Posted by tensor on December 5, 2009, at 19:55:23
In reply to Re: Discontinuation symptoms or not?, posted by bleauberry on December 5, 2009, at 15:03:16
> 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.I came off Remeron fast, five days at 15mg then four days at 7.5mg. I agree it's difficult to say when several changes are done at the same time. I'm gonna cut back on Edronax to 2x2mg, but will continue to try without any Remeron. Nortrip is definitely a good choice, I don't know how safe it is to combine with an SSRI though.
/tensor
poster:tensor
thread:928139
URL: http://www.dr-bob.org/babble/20091127/msgs/928237.html