I can only speak about the pristiq which I take in the a. m. I have not taken remeron though I read that you need to be careful taking both medications regardless of the time of day.
Have you been on the pristiq long? I would like to know how you are getting along with it. I have only been on it for 2 weeks, but so far so good except some nausea and headache.
If you could share your experience, It would be greatly appreciated,
My physician had me on Effexor xr 225mg in a.m. & remeron 45mg at bedtime for a number of years. Effexor's effectiveness began to deminish so he switched me to Pristiq in a.m. & continue on the remeron. It's been 2 weeks for pristiq and I think it is starting to work. Remeron affects some different receptors than the pristiq or effexor. So the combo gives a wider response. It sure beats depression! Nmaste, Harry
Taking Pristiq in the am for chronic pain. Could not tolerate Savella. Take Remeron at night. Have tried Lexapro, Paxil CR, Wellbutrin. The only side effects I notice at this time ( and it has been only 2 weeks) are constant heartburn ( for which I was prescribed Prevacid twice/day- don't you love taking a medication to help with the side effects of another medication?), a slight tremor in my right hand, and long bad dreams. I lost 10 lbs on the Savella in just 8 days. What's nice about the Remeron/Pristiq combo is that I am NOT starving all of the time,I have a normal appetite, I sleep better ( well at least for more than 5 hours), and my outlook about being a chronic pain patient is better- I am less anxious and depressed. I plan to give this combo a 3 months. If the bad dreams get too awful I can cut back on the Remeron (currently at 22.5) and increase the Pristiq.
The heartburn is pretty bad ( I slug Maalox in addition to the Prevacid) and even Nexium for a month didn't work. If it doesn't go away significantly I'll re-look at all of my meds. The doctor who prescribed the combo is a surgeon who specializes in chronic pain. I really think a good trial for any medication is about 5 weeks, if you can stand it.
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