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.