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Re: remeron questions for anyone

Posted by joslynn on September 18, 2006, at 11:06:03

In reply to remeron questions for anyone, posted by saturn on September 17, 2006, at 23:49:42

>
> 1. How effective is it as an antidepressant( and is this effect only achieved when the NE kicks in at 30-45 mgs)? Can it stand up to anything like the ssris or tca's (or even stimulants)?

I can't answer 1, as I take it at 15 mgs WITH an SSRI.

> 2. How pronounced is daytime sedation and cognition at the various doses. Is it possible to retain sedative effects for sleep while still having antidepressant qualities and full mental capacities during the daytime?
>
I can function at a high-pressure job during the day, and I have to be very detail-oriented and alert for a lot of my job. BUT I have to make sure to get at least 8 hrs sleep, 8 1/2 is better.

> 3. How likely and severe is "poop-out" and is it specificially difficult to withdraw from due to the remeron's unique propenisty for sedation at lower doses and stimulation at higher.

Hmm, haven't had poop out.

I have gone off Remeron at various times, sometimes for over a year, because back then I couldn't figure out how to manage the munchies (see below for how I am doing that now). I didn't experience WD symptoms, just had to get used to sleeping without anything again. However, I do know that people on the WD board have had WD problems. My body didn't have this problem though. I went back on during a mini-relapse and stayed on because I just feel better and more emotionally strong on it. I do not have mini-episodes of depression when I am on Remeron and an SSRI. I did have some mini breakthrough depression episodes when I was just on an SSRI.
>
> 4. I've heard the prevalence of agranulocytosis to be around 1/1000. Is this underestimated/underreported?

Er, dont' know what that is, so I guess I haven't had it. Do you mean the thing that starts out flu-like but is a rare, dangerous side effect? Haven't had that.
>
> 5. Would Remeron be a reasonable medication for long term sleep maintenance that would allow me to be non-sedated/mentally focused and NOT DEPRESSED during the day?
>
Yes, I don't feel depressed or sedated the next day.

> 6. Lipids and weight gain. I can fight off the munchies but how bad are the lipid effects?

Ok, no idea what lipids are! The munchies are real, but, I have been able to manage them by avoiding white flour and sugar entirely. For me, on Remeron, it's easier to avoid these things altogether, or I just go crazy. I have gained a small amount of weight, which I am losing.



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poster:joslynn thread:686990
URL: http://www.dr-bob.org/babble/20060909/msgs/687070.html