ParanoidAndroid Posted October 22, 2010 Share Posted October 22, 2010 So I've been on Remeron 45 mg for about two weeks, up from 30 mg for about 6 weeks before that. For the last 2 weeks of the 30 mg we tried adding 10 mg Lexapro, but it gave me the sweats, seemed to up my anxiety, and just generally felt wrong, so we dropped it and upped the Remeron. Also I've been using Xanax 0.5 as needed, which tends to be two or three times a day depending on how much shit is going down in my life (there's been rather a lot). The main problem I have is depression and anxiety with intrusive ruminative thoughts following too many life transitions that piled up at once. The Remeron seems to help the depression, I guess, since I'm not feeling too depressed right now. I'm still pretty prone to anxiety, though, and the Xanax is the main recourse I have for this. In fact I'm pretty much taking it preemptively upon waking up, then again in the afternoon, then maybe at night. Like I said, I'm also having ruminative negative thoughts, which I rationally recognize as not at all grounded in reality, but the broken records do continue to play... I am also in therapy probing these repetitive thought trains, and I think this will help. I realize they have nothing to do with reality and that I basically have a good life. Too much thinking. So I see the pdoc next week and want to have some idea what if any med changes to pursue. The Remeron just isn't doing the whole job for my anxiety, but maybe I need to give it more time. And maybe I need to accept that I need to constantly dose myself with Xanax, which works great on anxiety, but I somehow feel is a blunt tool. Also it's easy to feel sluggish and even a bit depressed on the Xanax. Still, that's better than freaking out. The great thing about the Remeron is that I can't think of a single side effect. I tolerate it well. One problem is that I wake up a bit earlier than I'd like (though Remeron is supposed to be sedating; apparently less so at 45 mg). So maybe something to help with that like Seroquel, which might also help with the ruminative stuff? YANMD of course, but I'd like to go in to my appointment informed and with some clue of where I want to go med-wise. Otherwise I may get something like Risperdal again, which gave me restless legs and plus I wasn't too keen on the thought of hyperprolactinemia. Another thing we talked about was going back on Abilify, 1 mg or so. Several months back I was on Remeron 30 mg/Abilify 2-5 mg and was basically fine except for some Dysthymia and mild tremors, blurred vision, and excessive daytime sedation. So I guess that's not exactly fine. But maybe at the lower dose. I'm curious about the Seroquel. Also would consider trying WB again, as I tolerated it well, although I guess that's hit or miss with anxiety. Anyway just giving an update here, hope me and the pdoc can figure out the right tweaks, if any. Marvin Link to comment Share on other sites More sharing options...
TheTrishgu Posted October 22, 2010 Share Posted October 22, 2010 Remeron does nothing for my anxiety at 45mg, but it definitely keeps me safe. If it's helping the depression, stick with it and talk about something for your anxiety because out of everything you talked about, that seems like your biggest issue right now. Link to comment Share on other sites More sharing options...
ParanoidAndroid Posted October 22, 2010 Author Share Posted October 22, 2010 Yes, I think that's the right way to look at it, what add-on to Remeron to help with the anxiety. Link to comment Share on other sites More sharing options...
rein Posted October 23, 2010 Share Posted October 23, 2010 Hey Paranoid Android. Just poppin my head in to say that I take Remeron too. My add on drug of choice is Welbutrin. Its the magic combo for me. Link to comment Share on other sites More sharing options...
ParanoidAndroid Posted October 23, 2010 Author Share Posted October 23, 2010 I would try the WB again with the Remeron this time. Do you have anxiety issues, and does the Rem/WB help with that? I hope I discover my magic combo. Link to comment Share on other sites More sharing options...
rein Posted October 23, 2010 Share Posted October 23, 2010 I did have anxiety issues..big ones. This is a good combo for that..Basically I was an anxiety ridden slug before figuring out the best mix. Now I do pretty well. Most of the time. I really do hope you discover your magic combo ParanoidAndroid. Link to comment Share on other sites More sharing options...
ParanoidAndroid Posted October 25, 2010 Author Share Posted October 25, 2010 Thanks, I will keep you posted. Link to comment Share on other sites More sharing options...
ParanoidAndroid Posted October 26, 2010 Author Share Posted October 26, 2010 We are trying adding 2.5 mg Abilify. Here's hoping for some benefit! Link to comment Share on other sites More sharing options...
ParanoidAndroid Posted December 2, 2010 Author Share Posted December 2, 2010 It seems the longer I stay on the Remeron/Abilify, the more normal I am feeling. However I still get a bit gloomy (maybe it's winter kicking in) and slightly panicked about basically nothing from time to time (I use Xanax for this). I'm definitely feeling not all the way there in the meds department, but I will stick it out a while longer before asking for a med tweak. Link to comment Share on other sites More sharing options...
ParanoidAndroid Posted December 11, 2010 Author Share Posted December 11, 2010 Yep, I'm good on this combo (Remeron, Abilify, and Xanax), except for the anxiety. I'm anxious nearly all the time unless I'm eating Xanax like candy (up to 1.5 mg/day). This probably means my meds aren't working so well on the anxiety front. Unless we consider the constant Xanax use OK. My pdoc has no problem with it. Meeting with the pdoc next week. I don't think we have the right Remeron add-on. What should I ask about? Anyone try Buspar with Remeron? Link to comment Share on other sites More sharing options...
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