Posted by Squiggles on May 11, 2003, at 9:36:54
In reply to Re: Remeron rocks for treatment-resistant unipolar » Squiggles, posted by SLS on May 11, 2003, at 9:15:00
Hi Scott,I wish i knew as much as you do about the
chemistry of these drugs and their effect -
this collage of interacting AD effects is
not something i can respond to - definitely
would ask a doc. or a pharmacist.I have been told that the reason Remeron is
so good for heavy depression is on account of
its effect on norepinephrine, which is not
as stimulated by imipramine (is that right?);
on the other hand, it is quite sedating, but
that is supposed to go away within a few months
after starting. My friend is doing ok so far -
better than ever.I recall with imipramine there
would be a cycle of slammerino sleep after taking
it, uneasy, tense, anxious days, with a 4 hr.
span of agressive, rage explosive tendencies
just before taking the nightly dose again. And that
was the best drug of all the consequent ones tried.
>
> My initial diagnosis was ultra rapid-cycling atypical unipolar depression. I no longer cycle. I was later diagnosed as being bipolar when antidepressants precipitated severe mania, although I never had a manic episode in the absence of medication. I wish I could become manic again, as mania is easily treated for me using either Depakote or Zyprexa. I don't know what the hell I am other than a pain in my doctor's ass.
>
> I have tried lithium in the past. In fact, it was responsible for abolishing my rapid-cycle (I wish it hadn't). Lithium tends to make me feel worse as it significantly flattens my affect. I still wouldn't exclude it among alternatives, but I would try it at dosages between 300-600mg.
>
> Thanks for the input!
>Ultra-rapid cycling unipolar? Wow! I've never heard
of that one before; sorry, exactly how did that
feel, without the mania? It sounds very unusual.
So what's the plan Scott - are you going to
recommend that soup to your doctor? I think you
should. As for being a pain in the ass, i have
a feeling that doctors hate psychiatry more than
brain tumour removal - i am sure it is the most
taxing and challenging area in their practice.I can only be grateful that my dr. has not thrown
me out the door after telling him exactly how he
is supposed to do things right, LOL.Squiggles
poster:Squiggles
thread:225645
URL: http://www.dr-bob.org/babble/20030505/msgs/225780.html