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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 fachad on January 4, 2003, at 1:26:59
Shawn,
I'm glad to see you back here at PSB. I always read your posts and am grateful for the excellent summaries you post here from your voluminous research.
Just curious, what meds, if any, are you taking these days?
Are you still on Remeron? Did it cause weight gain for you?
Have you found a better AD, or a better cocktail?
-fachad
Posted by Shawn. T. on January 4, 2003, at 18:30:50
In reply to Shawn T. - Glad You're Back and Question, posted by fachad on January 4, 2003, at 1:26:59
Thanks for the note. I still take Remeron (15mg now) simply because there's no other way that I could control my sleep schedule. It did cause weight gain, but that was not a problem. I was underweight beforehand, and I now weigh an average amount for someone with my height. I still like the idea of the low dose Remeron + normal dose Wellbutrin cocktail. I haven't been taking Wellbutrin because I lost my health insurance, but I'll be getting new insurance soon. I haven't been posting because I've been spending most of my free time working on my web site. I'm looking at using it as a launchpad for me to post research papers that I'm working on involving neuropsychology- related topics.
Shawn
Posted by fachad on January 4, 2003, at 20:20:28
In reply to Re: Shawn T. - Glad You're Back and Question, posted by Shawn. T. on January 4, 2003, at 18:30:50
Shawn,
Sorry to hear you lost your insurance. That is always a big worry for me. I actually price out my pdoc visits and meds "as-if" I had no health insurance. I try to choose generic meds, so if I lost my insurance I could continue my regimen on self pay.
It's just too easy when you have good insurance to get comfy with an "ideal cocktail" that includes many proprietary drugs that would be absolutely cost prohibitive without insurance. I think pdocs should factor this into drug selection algorithms. It will certainly have a profound impact on patient compliance in the long run.
I think that Wellbutrin is available as generic bupropion. That may not be too expensive for self pay if it really helps you.
Regarding the Remeron weight gain, did the weight gain level off after a certain amount, or do you find a slow, steady gain that continues as long as you keep taking Remeron?
-fachad
> Thanks for the note. I still take Remeron (15mg now) simply because there's no other way that I could control my sleep schedule. It did cause weight gain, but that was not a problem. I was underweight beforehand, and I now weigh an average amount for someone with my height. I still like the idea of the low dose Remeron + normal dose Wellbutrin cocktail. I haven't been taking Wellbutrin because I lost my health insurance, but I'll be getting new insurance soon. I haven't been posting because I've been spending most of my free time working on my web site. I'm looking at using it as a launchpad for me to post research papers that I'm working on involving neuropsychology- related topics.
>
> Shawn
Posted by Shawn. T. on January 5, 2003, at 23:40:28
In reply to Re: Shawn T. - Glad You're Back and Question » Shawn. T., posted by fachad on January 4, 2003, at 20:20:28
I believe that many doctors do factor cost issues into the drugs that they prescribe, but the patient has to speak up, of course. I increased my dosage of Remeron to 30mg for a while, and that seemed to cause more of a weight increase. I can control my weight with exercise and diet, so the rate of change varies in proportion to how much control I exert. I previously could not gain weight easily, so the real change is that I can now do that if I adopt eating and exercise habits that promote weight gain. Adding Wellbutrin negates this effect to some degree.
Shawn
This is the end of the thread.
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