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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 geno on April 14, 2004, at 2:51:50
Iv been on Remeron for 2 yrs now. Remeron i can say is a very interesting drug. But the hunger and increase in appetite is a killer, esp 1 hr after you take it, i have to pig out before i go to sleep. So my doc took me off remeron, and put me on elavil 50mg.
Well, so far, i take it, and has little or no effect. And in the pharmacology book, they seem to be similar, Remeron is a bit more potent on the histamine receptor. And there is no hunger with elavil. So, i decided to take 1mg of klonopin with it, and it helped. But i plan on stopping elavil next doc visit to tr some ambien. I like the fact that ambien works very fast, basically knocking you out, but i tend to wake up 4-6 hrs later, needing another dose or at least a half of dose. Im gonna give it a try again, becuase i was using when i was on ambien.thanks
geno
Posted by harryp on April 14, 2004, at 3:32:13
In reply to Elavil vs Remeron, posted by geno on April 14, 2004, at 2:51:50
The usual dosage for Elavil is 150-200 mg., so it's not surprising it isn't doing much for you yet. I would talk to your doctor about increasing the dose. The fact that you can tolerate the side effects is a very good sign, and you should definitely give this drug a full trial.
Posted by King Vultan on April 14, 2004, at 7:50:37
In reply to Elavil vs Remeron, posted by geno on April 14, 2004, at 2:51:50
Have you tried trazodone? It's relatively sedating but doesn't stimulate the appetite nearly as much as Remeron. Elavil (amitriptyline) does induce weight gain in some people, but it's not nearly as bad as Remeron (probably nothing is). The big problem with Elavil is its severe anticholinergic effects; in fact, they are so bad there is a school of thought that this drug's side effects are too severe to justify prescribing it. Amitriptyline is very widely used, however, mainly by GPs for sleep and pain--it might be a good choice for someone with fibromyalgia, for instance. It is also very, very cheap.
Todd
Posted by Sad Panda on April 14, 2004, at 13:12:17
In reply to Elavil vs Remeron, posted by geno on April 14, 2004, at 2:51:50
> Iv been on Remeron for 2 yrs now. Remeron i can say is a very interesting drug. But the hunger and increase in appetite is a killer, esp 1 hr after you take it, i have to pig out before i go to sleep. So my doc took me off remeron, and put me on elavil 50mg.
> Well, so far, i take it, and has little or no effect. And in the pharmacology book, they seem to be similar, Remeron is a bit more potent on the histamine receptor. And there is no hunger with elavil. So, i decided to take 1mg of klonopin with it, and it helped. But i plan on stopping elavil next doc visit to tr some ambien. I like the fact that ambien works very fast, basically knocking you out, but i tend to wake up 4-6 hrs later, needing another dose or at least a half of dose. Im gonna give it a try again, becuase i was using when i was on ambien.
>
> thanks
> geno
>
>Low Dose TCA's for sleep:
Amitriptyline is actually alot weaker as an antihistamine than Remeron. Doxepin is much closer to Remeron & just as cheap as Ami. 25mg of Doxepin would be a good start.High Dose TCA's for depression:
Amitriptyline is the TCA that anglo-saxon pdocs have the most experience with, but Clomipramine is probably the pick of the bunch.Cheers,
Panda.
This is the end of the thread.
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