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Re: Period for Remeron's benefits to kick-in? » LyndaK

Posted by CharlieL on May 5, 2003, at 10:41:01

In reply to Re: Period for Remeron's benefits to kick-in? » charlie12, posted by LyndaK on May 5, 2003, at 2:44:22

Hi Lynda!

First of all, let me thank you for your detailed & thoughtful reply!

It really helps a lot!

What is so good about this forum is that you get to seriously dialogue with people who have actually "walked the walk"!

<< I understand you quitting, but I hope you'll consider giving it another try. >>

Actually Lynda, I am just taking a "brief breather" from the Remeron (for just a few days); I think I may have taken too much Remeron too soon, what with my jumping up to 30mg/nite on only my third day (but what my pdoc had advised me to do.)

My current plan is to get back on the Remeron at the low 15mg/nite dosage soon, and ride it out for a week or two just holding at that low dosage. I will be discussing this strategy later today with my pdoc.

Lynda, do you consider yourself to be a sensitive person to AD meds in general or not?

I am asking you this because I am VERY sensitive to & intolerant of most AD meds in general; that is why I think I may need to ease into the Remeron "gently" rather than by brute force, especially since I went from just 2 days at 15mg/nite then up to 30mg/nite; I then did the 30mg/nite for three nites, and then I stopped the Remeron entirely because it seemed really excessive, ie, I experienced not just sedation, but disorientation, spaceyness, funny head feelings, etc., As well as EXTREMELY vivid dreams (movie-like!) that seemed to be interfering with my sleep.

<< My doctor STARTED me at 30mgs and WARNED me to wait until the weekend to start it. I was TOTALLY sedated, slept most of the day, felt weak, was so dizzy I couldn't drive >>

<< The WORST of it (dizzyness; sleepiness) resolved within several days -- 1 to 2 weeks tops. >>

Lynda, do I understand you correctly that your start-up experience with Remeron was at 30mg every night and you did NOT stop it or drop the dose down at all, but just toughed it out at 30mg/nite and then the worst of it diminished for you after 1 to 2 weeks?

Also, were you using the Remeron mouth-dissolving SolTabs or just the regular swallow tabs? (I think that the SolTabs version of Remeron may deliver more net potency than the regular Tabs at the same rated mg dosage; I am using the SolTabs version.)

<< I'm currently taking 60 mgs. per day (at bedtime) and have been on it nearly a year now. >>

I do understand now that that is the general goal for Remeron users, to get to and then sustain the use of Remeron at those higher doses. Lynda, may I ask at what point in your Remeron usage did you raise from 30 to 45, and then from 45 to 60?

<< It was at about the 10 month point that I realized my depression was in remission. I sleep well, my anxiety is well controlled, I'm not avoiding life anymore. >>

That is fantastic! Congratulations!

I actually think that in just my 5 days on Remeron so far, I have noticed "a bit" of improvement in my depression, which is not impossible considering that Remeron has a much quicker efficacy onset than the SSRI's.

Lynda, I see that you mentioned anxiety; did you have any mild OCD-type anxiety as well? I do.

Also, are you only using just the Remeron for your depression & anxiety?

PS: Lynda, I apologize for asking you so many questions! please feel free to answer my questions one a time if you like, whenever you can.

Again, thanks so much!

regards,

Charlie


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poster:CharlieL thread:223661
URL: http://www.dr-bob.org/babble/20030505/msgs/224445.html