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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by tensor on April 7, 2010, at 5:27:17
Has anyone here been on this combo? It seems to be rare. I was prescribed clomipramine today and plan to take it with Remeron 15-30mg. Are there any precautions for this combo?
/Mattias
Posted by Katgirl on April 7, 2010, at 10:29:37
In reply to clomipramine + Remeron, posted by tensor on April 7, 2010, at 5:27:17
I have only been on Remeron, so I can't speak to the combo. But I just wanted to wish you good luck! Take care, Kat
Posted by tensor on April 7, 2010, at 11:41:30
In reply to Re: clomipramine + Remeron, posted by Katgirl on April 7, 2010, at 10:29:37
> I have only been on Remeron, so I can't speak to the combo. But I just wanted to wish you good luck! Take care, Kat
Thank you, take care you too :)
/Mattias
Posted by ed_uk2010 on April 7, 2010, at 14:04:14
In reply to clomipramine + Remeron, posted by tensor on April 7, 2010, at 5:27:17
> Has anyone here been on this combo? It seems to be rare. I was prescribed clomipramine today and plan to take it with Remeron 15-30mg. Are there any precautions for this combo?
>
> /MattiasI'm not aware of any specific problems or precautions.
You might find that you can easily taper off mirtazapine whilst taking clomipramine. You might not need mirtazapine any more.
Posted by tensor on April 7, 2010, at 15:23:10
In reply to Re: clomipramine + Remeron, posted by ed_uk2010 on April 7, 2010, at 14:04:14
> I'm not aware of any specific problems or precautions.
>
> You might find that you can easily taper off mirtazapine whilst taking clomipramine. You might not need mirtazapine any more.
>Ok. I like to keep Remeron, just because it counteract side effects like nausea, decreased libido and allover sexual performance, plus I sleep well on 30mg. My sister has done very well on this combo for many years.
I'm going to start cross-taper tonight, taking 25mg clomipramine now (with Remeron) and 75mg venlafaxine tomorrow morning. Will probably do that for a few days. Venlafaxine is not really famous for its mild d/c symptoms but I hope it will work.
Since this combo seems to be rare for depression, maybe I get to name it? Perhaps the "Finnish ice breaker" combo or something, LOL :)
/Mattias
Posted by ed_uk2010 on April 7, 2010, at 17:18:12
In reply to Re: clomipramine + Remeron » ed_uk2010, posted by tensor on April 7, 2010, at 15:23:10
I expect clomipramine will block most of the venlafaxine withdrawal symptoms.
>Perhaps the "Finnish ice breaker" combo or something, LOL :)
That sounds more like a cocktail Mattias :)
Posted by hopefullynow on April 7, 2010, at 22:11:29
In reply to Re: clomipramine + Remeron » ed_uk2010, posted by tensor on April 7, 2010, at 15:23:10
Very nice combo! At what dose of Anafranil do you want to go?Indeed ,Remeron seems like a clever addon thru his 5ht2a, 2c and 3 antagonism to any SRI or SSRI.I particulary did well always with Anafranil, it was/is miraculous for me.Tried this combo for a week or so many years ago but unfortunately I don't remember how it was or how i felt.I suppose that were sugar cravings and some sedation.At that time i was super sensitive to psychotropic meds and very inconsistent with sticking with a treatment.Good luck, looking forward for your progress :)!
> > I'm not aware of any specific problems or precautions.
> >
> > You might find that you can easily taper off mirtazapine whilst taking clomipramine. You might not need mirtazapine any more.
> >
>
> Ok. I like to keep Remeron, just because it counteract side effects like nausea, decreased libido and allover sexual performance, plus I sleep well on 30mg. My sister has done very well on this combo for many years.
>
> I'm going to start cross-taper tonight, taking 25mg clomipramine now (with Remeron) and 75mg venlafaxine tomorrow morning. Will probably do that for a few days. Venlafaxine is not really famous for its mild d/c symptoms but I hope it will work.
>
> Since this combo seems to be rare for depression, maybe I get to name it? Perhaps the "Finnish ice breaker" combo or something, LOL :)
>
> /Mattias
Posted by hopefullynow on April 12, 2010, at 0:23:40
In reply to clomipramine + Remeron, posted by tensor on April 7, 2010, at 5:27:17
Hey Tensor,
How's your "Finnish ice breaker" :)?
Do you sleep well on it?
How's the sedation, your appetite and overall energy?Thanks
Posted by tensor on April 12, 2010, at 6:28:47
In reply to Re: clomipramine + Remeron » tensor, posted by hopefullynow on April 12, 2010, at 0:23:40
> Hey Tensor,
> How's your "Finnish ice breaker" :)?
> Do you sleep well on it?
> How's the sedation, your appetite and overall energy?
>
> ThanksHi :-)
Not too bad. I have had energy todo something the last days, it's been fun to get something done. Although I often get a transient surge in mood and energy when changing meds or doses, but I keep my fingers crossed. S/e-wise nothing to whine about yet, but I'm only at my second day at 50mg of clomipramine. Another good thing is that I don't need daytime naps now, and I easily fall asleep at night and sleep through the night. No daytime sedation, my appetite I would say is normal, no cravings.
I think I will go up to 75mg of clomi (with 30mg Remeron) and stay there for awhile and see how things develop, I don't want to take an unnecessarily high dose of this med.Kind regards,
Mattias
Posted by hopefullynow on April 12, 2010, at 12:53:30
In reply to Re: clomipramine + Remeron » hopefullynow, posted by tensor on April 12, 2010, at 6:28:47
Hello Tensor!
I'm glad for you that your wise cocktail works so far!I hope for good!I'm on clomipramine too, at 50 mg/day plus maprotiline (NRI) at 75 mg.I also contemplate to exchange the maprotiline to Remeron at 30 mg because i'm experiencing some residual anxiety and i think that remeron thru his 5ht-2a, 2c and 3 antagonism will help me get rid of it.Thanks for sharing your state, and i'll apreciate if you'll report from time to time how's going.
All the best and kind regards!
> Not too bad. I have had energy todo something the last days, it's been fun to get something done. Although I often get a transient surge in mood and energy when changing meds or doses, but I keep my fingers crossed. S/e-wise nothing to whine about yet, but I'm only at my second day at 50mg of clomipramine. Another good thing is that I don't need daytime naps now, and I easily fall asleep at night and sleep through the night. No daytime sedation, my appetite I would say is normal, no cravings.
> I think I will go up to 75mg of clomi (with 30mg Remeron) and stay there for awhile and see how things develop, I don't want to take an unnecessarily high dose of this med.
>
> Kind regards,
> Mattias
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