Hi all, i started remeron 45mg a night but still i don't feel better, i can't sleep, anixity persists, and all other problems are still there, it's my 2nd week with no progress, i don't trust doc anymore they just make a try&error.
It is unfortunate but it is trail and error as to what will work and what will not. Everyone is different with their chemical make up. Keep in mind that doctors are called practicing doctors for a reason. You may want to see a psychiatrist if you are not already. They specialize in pharmaceuticals drugs. It also can take 4-8 weeks for meds to reach a therapeutic level and start working. You can either give it more time or go back to your doc and try something else. It is frustration when all you want to do is feel better. Hope you get better soon :)
I'm sorry Remeron isn't working, I felt it working within 3-4 days, try going down to 30mg as maybe 45mg is too much Nor-epinephrine and that's keeping you up. You have to see a Psych Dr if you aren't already, GP's haven't got the knowledge to treat Complicated Psych Disorders. Try Valerian and Melatonin to help with sleep, If it doesn't work within a couple more weeks you don't get any response change meds if you get a partial response you can augment with an SSRI, I did with Viibryd and Lexapro and had a better response with Rem 30mg and Lex 10mg or Wellbutrin. If you want to take as few pills as possible there are always TCA's they just carry more side effects.
As was stated above, the diagnostic process is trial and error, and it's hellish for the patient: The Dr gives you a med that can take several weeks to kick in, and often doesn't give you anything to help you short term - primarily because you both need a clean slate to see if the med is effective or not. Hell is too nice a word, actually. I had a great response to Remeron and felt it almost immediately in terms of allowing me to sleep and eat something. But you shouldn't have started at 45 mgs. IMHO. Standard operating procedure is always to start at the minimum (or even less - I just started a new med, and I cut the lowest dosage in half for a few days to start) Otherwise, it can wire you up to a painful state. I took too large a dose of Effexor once after having not been on any medication at all, and I didn't sleep a wink that night and thought I had battery acid in my bloodstream.
Go to a psychiatrist and get competent help to rethink your game plan. If you can't get an appointment really quickly, depending on how awful you feel, if it were me, I might consider skipping one dose out of every four or five daily doses (20 - 25% reduction) to slightly reduce my intake until I can see a Dr. Maybe you can get a phone consult. Though it is trial and error, psychiatrists are the ones who know the most about pharmaceuticals.
thank you everyone,,,
the bad thing is that I tried many medications with no valuable progress, current doc is the 5th! and even it's a matter of try & error, it should come to a good result but seems no luck.
below the medicines i still remember i tried in the past 11 years : remeron, vladoxan, ridon 20, paxitab 10, anafranil 75, anixity 10, revotril 20, prozac, nardil.
if my luck is 10% then I should have gotten at least one good result
- Remeron Information for Consumers
- Remeron Information for Healthcare Professionals (includes dosage details)
- Side Effects of Remeron (detailed)
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