Posted by bleauberry on December 5, 2009, at 15:03:16
In reply to Discontinuation symptoms or not?, posted by tensor on December 5, 2009, at 7:49:31
At this early stage, having made two changes at a time, it is difficult to know what is doing what.
I think the size of the final dose and the length of time of the weaning process would give some clues. For example, if the weaning process was fast (2 to 4 weeks), risk is high that remeron is a factor. If the last dose was in the 7.5mg to 15mg range, the risk is very high. Smoother remeron weanings involve time (2-3 months) and very tiny steps down, working down to a final dose of around 1 to 2mg...mere specks sliced off the sides of the pills.
On the other hand, too much norepinephrine can make some people very very depressed. It's a deep dark depression that didn't exist prior to the med, and starts in the 1 to 4 day timeframe.
I think it would be wise to cut the Rebox dose in half...I know it's already lowish, but make it lower...3mg...or even 1.5mg...and add back a smidgen of remeron...3mg to 7.5mg. Try to get back a little closer to where you were, and then stay on track with the new meds except with a slower wean off Remeron coming down in tiny steps, and a slower climb into Rebox.
Better yet, as has already been mentioned, Nortriptyline, or even better Amitriptyline.
poster:bleauberry
thread:928139
URL: http://www.dr-bob.org/babble/20091127/msgs/928208.html