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Dr. Bob is Robert Hsiung, MD,
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Posted by sue on July 21, 2001, at 16:58:17
Does anyone have experience with this drug in kids? My 8 yr old son with anxiety and insomnia was started on it to regulate his sleep.It helped him go to sleep but he is sleepy and irritable during the day.The DR wanted to increase his dose to decrease these symptoms but I was not sure.all comments welcome.
Posted by SalArmy4me on July 21, 2001, at 20:36:36
In reply to remeron in kids, posted by sue on July 21, 2001, at 16:58:17
After searching all the literature, I couldn't find any major study in which Remeron was used in children. However, one case report was promising, citing the use of mirtazapine in an 8-year old girl:
Good, Candace M.D.. Petersen, Christopher M.D.. SSRI AND MIRTAZAPINE IN PTSD. Journal of the American Academy of Child & Adolescent Psychiatry. 40(3):263-264, March 2001.
"The indications of the combined noradrenergic and serotonergic drug mirtazapine are broadening (Falkai, 1999). There are no open or controlled studies of mirtazapine augmentation in children, but this case did show a good response in the context of intensive inpatient treatment following a partial response to an SSRI. This report suggests the usefulness of studies of mirtazapine in children with PTSD."
Posted by Elizabeth on July 21, 2001, at 22:40:30
In reply to remeron in kids, posted by sue on July 21, 2001, at 16:58:17
> Does anyone have experience with this drug in kids? My 8 yr old son with anxiety and insomnia was started on it to regulate his sleep.It helped him go to sleep but he is sleepy and irritable during the day.The DR wanted to increase his dose to decrease these symptoms but I was not sure.all comments welcome.
Increasing the dose will probably reduce the daytime sedation, yes. Remeron gets less sedating as you raise the dose. So if he's taking 7.5 mg, 15 might be better; if he's taking 15, 22.5 might cause less daytime sedation; and so forth.
-elizabeth
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